WOUND AND SKIN CARE

Wound Assessments

100

Your patient has a wound on their body and is presenting with the following symptoms: fever, chills, increased heart rate, decreased respiratory rate, vomiting and extreme lethargy, what might be going on?

Sepsis - Medical emergency, send to ER!

200

What measurement do you want to ensure is captured on your wound assessment to track progress or deterioration of the wound?

Depth

300

These two types of drainage signify a wound infection.

Purulent

Increased serous drainage

400

What do each of the letters in ABCDE stand for?

A - Absorbency

B - Bacteria & Body Parts

C - Crud "Necrotic Tissue"

D - Dimensions

E - Education

500

What do you call the wound bed tissue that bleeds easily when whiped?

Hypergranulation

Products

100

There are 3 categories of antimicrobial products available to you, what are they?

Iodine

Silver

Vinegar

200

Name the silver dressing stocked for your team.

Acticoat Flex3

300

How would you properly dilute a package of Vinegar?

Mix one package with 2 cups of warm water

400

Name a time when Vaseline would be appropriate.

On a scrape (abrasion)

Superficial sunburn that's started to heal

500

Name the Iodine products stocked for your team - 4 total.

Inadine

Iodosorb

Betadine wipe

Iodoform (Brown bottle with green label)

Skin Concerns

100

Signs of an infection? Name 5

Red 

Warm/Hot

Pus

Odor

Purulent drainage or increased seroud

Fever/Chills

Nausea/Vomiting

200

Sunburn with no blisters, what is the best care?

No dressing

Cool with cold soaked gauze or clothes

Soap and water can be used daily

Vaseline helpful when skin starts to dry and become itchy

300

Moisture associated skin damage under the breast can lead to what if the moisture is not removed.

Yeast infection

400

Heat rash:

How does it happen?

What does it look like?

• Develops when a duct that leads from a sweat gland to the surface of the skin is blocked or inflamed.
• This blockage does not allow evaporation, and causes sweat to become trapped beneath the skin
• Causing irritation and bumps on the skin

500

A white border around the wound edge is called what?

What causes this white border?

How do you correct it?

Maceration

Too much moisture

Remove wet dressing more often

Wound Care

100

Wound hygiene means?

To remove any loose or dry tissue on or around the wound to prevent bacteria from getting trapped underneath and causing an ulcer.

200

A fluid filled blister that measures more than 3cm x 3cm should be...

Deflated using a needle or clean (sterile, ideally) scissors.

Apply Vaseline or Inadine (if infected)

Cover with non-adherent and gauze

300

Their is a dry eschar cap covering the wound. How would you care for this wound?

Paint with a betadine wipe

400

If these two body parts are exposed in a wound, the patient should immediately seek medical attention.

Bone

Tendon

500

Before we discussed ABCDE today we talked about the 4 things that are a MUST for all wounds.

Determine the underlying cause

Moisture management

Bacterial management

Fill any open space

Miscellaneous

100

If you haven't taken the Empathetic Hands: Wound Care Outreach course, who can you contact to find out more about registration?

Michelle Walsh

[e-mail]

Elissa Wilson

[e-mail]

200

Psoriasis looks like?

Thick, dry, scaly plaques

300

Wounds that you want a good moisture content with should be as wet as your?

Eyeballs

400

Bacteria in a wound requires?

An antimicrobial dressing

500

How do you know that Inadine was effective in a wound?

It changes from orange to beige