WOUNDS
What is the definition of a wound
A break in the skin or mucous membrane
What is bluish color to the skin called
Cyanosis
Name 2 things that can cause pressure injuries
Unrelieved pressure, incontinence
What does cold cause the blood vessels to do?
Constrict
What is it called when breathing is slow
Bradypnea
What does dilate mean
To widen
What is difficulty breathing called
Dyspnea
What are the two most common areas for pressure injuries
Sacrum and heels
What does warm compresses cause the blood vessels to do?
Dilate
What is it called when breathing is fast
Tachypnea
What does constrict mean
To narrow
What type of oxygen device is best for allowing the patient to speak, eat, and drink?
Nasal cannula
What does a stage 1 pressure injury look like?
Reddened unblanchable intact skin
Name 2 things heat applications help with
Arthritic/Muscle Pain, Wound healing
What is it called when breathing is rapid and deeper than normal
Hyperventilation
What is the definition of an ulcer
A shallow or deep crater like sore of the skin or mucous membrane
What is the orthopneic position
Sitting up and leaning over a table to breathe
What is black tissue inside pressure injury called?
Eschar
Name 2 things that cold applications help with
Reduce swelling, lower body temperature
What device Measures the oxygen concentration in arterial blood
Pulse Oximetry
What wound is dark purple in color and not open
Deep tissue injury
What are Cheyne-Stokes respirations
Respirations gradually increase in rate and depth and then become shallow and slow
What is the yellow stringy material in a pressure injury called?
Slough
When giving a hot or cold application, how often do you observe the skin?
Every 5 minutes
What is lack of oxygen called
Hypoxia