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Related Flashcards
Cards In This Set
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Pressure ulcers were previously called:
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Decubitus ulcers
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Any lesion called by unrelieved pressure that results in damge to underlying tissue
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Pressure ulcer
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Pressure ulcers are most..
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Common and most preventable altertions in skin integrity
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Non-blanachle reddened skin
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Stage 1
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May be pale, but turns red after pressure relieved, red area cauued by reactive hyperemia
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Stage 1
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Reactive hyperemia is increase in blood flow to injured site providing area with oxygen and nutrients
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Stage 1
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Reative hyperemia
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Stage 1 , defense mechanism
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Reactive hyperemia lasts..
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1/2 to 3/4 as long as time pressure was applied to area, check back 30-45 minutes afdter if in position for an hr
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If redness disappers after 50 / 75 % time pressure was applied, then
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No damage
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Partial thickness skin loss
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Stage 2
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May appear like an abrasion, blisten or shallow crater with pinkish-red base
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Stage 2
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Involved epidermis and maybe dermis
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Stage 2
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May have white or yellow discharge
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Stage 2
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Full thickness skin loss involving damage or necrosis of subcantaneous tissue that may extend down to but not through underlying fascia
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Stage 3
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Presents clinically as deep crater with or undermining of adjacent tissue
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Stage 3
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