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Staging of Pressure Ulcers
Types of Wound Dressings
Risk Factors/Factors Inhibiting Wound Healing
Complications of Wound Healing
Types of wound exudate
100

Full-thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia.

What is Stage 3

100

Adhesive plastic, semipermeable, nonabsorbent dressings allow exchange of oxygen between the atmosphere and wound bed. They are impermeable to bacteria and water.

What is transparent film

100
These changes are associated with aging such as atherosclerosis and atrophy of capillaries in the skin, can impair blood flow to the wound.
What is vascular changes.
100
Locialized collection of blood underneath the skin that may appear as a reddish blue swelling.
What is hematoma
100
Thicker than serous exudate because of the presence of pus, which consists of leukocytes, liquefied dead tissue debris, and dead and living bacteria.
What is purulent exudate
200
Nonblanchable erythema signaling protential ulceration
What is Stage 1
200

Woven or nonwoven cotton or synthetic materials are impregnated with petrolatum, saline, zinc-saline, antimicrobials, or other agents. Require secondary dressings to secure them in place, drain moisture, and provide wound protection.

What is impregnated nonadherent dressing.

200
A force acting parallel to the skins surface
What is friction
200
contamination of a wound surface with microorganisms
What is infection
200
consists chiefly of serum derived from blood and the serous membranes of the body, such as the peritoneum.
What is serous exudate
300
Partial-thickness skin loss involving the epidermis and possibly the dermis
What is Stage 2
300
Waterproof adhesive wafers, pastes, or powders.The inner adhesive layer has particles that absorb exudates and form a hydrated gel over the would; the outer film provides an occulusive seal.
What is hydrocolloid dressing.
300
Name 2 disease processes that increase the risk of delayed healing due to impaired oxygen delivery to these tissues.
What is cardiovascular disease and diabetes.
300
Partial or total rupturing of a sutured wound.
What is dehiscence
300
consists of large amounts of red blood cells, indicating damage to capillaries that is sereve enough to allow the escape of red blood cells from plasma.
What is sanguineous exudate
400
Full-thickness skin loss with tissue necrosis or damage to muscle, bone, or supporting structures, such as a tendon or joint capsule. Undermining and sinus tracts may also be present.
What is Stage 4
400
Clycerin or water-based nonadhesive jellylike sheets, granules, or gels are oxygen permeable, unless covered by a plastic film. Requires secondary occulsive dressing.
What is hydrogel dressings.
400
A force created when a combination of friction and pressure occur.
What is shearing
400
This is detected by swelling or distention in the area of the wound and, possibly, by sanguineous drainage from a surgical drain.
What is hemorrhage
400
exudate is commonly seen in surgical incisions that consists of clear and blood-tinged drainage.
What is serosanguineous exudate
500
Full thickness tissude loss in which the base of the ulcer is covered with slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed.
What is unstageable
500
Nonadherent dressings of powder, beads or granules, ropes, sheets, or paste conform to the wound surface and absorb up to 20 times their weight in exudate; require a secondary dressing.
What is alginate dressing.
500
_____ reduces the amount of functioal hemoglobin in the blood, and constricts arterioles.
What is smoking
500
The protrusion of the internal viscera through an incision viscera through an incision.
What is evisceration
500
discharge consisting of pus and blood is often seen in a new wound that is infected.
What is purosanguineous exudate