what supplement would you give to assist wound healing
vitamin c
what do increasing neutrophils indicate
infection
what do increasing eosinophils indicate
inflammation
what is primary intention
use of suture or other wound closures to approximate (place close together) the endges of an incision or clean laceration. Scar is thin and flat, risk of infection is little
what is secondary intention
left open rather than closed with sutures. pressure ulcers and abrasions are examples
what is tertiary intention
wound is contaminated, closed later b/c of increased risk for infection
what is shock
a complex clinical syndrome that may occur at any time and in any place. It is a life-threating condition often requiring team action by many health care professionals
definition of shock
failure of the circulatory system to maintain adequate perfusion of vital organs. Disorders leading to inadequate tissue perfusion result in decreased oxygenation at the cellular level. Inadequate oxygenation results in anaerobic cellular metabolism and accumulated waste products in cells. Cell and organ death can occur
What is hypovolemic shock
due to inadequate circulating blood volume (blood and plasma)
what are 3 things that cause hypovolemic shock
hemorrhage with actual blood loss
burns with massive shifts of fluid due to movement of plasma proteins into interstitial spaces
fluid shifts or dehydration
what is the most common type of shock
hypovolemic shock
what is hemorrhage
loss of blood. Blood volume deficit of 15-25% or about 500 to 1500 mL in an adult with normal circulating blood volume is hemorrhaging. Develops when health adult loses 1/3 of the normal circulating blood (5L)
what are burns
chock occurs in people wiht large partial thickness or full thickness burns. caused by primarily a shift of plasma from vascular space into interstitial space
what is adequate circulating volume dependent upon
progressive stage - body begins to decompensate and the systemic circulation and microcirculation no longer work in unison, deceased circulation of reoxygenated blood (anaeorbic metabolism happens)
Irreversible stage - occurs if cycle or inadequate tissue perfusion is not interrupted (cellular ishemia and organ faliure and leads to death)
how would you treat shock
get fluids in (blood and plasma)
put person on O2
what is the earliest sign of shock
person is irritable due to increase in epinephrine
what nursing diagnosis would you assign with shock