Other Systems_Integ_Wounds

  1. Wound healing - BMI - INC risk for P ulcer at what #?
    </= 21
  2. Wound healing - hydration - how much? how much for pts on air-fluidized beds
    • 3 or more L of H2O/day
    • Air-fluidized bed = 40-60 ml/Kg/day
  3. Wound healing - calories; protein; albumin
    • Calories - 25-35 kcal/kg/body weight
    • Protein - 1.5-2.5 gm/kg body weight
    • Albumin - 3.5-5.5 mg/di
  4. E-stim for wound healing - 3
    • Continuous waveform application w/DC
    • High-voltage pulsed current
    • Pulsed biphasic current
  5. What does (—) P wound therapy (VAC) help with? - 4
    • Infection
    • Edema
    • Maintains a moist wound environment
    • INC localized blood flow
  6. (—) P wound therapy (VAC) - parameters - 2
    • Open-cell foam dressing placed into wound
    • P - controlled sub atmospheric P - typically 125 mmHg below ambient P
  7. Which wound healing modality can be used w/infected wounds?
    VAC
  8. Hyperbaric oxygen (HBO) -  does what?indications (7); CONTRA (5)
    DEC edema + hyperoxygenating tissues

    • Indications:
    • Osteomyelitis
    • Diabetic wounds
    • Crush injuries
    • Compartment syndromes
    • Thermal burns
    • Radiation necrosis
    • Compromised flaps/grafts

    • CONTRA:
    • Untreated pneumothorax
    • Active malignancy
    • Pregnancy
    • Seizures
    • Emphesyma
  9. Wound cleansing - what saline?
    Normal - 0.9% NaCl
  10. Wound cleansing - irrigation - at what psi?
    4-15
  11. Wound cleansing - hydrotherapy - indicated for
    Ulcers w/large amounts of exudate, slough & necrotic tissue
  12. Selective debridement - types - 3
    • Autolytic
    • Enzymatic
    • Sharp
  13. Nonselective debridement - 1; ex - 4
    • Mechanical:
    • Hydrotherapy - Whirlpool
    • Wet-to-dry gauze dressing
    • Wound irrigation - pulsatile lavage
    • Dextronomers
  14. Autolytic debridement - done how?; indications (4); CONTRA (3)
    • Promotes faster wound healing w/less pain by facilitating moist wound environment 
    • Occlusive or semiocclusive moisture-retentive dressings
    • Ex: hydrocolloids, hydrogels, transparent films

    • Indications:
    • Individuals on anticoagulant therapy
    • Individuals who can't tolerate other forms of debridement
    • All necrotic wounds in people who are medically stable

    • CONTRA:
    • Infected wounds
    • Wounds of immunosuppressed individuals
    • Dry gangrene or dry ischemic wounds
  15. Enzymatic debridement - what type; Indication (4); CONTRA (3)
    Selective - CHEMICAL 

    • Indications:
    • Infected & non-infected necrotic wounds
    • Eschar after cross-hatching
    • Homebound individuals
    • People who can't tolerate surgical debridement

    • CONTRA:
    • Ischemic wounds unless adequate vascular status has been determined
    • Dry gangrene
    • Clean, granulated wounds
  16. Mechanical debridement - what type; does what?; indications (1); CONTRA (1)
    Nonselective - Removes tissue by physical forces - May remove healthy tissue as well

    • Indications:
    • Wounds w/moist necrotic tissue or foreign material present

    • CONTRA:
    • Clean, granulated wounds
  17. Sharp Debridement - what type?; indications (4); CONTRA (1)
    • Indications:
    • Eschar
    • Thick, adherent necrotic tissue
    • Deep (stage III/IV) or complicated P ulcers
    • Advancing cellulitus w/sepsis

    • CONTRA:
    • Individual on anticoagulant therapy
  18. Panafil - what is it used for? What can be expected w/it?
    • Keratolytic enzyme used for selective debridement
    • Greenish or yellowish exude can be expected - normal
  19. Post radiation therapy - observe for what? why? What is CONTRA?
    • Skin care precautions - avoid topical use of alcohol/drying agents; avoid positioning pt on radiated site
    • Bc immediate effects of radiation - erythema; edema; dryness; itching; hair loss; fingernail loss; loose skin
    • CONTRA - heat modalities
  20. Wound healing - E-stim - anode vs. cathode; placement how?
    • Anode - promote healing in clean, uninfected wounds
    • Cathode - promote healing in infected wounds
    • PLACE ELCETRODE IN WOUND
Author
Tanuisha
ID
323760
Card Set
Other Systems_Integ_Wounds
Description
Other Systems_Integ_Wounds
Updated