Wounds
what are the three types of healing?
Primary, Secondary, Tertiary
clear drainage is called what
serous drainage
What are the two types of moisture wicking dressings and what type of category is it? What will this do for the wound?
Alginate and hydrofiber. Category: interactive. This will provide moisture management..
Intact skin with non-blanchable erythema
stage 1
Preoperative, intraoperative, and postoperative
What are the three phases of healing?
inflammatory, proliferative, remodeling
this type of drainage is pink/streaks of blood
serosanginous drainage
You would add this to a dry wound for moisture adding (interactive)
hydrogel sheet, petroleum gauze, impregnated dressings
partial loss of dermis
stage 2
What is the nurses job with informed consent?
to witness patient's signature
Name risks for altered wound healing
poor nutrition, smoking, diabetes, poor hygiene, obesity, infections
this type of drainage has red blood
sanginous drainage
Name the cover dressings
silicone foam dressing, gauze, and transparent dressing (tegaderm)
complete loss of dermis
stage 3
What is the purpose of a time out
1. patients name, surname, and DOB. 2. The surgical/invasive procedure site. 3. The procedure to be performed
seperation or splitting open of layers of a surgical wound
dehiscence
pus, yellow, creamy
purulent
What type of dressings will be used for debrieding?
santyl or medihoney
exposed bone, tendon, or muscle
stage 4
not arousable, lose ability to maintain airway independently. Given via inhalation or IV
General anesthesia
extrusion of viscera or intestine through a surgical wound
evisceration
Name the drainage amounts
scant (changed it daily but a little spot of drainage in 24 hr period), small, moderate, large, and copious (saturating drainage in an hour).
What type of dressing is used on a diabetic foot ulcer?
hydrocolloid dressing
1. slough or eschar obscuring depth
2. Purple or maroon discoloration of intact skin
1. Unstageable 2. Brawny's
What lab do you check for warfarin and what is the normal range? What is the therapeutic range?
PT/INR Normal range 0.8-1.1. Therapeutic range: 2-3.