Term
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Definition
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Term
|
Definition
nylon
prolene
stainless steel |
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Term
|
Definition
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Term
|
Definition
plain gut
chromic gut
vicryl |
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Term
|
Definition
silk
nylon
prolene
mersilene
stainless steel
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Term
| which suture has the highest reactivity |
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Definition
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Term
| order of reactivity of sutures (low-high) |
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Definition
| nylon<ss<prolene<mersilene<vicryl<gut<silk |
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Term
| which suture has the lowest reactivity |
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Definition
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Term
| tensile strength of plain gut |
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Definition
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Term
| tensile strength of chromic gut |
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Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
| sutures with indefinite tensile strength |
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Definition
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|
Term
| how are suture sizes designated |
|
Definition
with a number followed by a 0
ex: 2-0 |
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Term
| wich suture is larger 2-0 or 4-0 |
|
Definition
2-0
the larger the # the smaller the size! |
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Term
|
Definition
taper
taper cut
cutting
straight
blunt |
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Term
|
Definition
cutting
reverse cutting
spatula |
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Term
| cutting needle w/ flat body, cutting sides, sharp inner surface of curve near pt |
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Definition
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Term
| cutting edge on outter surface of curve |
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Definition
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Term
| cutting needle that only cuts on sides |
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Definition
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Term
|
Definition
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Term
|
Definition
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Term
| which needle size is bigger 1/4 or 5/8? |
|
Definition
5/8
think of it as a section of a half cirlce |
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Term
| what % of ED visits are for wound mgmt? |
|
Definition
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|
Term
|
Definition
Abrasion
Laceration
Puncture
Burns
Avulsions
Contusions |
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Term
|
Definition
1. mechanism of injury
2. r/o abuse/assault
3. time since injury
4. discharge?
5. foreign bodies?
6. risk of infection?
7. prev tx or OTC meds
8. LOOK AT BACK***
9. GWS have entrance AND exit! |
|
|
Term
| when should open wounds be closed by in order to prevent infection? |
|
Definition
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|
Term
|
Definition
1. hemostasis
2. inflammation
3. epithelialization
4. angiogenesis
5. fibroplasia
6. contraction
7. scar maturation |
|
|
Term
|
Definition
1. begins @ time of injury
2. platelet activation
3. coagulation cascade |
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Term
|
Definition
1. activated platelets and complement release chemokines
2. chemotatic factors attract neutrophils and macrophages |
|
|
Term
| steps of epithelialization |
|
Definition
1. peaks 24 hrs after injury
2. epithelial cells migrate across wound edges (24-48hrs) |
|
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Term
| what happens during angiogenesis? |
|
Definition
| Erythropoietin release stimulates new vessel growth |
|
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Term
|
Definition
1. collagen synth peak @ day 7
2. also breakdown of damaged collagen |
|
|
Term
| how long does scar maturation occur |
|
Definition
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Term
|
Definition
1. visualize
2. remove hair?
3. irrigate
4. debridement
5. I&D -> no antibiotics! |
|
|
Term
| where do you NOT remove hair |
|
Definition
|
|
Term
| which anesthetics should be used and DOA? |
|
Definition
lidocaine or bupivacain
6 hrs (slower onset)
***Can be mixed*** |
|
|
Term
| what are the conc of 1. topical and 2. local lidocaine |
|
Definition
|
|
Term
|
Definition
prolong anesthesia
control bleeding -> vasoconstrict! |
|
|
Term
| where do you NOT use epi? |
|
Definition
| fingers, nose, penis, toes, and ear lobes |
|
|
Term
| types of primary closures |
|
Definition
sutures
tapes
staples
skin adhesives
closure drain/gauzes |
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Term
|
Definition
| initially clean then observe 3-5 days |
|
|
Term
|
Definition
| wound granulates and epithelializes w/ only minimal cleaning and debridement |
|
|
Term
| when do you do skin grafting |
|
Definition
| 5-10 days after vascular bed has formed |
|
|
Term
| what must be used with steri strips? |
|
Definition
|
|
Term
| what could cause problems w/ wounds |
|
Definition
parallel/jagged lacerations
old skin
high tension wounds
steroids hault healing |
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|
Term
| what reverses steroids for wound healing |
|
Definition
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|
Term
| most common cause of extremity infect |
|
Definition
|
|
Term
| what should be considered with foot puncture wounds |
|
Definition
|
|
Term
| should puncture wounds be closed primarily |
|
Definition
|
|
Term
| what is a good drug to use for puncture wounds |
|
Definition
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|
Term
| infections assoc w/ bite wounds |
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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|
Term
| dressing that dries out and allows bacteria into wound |
|
Definition
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|
Term
| dressing that prevents eschar and does not adhere to wound. pt can bathe. moist |
|
Definition
|
|
Term
|
Definition
| transparent dressing/film |
|
|
Term
| dressing that reduces pain |
|
Definition
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|
Term
| used to remove eschar and promote granulation |
|
Definition
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