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Pathogen
Any virus, microorganism or other substance that causes disease
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Incision
A cut produced surgically by a sharp instrument.
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Puncture
Stab wound for a drainage system
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Hemostasis
Termination of bleeding begins as soon as the injury occurs. Blood platelets adhere, a clot begins to form, fibrin begins to hold wound together and bleeding subsides.
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Inflammatory phase
Initial increase in flow of blood elements and water out of the blood vessel into the vascular space causing erythema, heat, edema, pain, and tissue dysfunction cells in injured tissue migrate, divide, and form new cells. Sides of the wound usually meet in 24-48 hours. As this phase ends the wound begins to fill from underlying tissue to the skin surface.
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Primary Intention
A would that has been made surgically and has little tissue loss; skin edges are close together and minimal scarring results.
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Secondary Intention
Healing that occurs when skin edges of the wound are not close together (approximated) the wound must granulate or when pus is formed.
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Tertiary Intention
Healing that occurs by primary intention with delayed suturing of a wound in which two layers of granulation tissue are sutured together.
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Purulent
Producing or containing pus
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Exudate
Fluid, cells or other substances that have been slowly exuded or discharged from cells or blood through small pores or breaks in cell membranes.
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Granulation
Soft, pink fleshy projections consisting of capillaries surrounded by fibrous collagen that slowly fills the incision during process of healing.
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Venous stasis
Stagnation of the blood or other fluids with a vein or to the veins
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Sanguineous
Composed of or pertaining to blood.
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Serosanguineous
Thin, red exudate composed of serum and blood.
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Serous
Thin, watery exudate composed the serum portion of blood.
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Infectious process
Condition caused by the invasion of the body by pathogenic microorganisms.
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Infectious process
Condition caused by the invasion of the body by pathogenic microorganisms.
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Inflammatory response / cardinal signs & symptoms
- A tissue reaction to injury
- Erythema, Heat, Edema, Pain, Tissue dysfunction
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Asepsis
Free of pathogenic microorganisms
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Gauze
Permits air to reach wound.
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Semi-occlusive
Permits oxygen but not air impurities
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Occlusive Dressing
Permits neither air nor oxygen to pass.
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Irrigation
Is gentle washing of an area with a stream of solution through an irrigating syringe.
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Signs of Hemorrhaging
Increased thirst, restlessness, rapid, thready pulse, decreased blood pressure, decreased urinary output, and cool, clammy skin.
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Dehiscence
When wound layers separate. Usually occurs between the 5 and 12 day postop.
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Evisceration
When internal organs protrude through opened incision.
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What will the nurse do when evisceration occurs?
Put in low fowler's with knees flexed keep pt. NPO, cover wound & content with warm, sterile saline dressing & notify surgeon asap.
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Signs of wound infection
Purulent brown, yellow, or green drainage (pus) will have an odor, fever, tenderness and pain at the site, edema, elevated WBC
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Sutures
Thread of wire or other material used to sew body tissue together.
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Types of sutures
Are interrupted, continuous blanket or retention sutures (covered with rubber tubing) used primarily on obese patients and are removed after 14 days or more.
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Staples
Made of stainless steal wire.
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Exudate
Fluid, cells or other substances that have slowly exude or discharged from cells or blood vessels through small pores or breaks in cell membrane.
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Drainage
The removal of fluids from a body cavity, wound or other source of discharge by one or more methods passively or with mechanical assistance.
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Closed Drainage
Removes fluid in an airtight circuit that prevents environmental contaminants from entering
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Open Drainage
Fluid passes through an open-ended tube into a receptacle or onto a dressing.
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Suction drainage
Uses a pump or other mechanical device to extract a fluid
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Vacuum-assisted closure
(Wound VAC) Device that assists wound closure by applying localized negative pressure to draw edges of wound together.
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Bandage
A strip or roll of cloth or other material that can be wrapped around part of the body in a variety of ways for multiple purposes.
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Binder
A bandage that is made of a large pieces of material to fit a specific body part. Most are made of elastic, cotton, muslin or flannel.
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Maceration
Softening and breakdown of skin from prolonged exposure to moisture.
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