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Test 1
Wound Care
11
Nursing
Undergraduate 2
02/02/2012

Additional Nursing Flashcards

 


 

Cards

Term
Epidermis
Dermis
Definition
outer layer
inner layer
Term
Status of Skin Integrity:
1. Open
2. Closed
3. Acute
4. Chronic
Definition

 

Open: break in the skin

 

 

 

Closed: no break in the skin

 

 

 

Acute: wound goes through normal healing process

 

 

 

Chronic: fails to heal quickly

 

Term
Causes:
1. Intentional
2. Unintentional
Definition
1. Intentional: Wound resulting from therapy (surgery)
2. Unintentional: Wound occurs unexpectedly
Term

Severity of Injury

1. Superficial:

 

2. Penetrating

 

3. Perforating
Definition
1. Superficial: involves epidermis only

 

 

 

2. Penetrating: involves epidermis, dermis, and deeper tissues or organs

 

 

 

3. Perforating: foreign object enters and exits an internal organ

 

Term
Descriptive Qualities:
1. Laceration
2. Abrasion
3. Contusion
Definition
1. tearing tissue, irregular edges
2. scrape
3. bruise
Term
Types of Wound Healing:
1. Primary Intention
2. Secondary Intention
Definition
1. healing, little or no loss tissue
2. tissue lost, wound open to heal, fills with scar tissue
Term
What impairs wound healing?
Definition
age
malnutrition
obesity
impaired oxygenation
smoking
drugs
diabetes
radiation
wound stress
Term
Phases of Wound Healing (Full Thickness Wound)
Definition
1. Inflammatory Phase-body reacts to wounding, begins within minutes, lasts up to 3 days
2. Proliferative Phase-new blood vessels appear, lasts 3-24 days
3. Remodeling-maturation, scar tissue formation, make take 1 year
Term
Complications of Wound Healing:
1. hemorrhage
2. infection
3. dehiscence
4. evisceration
5. fistula
Definition
1. Hemorrhage: external or internal
2. Infection: purulent drainage is present (yellow, green, or brown with odor)
3. Dehiscence: partial or total separation of wound layers
4. Evisceration: total separation of wound layers with protrusion of organs possible
5. Fistula: abnormal passage between 2 organs or between an organ and outside body
Term
Define pressure ulcers
Definition
localized tissue destruction caused by the compression of soft tissue over a bony prominence and an external surface for a period of time
Term
Stages of Pressure Ulcers
I
II
III
IV
Definition
I. intact skin, nonblanchable redness of localized area
II. partial-thickness skin loss involving epidermis, dermis, or both
III.full thickness tissue loss; subcutaneous fat may be visible
IV. full-thickness with exposed bone, tendon, or muscle
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