integ 2

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  1. Braden scale, Norton scale, look at what?
    risk assessment for pressure ulcers (bedsores, decubitus ulcers, trophic ulcers)
  2. stage 1 ulcer
    • nonblanchable erythema
    • reversible
    • may have discoloration, warmth, edema, induration
  3. induration def
    firming, hardening of tissues 2/2 edema
  4. stage 2 ulcer
    • partial thickness skin loss
    • epidermis and dermis are involved
    • looks like an abrasion, blister, shallow crater
  5. stage 3 ulcer
    full thickness going into fat layer / subcutaneous tissue, but not into fascia
  6. stage 4 ulcer
    • full thickness, goes beyond fascia into muscle
    • tendons, capsule may be exposed
    • may include bone destruction
  7. unstageable ulcer
    refers to an ulcer that is obscured by necrotic tissue
  8. treatment for stage 1
    vigorous pressure, friction, and moisture alleviating measures
  9. stage 2 treatment
    • dressing to occlude the wound
    • and relieve pressure, friction, moisture like for stage 1
  10. stage 3 treatment
    debridement, dressings, pressure alleviation
  11. stage 4 treatment
    • debridement, dressings, pressure alleviation, 
    • surgery and grafting as needed
  12. arterial insufficiency ulcers -- usually located where?
    • lateral malleolus
    • toes
  13. ABI < what means an arterial insuff ulcer needs surgery or meds
  14. treatment for arterial insuff ulcers
    rest, elevate head of bed, stop smoking, ROM, wound VAC
  15. venous insuff ulcer location
    medial malleolus
  16. Wagner scale is for what
    diabletic foot ulcers -- for these wounds you can't use a pressure ulcer scale
  17. zone of coagulation
    • cells are irreversibly damaged
    • skin death

    a term from burn wounds
  18. zone of stasis
    injured cells that may die in 1-2 days if there's no specialized treatment

    a term from burn wounds
  19. zone of hyperemia
    • site of minimal cell damage
    • tissue should recover within a week w/o lasting effects

    a term from burn wounds
  20. 1st degree burn
    • superficial burn
    • damage to epidermis only (sunburn)
    • should heal in 2-5 days
  21. less severe 2nd degree burn
    • superficial partial-thickness
    • damage to epidermis and upper layers of dermis
    • healing in 7-10 days w/o intervention
    • may have minimal scarring
  22. more severe 2nd degree burn
    • deep partial thickness
    • most of dermis is destroyed
    • injury to hair follicles, nerve endings, sweat glands
    • looks red or white, edema, blisters, severe pain
    • healing in 3-5 weeks
    • hypertrophic and keloid scarring
  23. 3rd degree burn
    • full thickness
    • destruction of epidermis, dermis, subcutaneous tissues, muscles
  24. 4th degree burn
    • subdermal
    • destruction of epidermis, dermis, subcutaneous tissues
    • involves bone and muscle
    • amputation and paralysis are common
  25. Lund-Browder
    classification system for extent of body that is impacted by a burn
  26. some antibacterial agents often used for burn woulnds
    • nitrofurazone / Furacin
    • silver sulfadiazine / Slivadene
    • mafenide acetate / Sulfamylon
    • Bacitracin
    • Neosporin
  27. cyclosporine
    • an immonosuppressive drug
    • used when an allograft is given
  28. zenograft / heterograft
    comes from another species
  29. split thickness grat
    contains epidermis and upper layers of dermis
  30. full thickness graft
    contains epidermis and dermis
Card Set:
integ 2
2014-06-16 16:34:50
license exam

license exam
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