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Integumentary
Lecture 1
26
Medical
Graduate
06/10/2012

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Cards

Term
Name 3 things that are different about wound care.
Definition
1. Environment (visual, odor, blood, temperature)
2. Goal writing (learn terminology)
3. Pain (must have a vision for the pt, calming techniques, and pain meds)
Term
Name the 5 processes of wound care
Definition
1. Undress wound (clean)
2. Assess the wound
3. Clean the wound
4. Dress the wound
5. Thing about additional needs (transfers, ROM, gait, splinting, exercise program)
Term
Name 4 aspects of general information related to wound care
Definition
1. Pre-medication
2. Protect yourself
3. Treating pts with decreased sensation
4. Isolation precautions during treatment (latex allergy)
Term
How long does IV morphine last?
Definition
30 min
Term
One you open a bottle of saline salution can you use it again?
Definition
Yes but you must put pts name on it, check expiration date, and always lock prescription meds in a cabinet
Term
Name the 2 types of wounds
Definition
Trauma
Chronic
Term
Name 4 types of trauma wounds
Definition
Degloving
Puncture
GSW
Burns
Term
What is degloving?
Definition
Usually a hand/foot where skin has been taken off
Term
Name 3 kinds of chronic wounds
Definition
Pressure
Diabetic ulcers
Vascular
Term
3 ways in which wounds effect mobility
Definition
Edema
Scar Formation
Joint ROM
Term
Name 5 types of debridement
Definition
Mechanical
Chemical
Sharp
Biological
Autolytic
Term
Breaks down escar
Definition
Chemical debridement
Term
Using scissors or scalpel to clean wound
Definition
Sharp debridement
Term
Using sterile magets to clean wound
Definition
Biological debridement
Term
The process of using the body's own mechanism to remove non-viable tissue. Moisture of the wound is very important.
Definition
Autolytic debridement
Term
Involves the use of some outside force to remove dead tissue.
Definition
Mechanical debridement
Term
Name the most common types of mechanical debridement
Definition
Wet-to-dry gauze
Wound irrigation w/ suction
Pulsed lavage
Whirlpool
Term
Wound assessment: 5 aspects of medical and wound history
Definition
1. Nutrition
2. Chronic illness (DM, renal, cancer)
3. Age
4. Medication
5. Environment
Term
Name 7 ways to describe a wound.
Definition
1. Classification
2. Stage
3. Length, width, depth
4. Condition of tissue
5. Characteristics of drainage
6. Periwound assessment
7. Pain
Term
What is a tunnel wound?
Definition
Entry and exit
Term
What is undermining?
Definition
Whats under a flap of skin at the edge of the wound
Term
What is tract?
Definition
Q tip can go in but no exit
Term
How is necrotic tissue measured?
Definition
percentages
Term
Yellow and cheesy
Measured in percentages
Definition
Slough
Term
Good to see
Red granules
Definition
Granulation tissue
Term
What does having an exposed tendon or bone mean?
Definition
Increased risk for osteomyelitis when bone is exposed
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