Term
| How do you tell if someone needs stitches? |
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Definition
| - Lacterations, punctures, and incisions. If the edges do not stick together, needs stitches |
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Term
| What are the steps to minor wound care? |
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Definition
1) Control bleeding - apply pressure, elevate above the heart
2) Inspect
3) apply a topical antibiotic
4) Cover the wound
5) Change the dressing once daily
6) Get stitches for deep wounds
7) Watch for infection
8) Tetanus booster |
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Term
| What is the best way to clean a minor wound? |
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Definition
- Soap and water! Can get in the wound
- Can also use: betadine, H2O2, chlorhexidine, alcohol - but can't get in the wound. |
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Term
| What OTC antibiotics can be used with disinfectants for wound care? |
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Definition
- Bacitracin
- Bacitracin + polymixin
- Bacitracin + polymixin + neomycin
**Caution w/ neomycin allergy |
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Term
| What can be used if a patient is allergic to neomycin? |
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Definition
- Lanacane - benzethonium + benzocaine. Some ppl are allergic to benzocaine
- Bactine - Benzethonium + lidocaine - can cause systemic toxicity if used over a large surface area
- Band aid one step - Benzethonium |
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Term
| What drugs can delay wound healing? |
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Definition
- Adriamycin - given pre-op to inhibit post op healing
- Prednisone
- Hibiclens, Betadine, hydrogen peroxide, silver nitrate |
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Term
| What dressings can be used for minor wounds? |
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Definition
- Primary - directly over wound
- Secondary - go over primary
- Light to moderate - primary dressing. Gauze, gauze pads, topper, bandaids
- Moderate/heavy - Control bleeding/protect wound |
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Term
| What are hemostatic dressings? |
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Definition
- Nosebleed QR or UrgentQR
- Quickly stop bleeding to form an artificial scab. Wash wound before using. |
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Term
| What are liquid adhesives? |
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Definition
- For hard to cover places, lasts 5-10 days
- Liquid bandaid or new skin |
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Term
| What skin closures are used for minor wounds? |
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Definition
- Proxi-strips, steri-strips, band aids used to reinforce sutures
- Can stay in place 2-5 days, can shower after 24 hours |
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Term
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Definition
Good for small areas, such as face/scalp. Peels off in 5-10 days. Apply 3 layers, do not push into wound.
**Not for jagged edges, contaminated, bites |
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