Wounds
What are the 4 phases of wound healing. In order.
Hemostasis, Inflammatory, Reconstruction, Maturation
This type of dressing change removes dead tissue from a wound. AKA mechanical debridement.
A wet-to-dry dressing
The first sign of internal hemorrhage is often this.
restlessness
A life-threatening condition caused by a blood clot traveling to the lungs.
Pulmonary embolism
Patients are expected to void within this time after surgery
6-8 hours
What are the process of wound healing
Primary intention ( minimal scarring, surgical closure) Secondary intention, and Tertiary intention.
Analgesics should be given this long before a dressing change?
30 minutes before
A normal maximum drainage amount in the first 24 hrs post-op is this?
300 mL
Early ambulation helps prevent these three complications. And increases what?
DVT and pulmonary embolism
prevent PNA (pneumonia)
-increases peristalsis
This technique helps prvent pneumonia after surgery
Coughing and deep breathing.
What are the advantages of occlusive dressings?
keeps incision moist
Black, dead tissue found in wounds is called this?
Eschar
These vital signs changes indicate internal bleeding.
increased pulse, decreased blood pressure, and decreased urine output.
This condition can occur from significant blood loss after surgery.
Hypovolemic shock
Supporting the incision with this during coughing helps reduce pain and prevent injury
pillow
What are the advantages of gauze dressings?
Prevent skin maturation as they provide air passage
Thick, yellow, green, or brown drainage with color indicated this?
Infection
This late sign of hypovolemic shock includes a weak, thready pulse.
decreased blood pressure with a dropping heart rate.
Diabetes increases wound risk because hemoglobin has a higher affinity for this...?
Oxygen
Daily fluid intake after surgery should be in this range
2000-24000 mL
What are the interventions for a dressing adhering to a wound?
Moisten dressing with sterile saline or sterile water and then gently remove.
These three types of drainage include clear, bloody, and mixed.
Serous, Sanguineous, and serosanguineous.
Vomit (emesis) that looks like coffee grounds should be reported immediately because it indicated this.
Gastrointestinal bleeding
Older adults may have this type of response to surgery?
Decreased or poorer response to surgical treatment
These devices are used to prevent blood clots in the legs post-op
TED hose