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List 9 wound healing barriers:
- Nutritional deficiencies
- Venous/arterial insufficiency
- Corticosteroids
- Infecton
- advanced age
- Diabetes
- Obesity
- Poor general health
- Anemia
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Which intention uses sututes or other wound closures to approximate edges?
Primary intention
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Which intention wound is left open, jeal by generation of tissue?
Secondary intention
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Which intention is a delayed prinmary closure?
Tertiary intention
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Which intention wound may be contaminated?
Tertiary intention
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What complication of healing is a separation and disruption of a previously approximated wound edges?
Dehiscence
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What complication of healing is when a wound edge is seperated to the extent that intestine protrude?
Evisceration
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Band of scar tissue between and around organs?
Adhesions
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When dealing with complications of healing excess collagen tissue, large, red, raised and hard confined to the wound is know to be what kind of scar?
Hypertrophic scars
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What type of scar is permanent, greater protrusion beyond wound edges?
Keloid formation
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Results from excessive fibrous tissue formation, e.g. close to joints, burn pts is know as?
Contracture
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When assessing wounds what do you assess?
clue: REDAP
- V/S (especially temp)
- Redness
- edema
- drainage
- approximation
- pain
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What is the key element in wound healing?
prevention of infection
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What are 5 good ways to prevent wound infection?
- handwashing
- aseptic technique
- good control of diabetes
- pt teaching
- balanced nutrition and fluid intake
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List 4 factors that determine wound treatment:
- 1. etiology of the wound
- 2. amount of exudate
- 3. antico[ated frequency of dressing changes
- 4. cost effectifeness
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Wound management depends on ____, _____, __________ of the wound.
- type
- extent
- chatacteristics
-
When dealing with wound management you want to remove ______
debris
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When dealing with wound management you want to protect the clean wound from _______.
trauma
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When dealing with wound management you want to _____ infection or _____ infection.
-
What is a good treatment for wound management?
HBO
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What is it called when 100% of O2 is delivered in a pressurized environment?
HBO
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List 5 ways of the removal of nonviable eschar, dead or damaged tissue:
- Surgical
- Mechanical
- Autolytic
- Enzymatic
- Negative pressure therapy
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HBO is _______ for what kind of bacteria?
- bactericidal
- anaerobic bacteria
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HBO causes ________ of blood vessesls with out creating _______. It also decrease _____ in injured tissues and also decreases ________ pressure.
- constriction
- hypoxia
- edema
- intracranial
-
HBO can cause __________ as it speeds up ______ metabolism.
-
HBO is NOT recommended foe what type of pts?
pts with active cancer disease (b/c cause tumor growth)
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HBO improves defense mechanism of ___ and strengthens __________ function of certain enzymes.
-
HBO increases ________ activity and facilitates linkage of what?
- fibroblast
- connective tissue fibers
-
HBO stimulates formation of new what?
blood vessels.
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