NUR 103

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Author:
RuthB
ID:
220645
Filename:
NUR 103
Updated:
2013-05-22 03:58:13
Tags:
58 Wound Care
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Description:
Ch. 58- Wound Care
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  1. abrasion
    a scraping or rubbing off of the skin
  2. debridement
    removal of foreign, dead, and contaminated material from a wound, so as to expose healthy underlying tissue
  3. decubitus ulcer
    pressure ulcer= ulcerated sore often caused by prolonged pressure on a bony prominence or other area, especially if the client is allowed to lie in one position for an extended period (formerly called "bedsore")
  4. diabetic ulcer
    ulceration occurring in persons with diabetes mellitus, partly as a result of impaired circulation, usually difficult to heal (diabetic neuropathic ulcer)
  5. drain
    tube or strip of material inserted into a wound, to aid in elimination of exudate
  6. drainage
    discharge from a wound
  7. eschar
    dead skin and tissue that slough off after a chemical or thermal burn
  8. exudate
    material that escapes from blood vessels and is deposited in tissues or on tissue surfaces; usually contains protein substances
  9. friction
    the rubbing of one surface against another and shear is the interaction of friction an gravity when tissue is moved across a material
  10. granulation
    new tissue that forms when old destroyed tissue is sloughed off
  11. laceration
    a wound produced by tearing or ripping (as opposed to an incision made in surgery)
  12. packing
    material placed (packed) into a wound to assist healing from the inside-out and to prevent pockets of infection (abscesses) from forming
  13. pressure
    pressure causes a disruption in circulation, leading to tissue death (necrosis)
  14. pressure ulcer
    ulcerated sore often caused by prolonged pressure on a bony prominence or other area, especially if the client is allowed to lie in one position for an extended period (formerly called "bedsore")
  15. puncture
    a hole made by a pointed object; penetration
  16. sinus tract
    a sinus tract is an abnormal tube-like channel or fistula, usually draining pus
  17. shear
    shear is the interaction of friction an gravity when tissue is moved across a material
  18. slough
    to shed; to cast off (noun: slough- a mass of dead tissue)
  19. surgical incision
    a wound with clean edges (an intentional non-self-inflicted wound). Intentional surgical incisions are made under sterile conditions and are kept as free from microorganisms as possible
  20. suture
    thread used to hold an incision together while it heals; also called stitches
  21. tunneling
    tunneling refers to the presence of one or more channels within or underlying an open wound. Each tunnel extends in only one direction. The depth of a tunnel is measured by inserting a sterile cotton-tipped applicator into the tunnel and then measuring the distance it was inserted.
  22. undermining
    if tissue recedes beneath the skin, creating a shelf or free edge with a space underneath, this is referred to as undermining. The distance the undermining extends behind the edge of the shelf of skin is measured with a sterile applicator and documented
  23. venous stasis ulcer
    wound or ulceration caused by venous insufficiency or pooling of blood in dependent veins (usually in the legs)
  24. wet-to-dry dressing
    saturated dressing that is wrapped around a wound and left to dry. Upon removal, the dressing pulls away tissue debris and drainage, making it a useful tool in debridement
  25. wound
    injury to any body structure caused by physical means
  26. ABD
    abdominal pads
  27. IAD
    Incontinence-associated dermatitis. The client who is incontinent of urine or stool must have meticulous skin care, to prevent skin breakdown.
  28. NPUAP
    National Pressure Ulcer Advisory Panel (one of two national sources of information regarding wound prevention, and pressure ulcer staging, prevention, and treatment)
  29. VAC
    Vacuum-Assisted Closure. The VAC machine, which resembles a suction machine, applies controlled localized negative pressure to a wound site. This increases the growth of granulation tissue and decreases healing time. This system is particularly useful in the treatment of stage III and stage IV pressure ulcers and other types of deep wounds. The system uses a special dressing that is applied within a wound or over a graft. The VAC is then turned on. The vacuum helps to draw the edges of the wound toward the center. The direct pressure applied to the wound also assists in removal of fluids, which reduces swelling, stimulates growth of healthy cells, and increases blood flow, thus aiding in healing.
  30. WOCN
    Wound, Ostomy and Continence Nurses Society (one of two national sources of information regarding wound prevention, and pressure ulcer staging, prevention, and treatment)

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