Exam (elaborations)
Principles Of Wound Management: Questions & Verified Solutions
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Principles Of Wound Management: Questions & Verified Solutions
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Principles Of Wound Management: Questions &Verified Solutions
What are the four types of wound healing? Right Ans - primary closure
delayed primary closure
contraction and epithelialization
secondary closure
What type of wound healing is first intention healing? Right Ans - primary
closure
What type of wound healing is second intention healing? Right Ans -
contraction and epithelialization
What type of wound healing is third intention healing? Right Ans -
secondary closure
When is primary closure performed? Right Ans - clean surgical incision
clean fresh wound less than 6 hours old
wound that has been adequately debrided and drained
What is delayed primary closure? Right Ans - wound closed 3-5 days after
injury before granulation tissue appears
When is delayed primary closure performed? Right Ans - -heavily
contaminated and/or infected wounds
-wounds>6 hours old
-wounds closed after local infection is controlled.
What happens during contraction and epithelialization? Right Ans - wound
allowed to heal by granulation tissue, contraction, and epithelialization.
When is contraction and epithelialization used? Right Ans - very small
wounds
very large wounds
when primary closure has failed
, What is secondary closure? Right Ans - wounds closed later than 5 days
after injury. granulation tissue is present
When is secondary closure used? Right Ans - severely infected wounds
wounds with massive tissue destruction
What are the steps of immediate wound care? Right Ans - -use gloves
-assess the patient
-assess the wound
-discuss finances, time commitment, and risks with owners
-develop an initial wound management plan
-anesthesia, analgesia, and nutrition
-monitoring plan
What are life-threatening problems that you need to look for when assessing
the patient? Right Ans - -shock
-hemorrhage
-tracheal injury
-pneumothorax, pulmonary contusions, laceration
-visceral organ damage: bladder, GIT, spleen, liver
-body wall hernia, diaphragmatic hernia
What do you need to assess and be thinking about when there has been a
cervical bite wound? Right Ans - airway intact? need tracheostomy?
esophagus
laryngeal paralysis
major vessels
infection
What are the features of an incisional wound? Right Ans - varied depth
deep tissue damage possible
increased blood loss
minimal tissue trauma
relatively clean injury
What is the treatment approach for an incisional wound? Right Ans - may
be closed primarily if early wounding
usually minimal debridement needed
inspection of deeper tissue is important
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