Wound Healing
Healing that occurs with the use of a drain, wound left open and closes later
Tertiary intention
To promote comfort, pain medication can be given how long before a dressing change
30 mins
What is left on too long can cause damage to epithelial cells
Heat or Ice
A blister is considered what stage ?
stage II
Sutures and staples should be left for how longf
7-10 days
What should you use to loosen gauze that has stuck to a wound
Normal saline
Clear, Watery drainage is called
Serous
An aquathermia pad is safe because of what mechanism
Circulating water to maintain temperature control
The risk of infection in a clean surgical wound is less than what percent?
less than 5%
In a JP drain, what amount in a 24 hour period is considered abnormal
300 ml or greater
This affects wound healing by interfering with normal cellular mechanisms that promote release of oxygen to the tissues
Smoking
Red, Watery drainage is called
Serosnaguineous
What can be used at home approximately 12 inches away to irrigate a wound
Shower head
Wound classification where the respiratory, alimentary, or genitourinary tract was entered under normal circumstances
Clean, contaminated
Surgical incision has separated
Dehiscence
This chronic disease that causes small blood vessel disease that impairs tissue perfusion. It causes hemoglobin to have a greater affinity for oxygen, thus failing to release oxygen to tissues.
Diabetes Mellitus
What solutions can be for wet-to-dry dressings?Select all that apply
1. Normal saline
2. Lactated Ringers
3. Acetic Acid
4. Dakin's solution
5. House hold Vinegar
1,2,3,4
Improves circulation to affected area, decreases edema, and consolidates any purulent exudate.
These listed are the benefits of what treatment?
Warm, moist compress
Wound classification which the wound is an old wound (more than 4-6 hours), tissue death has occurred, perforated viscera
Class IV- Dirty Infected
A purple, raised, immature scar caused by excess collagen formation
Keloid
What are the phases of wound healing?
Hemostasis, Inflammatory, Reconstruction, Maturation
This type of dressing keeps the incision moist
Occlusive dressing
If any sign of suture line separation occurs upon removing staples or sutures what should you do?
Leave the remaining sutures or staples and document it in the chart, and report to HCP
Restlessness, rapid, thready pulse, decreased blood pressure, decreased urinary output, cool and clammy skin are all signs of what?
Internal hemorrhage/shock
Turning a patient should occur how often? And what position should be used to prevent pressure ulcers to coccyx
Turn Q 2 hours
30 degree lateral position