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The flashcards below were created by user
hgienau
on FreezingBlue Flashcards.
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Key Functions of the Integumentary System
- Excretion of Sweat
- Protection
- Sensation
- Thermoregulation
- Vitamin D synthesis
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Factors Influencing Wound Healing
- Age
- Illness
- Infection
- Lifestyle
- Medications
- Nutrition
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Define Abrasion
Wound tat occurs from the scraping w2ay of the surface layers of the skin, often as a result of trauma
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Contusion
Injury where skin is not broken characterized by pain swelling and discolorations
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Eschar
The necrotic and nonvialbale tissue resulting from a deep burn. This skin is hard dry and does not psosses qualities or normal skin
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Hematoma
Swelling or mass or blood localized in a organ space or tissue usually cuases by a beak in a blood vessel
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Lacerations
Wound or irregular tear of tissues taht is often associated with trauma
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Penettrating Wound
wound taht eneter into the interior of an organ or a cavity
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Puncture
Wound that is made with a sharp pointed instrument or object by penetrating through the skin inot underlying tissues
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Ulcer
Lesion on the surface of the skin or the surface of a muscous membrane prduced by the sloughing of inflammatory necrotic tissue
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Serous Exudate
- Clear light color with a thin waterly consistency
- considered to be normal in a health healing wound
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Sanguineous Exudate
- Red with a tan watery consistency
- Red due to presence of bloor or may be brown is allowed to dehydrate
- May be indeicative of new blood vessel growth or disruption of blood vessesl
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Serosanguineous Exudate
- Light Red or pink color with a thin watery consistency
- Can be normal in healthy healing wounds
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Seropurulent Exudate
- Opaque yellow or tan color with a think watery consistency
- Man be an early warning sign of infections
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Purulent Exudate
- Yellow or green color with a thick viscous consistency
- Indicative of wound infection
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Arterial Insufficiency Ulcers
Occur secondary to ischemia from inadequate circulation of exygenated blood often due to complicating factors such as atherosclerosis
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Venous Insufficiency Ulcers
Occur secondary to inadequate functioning of the venous system resulting in inadequate circulation and eventual tiddue damage and ulceration
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Characteristics of Arterial Ulcers
- Location: Lower one third of the leg, toes,
- Apperance: Smooth edges well defined. Lack granulation tissue, ten to be deep
- Pain: severe
- Pedal Pulses: diminished or absent
- Edema: Normal
- Skin Temp: decreased
- Tissue Changes: Thin and shiny, hair loss, yellow nails
- LEG ELEVATION INCREASES PAIN
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Characteristics of Venous Ulcers
- Location: proximal to the medial malleolus
- Apperance: Irregular shape, Shallow
- Pain: Mild to Mod
- Pedal Pulses: Normal
- Edema: Increased
- Skin Temp: Normal
- Tissue Changes: Flaking , dry skin, brownish discoloration
- LEG ELEVATION DECREASES PAIN
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Staging of Pressure Ulcers
- Stage 1 - non blanchable erythema of intact skin
- Stage 2 - A partial thickness skin loss that involves the epidermis and or dermis. the ulcer is superficial and presents clinically as an abrasion, a blister or a shallow crater
- Stage 3 - A full thickness skin loss that involves damage or necrosis of subcutaneous tissue that may extend down to but not through underlying facia. The ulcer presents clinically was a deeper crater with or without undermining adjacent tissue
- Stage 4 - A full thickness skin loss with extensive destruction tissue necrosis or damage to muscle bone or supporting structures. Undermining and sinus tracts may also be present
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Define Neuropathic Ulcers
Secondary complication usually associated with a combination of ishemia and neuropathy
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