Exam (elaborations)
Wound Management Principles: Questions & Answers
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Wound Management Principles: Questions & Answers
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Wound Management Principles: Questions & AnswersAbrasion Right Ans - Loss of epidermal/dermal layers
Penetrating Right Ans - Piercing deep into skin layers with a sharp object
Incision Right Ans - Surgical excision/cut
Bruising/Ecchymosis Right Ans - Blood leakage into epidermal/dermal
layers
Contusion Right Ans - Area of inflammation from a blow to the skin
Ulcer/wound Right Ans - Open skin with loss of tissue layers
Wound Etiologies Right Ans - Cancer (malignant), Trauma, Burns
Wound Etiology Types Right Ans - Surgery (surgical), Pressure, friction and
shear, Diabetes (diabetic foot)
Hemostasis Right Ans - Constriction of blood vessels, clot formation
Inflammation Right Ans - Increased vascular permeability, WBC
phagocytosis
Proliferation (regeneration) Right Ans - Filling/coverage of wound bed,
new blood vessels (capillary beds), migration of fibroblasts and secretion of
collagen
Maturation (remodeling) Right Ans - Collagen formation/organization,
moving fibroblasts- edges contract inward decreasing size of wound, mature
scar formation
Primary Right Ans - Intentional, no tissue loss, edges well approximated
Secondary Right Ans - Not intentional, tissue loss, edges not well
approximated, wound heals from bottom up, fills in wound cavity with
granulation tissue
, Tertiary Right Ans - Intentional or not intentional, wound left open and to
be sutured later, high risk for scarring
Wound Classification Right Ans - Cause (surgical/nonsurgical;
acute/chronic), Level of contamination, Depth of tissue (superficial, partial
thickness, full thickness), Colour (red, yellow and black)
Factors Affecting Wound Healing Right Ans - Age, Nutritional Status,
Mobility, Comorbidities (Diabetes, Anemia), Infection (POD 5- surgical, tissue
destruction)
Infection Right Ans - Commonly by staphylococcus aureus. Often diagnosed
once discharged or after POD 5
Dehiscence Right Ans - Partial or complete cut of wound edges
Evisceration Right Ans - Protrusion of internal contents/structures
through the wound
Scarring Right Ans - Related to poor healing and tertiary closure
Adhesions Right Ans - Bands of scar tissue between or around organs
Hypertrophic Scars/ Keloids Right Ans - Red, raised scar. From excess skin
Fistula Formation Right Ans - Abnormal passage between organs
Principles of Wound Management Right Ans - Conduct a comprehensive
wound assessment, Cleanse the wound, Remove necrotic debris, Fill the dead
space, and Manage exudate
REEDA or REEDAO Right Ans - R - REDNESS, E - EDEMA, E - ECCHYMOSIS,
D - DRAINAGE, A - APPROXIMATION (edges coming together), O - ODOUR
WOUND ASSESSMENT: DRAINAGE Right Ans - Colour - SEE NEXT SLIDE;
Serous: clear; Sanguineous: bloody; Serosanguineous: clear with blood
pinkish; Purulent: yellow/white/greenish; Amount - scant, small, moderate,
large, copious (very large); Consistency - thick/thin; Odour - none/foul
smelling
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