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involves activity in which the muscles cannot draw out enough oxygen from the blood stream; used in endurance training
Anaerobic
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closed tissue surfaces
Approximated
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a strip of cloth used to wrap some part of the body
Bandage
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a type of bandage applied to large body areas (abdomen or chest) or for a specific body part (arm sling); used to provide support
Binder
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a protein found in connective tissue; a whitish protein substance that adds tensile strength to a wound
Collagen
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a moist gauze dressing applied frequently to an open wound, sometimes medicated
Compress
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removal of infected and necrotic tissue
Debridement
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the partial or total rupturing of a sutured wound; usually involves an abdominal wound in which the layers below the skin also separate
Dehiscence
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thick necrotic tissue produced by burning, by a corrosive application, or by death of tissue associated with loss of vascular supply, bacterial invasion, and putrefaction
Eschar
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extrusion of the internal organs
Evisceration
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loss of the superficial layers of the skin
Excoriation
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an insoluble protein formed from fibrinogen during the clotting of blood
Fibrin
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rubbing; the force that opposes motion
Friction
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a collection of blood in a tissue, organ, or space due to a break in the wall of a blood vessel
Hematoma
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excessive loss of blood from the vascular system
Hemorrhage
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cessation of bleeding
Hemostasis
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prescribed or unavoidable restriction of movement in any area of a person's life
Immobility
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the washing out or flushing of a body cavity, organ, or wound with by a stream of water or other fluid which may or may not be medicated
Irrigation (lavage)
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deficiency of blood supply caused by obstruction of circulation to the body part
Ischemia
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a hypertrophic scar containing an abnormal amount of collagen
Keloid
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the wasting away or softening of a solid as if by the action of soaking; often used to describe degenerative changes and eventual disintegration
Maceration
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an instrument used to measure the pressure of fluids or gases
Manometer
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filling an open wound or cavity with a material such as gauze
Packing
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the process by which cells engulf microorganisms, other cells, or foreign particles
Phagocytosis
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a compressing downward force on a body area
Pressure
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tissue surfaces are approximated (closed) and there is minimal or no tissue loss, formation of minimal granulation tissue and scarring
Primary intention healing
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any lesion caused by unrelieved pressure that results in damage to underlying tissue; formerly called decubitus ulcers, bed sores, pressure sores
Pressure ulcers or Decubitus ulcers
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an exudate consisting of leukocytes, liquefied dead tissue debris, and dead and living bacteria
Purulent exudates
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a thick liquid associated with inflammation and composed of cells, liquid, microorganisms, and tissue debris
Pus
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bacteria that produce pus
Pyogenic bacteria
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a bright red flush on the skin occurring after pressure is relieved
Reactive hyperemia
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renewal, regrowth, the replacement of destroyed tissue cells by cells that are identical or similar in structure and function
Regeneration
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an exudate containing large amounts of red blood cells
Sanguineous exudate or Hemorrhagic exudate
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wound in which the tissue surfaces are not approximated and there is extensive tissue loss; formation of excessive granulation tissue and scarring
Secondary intention healing
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inflammatory material composed of serum (clear portion of blood) derived from the blood and serous membranes of the body such as the peritoneum, pleura, pericardium, and meninges; watery in appearance and has few cells
Serous exudate
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a combination of friction and pressure which when applied to the skin results in damage to the blood vessels and tissues
Shearing force
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the formation of pus
suppuration
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referred to as a hip bath, is used to soak a client's pelvic area
Sitz bath
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a decrease in the caliber (lumen) of blood vessels
Vasoconstriction
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an increase in the caliber (lumen) of blood vessels
Vasodilation
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Wound care
-As routine procedure, gather items needed, introduce and verify identity, provide privacy.
-drape a pad and bath blanket around area convenient for irrigation, and a disposable bag near by
-Wash hands, put on non sterile gloves and take the old dressing off (moisten if stuck)
-Use soaked gauze to clean area around the wound. Clean from center out. One stroke per swab or gauze. Throw away old dressings and such in disposable bag.
-Assess wound for: drainage, swelling, color, pockets, odor and healing (red pinkish blood)
-Remove gloves, wash hands.
- -Open sterile package, drop other items onto the sterile from their package without breaking the sterile field.
- -Open irrigation kit and drop syringe onto sterile field. Set the cup aside to pour sterile water in , off the sterile field but close enough to reach. -Pour sterile water into the cup. Place the basin below the wound to catch drainage.
- **To avoid splashing or contaminant on us, don gown, mask, and goggles.
- **Put on sterile gloves. Open antiseptic cleaner into tray, soak gauze in water, draw the water for irrigation into the syringe without touching the cup to maintain sterility.
- -Irrigate the wound from best area to worst and until solution becomes clear.
- -Dry area around the wound, and Assess the wound. ( small amount of exudate so little cleaning necessary)
- -Use the tweezers and place the moistened gauze into the crevice and place new bandage on wound.
- -Dispose of materials.
- -Initial and date bandage.
- -Document assessment of wound, irrigation ,and the clients response
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