Front | Back |
Types of Wounds
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Acute v.s. Cronic
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Acute wounds
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Heal freely, within the healing time frame
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Chronic wounds
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Complications occur, or pt missing healing factor.
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Color classification
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Yellow-Infection or slough
Red- good healing wound Black- Eschar, dead tissue, necrosis |
Partial thickness |
Does not go through all layers, ussually epi-dermis and dermis, heal by primary intention
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Full thickness |
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Primary intention |
Includes Inflamination phase, Granulation Phase, and Maturation Phase, clean wound margins with stiching and healing.
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Secondary intention
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Wound that is left open to allow healing. Ussually irregular wound margins, heals with scar tissue.
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Tertiary intention
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Wound is not closed for whatever reason ussully dues to infection, then close up later
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What normal body produced steriod effects healing?
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Cortisol
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Total protein value
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6-8
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Serum Albumin Level
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3.5-5.0
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Pt has a serum albumin level of 2.0 what can't they do?
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Heal
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Maceration
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Marinated meat, boggy, bright red
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Pt has a non-blanchable spot of errythema on cocyx, Spot does not resolve after 30 mins of turning pt. The site is painful, soft, and warm to the touch.
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Stage I Pressure ulcer
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