Wound Types
Wound Causes
Wound Observations
Wound Drainage
Skin Products
100
A partial thickness wound caused by the scraping away or rubbing of the skin
What is an abrasion?
100
Causes circulatory ulcers
What is poor arterial or venous circulation (blood flow)?
100
Need to look at this for multiple wounds from surgery or trauma
What is the wound site?
100
Clear, watery fluid draining from the wound
What is serous drainage?
100
Pleasant smelling product that is rubbed in the client's skin after bathing, to avoid dryness.
What is moisturizing lotion?
200
An open wound with torn tissues and jagged edges
What is a laceration?
200
Causes a stasis ulcer
What is poor venous blood flow?
200
This observation will indicate if the wound is healing or not
What is the depth and size of the wound?
200
Bloody drainage, may indicate hemorrhage
What is sanguineous drainage?
200
Such as Calmoseptin, which is applied to protect the skin from urine and stool.
What is a barrrier cream?
300
A closed wound caused by a blow to the body/a bruise
What is a contusion?
300
Causes an unintentional wound
What is trauma?
300
Redness, heat, broken sutures, open or closed
What is wound appearance?
300
Thin, watery drainage that is blood tinged
What is serosanguineous drainage?
300
Applied daily to all exposed skin to prevent sunburn
What is sunscreen?
400
A shallow or deep crater in the skin or mucous membrane
What is an ulcer?
400
Causes gangrene
What is death of the tissue?
400
Type and amount of this will tell if wound is healing or infected
What is drainage?
400
Thick green, yellow, or brown drainage, which indicates infection
What is purulent drainage?
400
Used to clean peri area
What is soap and water, or periwash?
500
A swelling (oma) that contains blood (hemat)
What is a hematoma?
500
Causes a dirty/infected wound
What is microbes (bacteria)?
500
How the wound smells can tell if there is infection and possibly what type
What is odor?
500
This is inserted in the wound to help get rid of any drainage, which would impede healing
What is a drain?
500
Some things you can do to prevent skin breakdown
What is reposition every 2 hours, keep clean and dry, apply barrier cream, administer ordered meds to enhance healing such as Vitamin C, FeS04, protein supplement, maintain a healthy diet and good hydration, provide an low air loss mattress to reduce continuous pressure.
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