Wound Exudate
Wound and Drains
Wound Terms
Wound Describers
Wound Care
100
The accumulation of fluid in the wound, or drainage from the wound.
What is exudate?
100
Double or nothing: What kind of surgical closure is this and how do you remove them?
Staples
Remove every other staple
100
List at least 2 risk factors for impaired tissue integrity
What is older age, immobility, impaired sensory perception, chronic disease, malnutrition, incontinence
100
Breakdown of skin due to excessive moisture.
What is maceration?
100
This type of debridement involves the physical removal of dead tissue using methods such as wet-to-dry dressings
What is mechanical debridement?
200
A yellow, green, or brown drainage. Indicating an infected wound
What is purulent drainage?
200
Superficial wounds that include scraping or rubbing of the skin. Usually caused by friction
What is an abrasion?
200
This refers to the separation of previously joined wound edges.
What is dehiscence?
200
Term for yellow, stringy nonviable tissue that can sometimes be seen in a wound bed.
What is slough?
200
This type of debridement involves the use of a scalpel or scissors to cut away and remove the dead tissue in a wound.
What is sharp/surgical debridement?
300
Exudate that is described as clear, watery plasma
What is serous exudate?
300
Tearing of tissue with irregular edges, a cut in the skin
What is a laceration?
300
This term refers to the protrusion of visceral organs through a wound opening.
What is evisceration?
300
This term describes wound edges that are closed and held together, promoting faster healing and reducing the risk of infection.
What is approximated?
300
Often used on dry or painful wounds, this cool, soothing dressing helps maintain a moist environment and can provide comfort while supporting healing.
What is a hydrogel dressing?
400
Exudate that is bright red; indicates active bleeding.
What is sanguineous exudate?
400
List two factors the nurse should document when caring for a patient with a drain.
What are type of exudate, amount, consistency, and/or odor?
400
This refers to the erosion of tissue underneath the wound edges that are beyond the wound opening.
What is undermining?
400
Black or brown necrotic tissue. Nonviable and needs to be removed for the wound to heal.
What is eschar?
400
This transparent dressing type allows for oxygen exchange and moisture retention, making it ideal for superficial wounds and IV site protection.
What is a film dressing?
500
Wound drainage that is pale red; mixture of plasma and blood.
What is serosanguineous exudate?
500
This closed suction device is commonly used after surgery to help remove blood and fluid from under the skin and operates by compressing a round reservoir to create gentle suction.
What is a Hemovac drain?
500
This is the extension of tissue erosion beyond the wound bed and wound edges.
What is tunneling?
500
When assessing a wound, these three dimensions are measured to accurately describe its size and track healing progress.
What are length, width, and depth?
500
This moisture-retentive dressing forms a gel-like barrier when in contact with wound fluid and is often used for mild to moderately exuding wounds like pressure injuries.
What is a hydrocolloid dressing