Term
| How long does an acute wound take to heal? |
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Definition
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Term
| This type of wound usually results from a rubbing or friction injury to the epidermal portions of the skin____ |
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Definition
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Term
| This type of wound results from a sharp object that has pierced the epidermis and lodged in the dermis |
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Definition
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Term
| this type of wound results form sharp objects cutting through the various layers of the skin |
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Definition
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Term
Stage I or II
a) superficial lesions
b) no loss of skill layers
c) ubrboken skin
d) partial-thickness skin loss |
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Definition
a) superficial lesions-II
b) no loss of skill layers-I
c) ubrboken skin-I
d) partial-thickness skin loss-II |
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Term
| What signs and symptoms by indicate the presence of infection in skin wounds? |
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Definition
purulent and odorous drainage
change in color or texture of the wound bed |
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Term
| What are the 3 phases of wound healing? |
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Definition
Inflammatory
Proliferative
Maturation |
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Term
T/F
Wound healing begins immediately after the injury |
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Definition
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Term
| Which phase of wound healing involves the formation of granulation tissue? |
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Definition
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Term
| Which phase of wound healing begins at abt week 3 and may continue for more than a year? |
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Definition
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Term
| Which phase of wound healing starts abt te 3rd day after the injury and continues for 3 weeks? |
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Definition
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Term
T/F
The formation of a scar results from collagen synthesis and breakdown |
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Definition
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Term
| Which phase of wound healing involves |
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Definition
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Term
| Why are patients with diabetes and PVD at risk for delayed wound healing? |
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Definition
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Term
| Which organisms in the community most often cause infection of wounds? |
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Definition
| S. aureus, S. pyogenes & E. faecalis |
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Term
Match each color with its sign
a) healthy healing 1) black
b) infection 2) yellow
c)necrosis 3)red/pink |
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Definition
a) healthy healing -red/pink
b) infection - yellow
c)necrosis -black |
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Term
T/F
Punctures, Lacerations and Abrasions may be self-treated if there is insufficient blood loss |
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Definition
FALSE
Puncture wounds must be seen by a physician to ensure no contaminants are in teh wound and to update tetanus if needed |
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Term
T/F for ideal wound dressing
1) thermally insulate wound
2) keep wound dry
3) remove excess exudate(fluid)
4) be tight and difficult to remove |
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Definition
1) thermally insulate wound TRUE
2) keep wound dry FALSE should be moist
3) remove excess exudate(fluid) TRUE
4) be tight and difficult to remove FALSE dont want to disrupt new delicate tissue |
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Term
What is irrigation used for / How is it used?
What formulations are used for irrifation? |
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Definition
to clean the wound surface by removing dirt and debris
Normal Saline or bottled water |
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Term
T/F
antiseptics can be placed on the entire wound |
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Definition
FALSE
must be on intact skin and up to the edges of the wound |
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Term
| What is the difference between Iodine and Betadine (Povidone-iodine)? |
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Definition
Betadine is water soluble and non-irritating to skin and mucus membranes
Iodine may cause local irritation and may stain clothes and skin |
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Term
T/F
Iodine has broad spectrum antimicrobial activity |
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Definition
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Term
Which has a higher bactericidal action?
Ethyl or Isopropyl alcohol |
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Definition
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Term
Which is more likely to cause drying of the skin?
Ethyl or Isopropyl Alcohol |
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Definition
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Term
Which is commonly used in hand sanitizers?
Ethyl or Isopropyl Alcohol |
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Definition
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Term
T/F
Hydrogen Peroxide is effective on intact skin
Why or Why not |
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Definition
FALSE
because release of oxygen on intact skin is very slow |
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Term
| What is the duration of action of Hydrogen Peroxide? |
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Definition
| As long as the period of active O2 release |
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Term
| What antiseptic ingredient is found in Campho-Phenique and Unguentine ointment? |
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Definition
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Term
T/F
Phenol can be caustic at higher concentrations |
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Definition
TRUE
usually in 1% formulation with other materials (zinc oxide, eucalyptus oil and thyme oil)
or 4.7% or 10.8% with camphor |
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Term
What type of compound is Benzalkonium Chloride?
Broad or Narrow spectrum
What substances inactivate it? |
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Definition
Quaternary Ammonium salt
Broad Spectrum Antimicrobial
Anionic detergents and soaps |
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Term
T/F
Zephiran also has wetting, detergent and emulsifying activity |
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Definition
TRUE
aka Benzalkonium Chloride |
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Term
| Benzalkonium Chloride is also used as____ in opthalmic solutions |
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Definition
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Term
| Chlorhexidine Gluconate exhibits activity against whch organisms? |
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Definition
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Term
T/F
Topical antibiotics can be used for deep wounds |
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Definition
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Term
| Why musn't topical abx be used over large surface areas? |
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Definition
| the possibility of absorption and systemic adverse events |
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Term
Put in correct Order
1) Apply Dressing
2) Topical Abx
3) Cleanse |
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Definition
1) Cleanse
2) Topical Abx
3) Apply dressing |
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Term
| What classification is Neomycin and gram +/- |
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Definition
| aminoglycoside and both gram + & - |
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Term
| What classification is Bacitracin zinc and gram +/- |
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Definition
| polypeptide abx againt gram + |
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Term
| May bacitracin be used in aqueous solutions? |
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Definition
| No because its unstable in aqueous solutions |
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Term
| What classification is Polymyxin B Sulfate and gram +/- |
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Definition
| polypeptide abx and against gram - |
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Term
| What abx are found in Triple Abx and what does each protect against |
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Definition
Neomycin: gram +/-
Bacitracin: gram +
Polymyxin B: gram - |
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Term
| What ingredients are found in Neosporin + Pain relief...what is the pain reliever? |
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Definition
Neomycin: gram +/-
Bacitracin: gram +
Polymyxin B: gram -
Pramoxine: pain reliever |
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Term
| How do combination topical abx reduce hypersensitivity to Neomycin? |
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Definition
By not including them...duh
Polysporin and Betadine Brand Plus Ointment ( Polymyxin B and Bacitracin) |
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Term
| Why does Neosporin CREAM not contain Bacitracin? |
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Definition
| because creams are aqueous solutions and bacitracin is unstable in aqueous comlexes |
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Term
| What is the only corticosteroid available without a prescription? |
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Definition
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Term
| When using hydrocortisone topical, when should a physician be consulted? |
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Definition
| If conditions worsen, or symptoms persist for more than 7 days. |
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Term
What is the maximum prescription strength of hydrocortisone for topical use?
How often should it be applied |
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Definition
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Term
| When should Colloidal oatmeal be used...how? |
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Definition
| When lesions are widespread and in a cool bath |
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Term
| When are astringents used? |
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Definition
| In wet dressings for the relief of inflammatory conditions of the skin |
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Term
| How is Burrows solution applied? What is it? |
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Definition
| An astringent, applied for 15-30 mins 4-6 times/day |
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Term
| What is the purpose of emollients/moisturizers? |
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Definition
| to lubricate and moisturize the skin and counteract dryness and itching |
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