Wounds
wound caused by the scraping away or rubbing of skin
Abrasion
When epidermis separates from the underlying tissue is called a
skin tear
swelling caused by fluid collecting in tissues
edema
What is primary intention?
wound is closed with sutures, staples, clips, or adhesive strips to hold the wound edges together.
excessive loss of blood within a short period.
Hemorrhage
a closed wound typically caused by a sharp, pointy object
Puncture wound
tearing of skin tissues as a result of skin sticking to a surface
Shearing
condition in which tissue dies and then decays
Gangrene
In what intention wounds are cleaned and dead tissue removed.
Secondary intention
What is Dehiscence?
rupture or sudden separation of the wound layers along a surgical suture line
wound containing large numbers of bacteria
Infected wound
resistance that skin encounters when it rubs against another surface
Friction
open wounds on the lower legs and feet caused by poor arterial blood flow.
Arterial ulcers
What happen in Inflammatory phase?
Bleeding stops, and a scab forms over the wound, which prevents microbes from entering the wound.
What is Evisceration?
separation of the wound, which is accompanied by protrusion of abdominal organs
the dermis and epidermis of the skin are broken
Partial-thickness wound
What is decubitus ulcer?
Any injury caused by unrelieved pressure. It usually occurs over a bony prominence.
What are Circulatory ulcers (vascular ulcers)?
open wounds on the lower legs and feet caused by decreased blood flow through arteries or veins.
What phase starts after day 21 in terms of wound healing?
Maturation phase
collection of blood under skin and tissues.
hematoma
wound that is continually exposed to friction, pressure, or moisture
Chronic wound
Scale used to predict the likelihood of a client developing a pressure injury
Braden Scale
open wounds on the lower legs and feet caused by poor blood return through veins
Venous ulcers (stasis ulcers)
In what phase do tissue cells multiply to repair the wound.
Proliferative phase (day 3 to day 21)
These symptoms are for: low or falling blood pressure; rapid and weak pulse; rapid respirations; and cold, moist, and pale or greyish skin.
Shock