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Wound Care Final Exam – Questions And Solutions (A+)
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Wound Care Final Exam – Questions And Solutions (A+)How much water does a non-injured person need per day? Right Ans - 30-
35 ml / kg body weight
How much water might burn victims need per day? Right Ans - 40-60 ml
/kg body weight
how much protein does a person need per day? Right Ans - 1.25 - 1.5 grams
/ kg body weight
What is the function of Vitamin A Right Ans - helps skin and body tissues
what might a Vitamin A deficiency result in Right Ans - decreased
fibronectin on wound surface
Vitamin C function Right Ans - -tissue
-iron absorption
-limits damaging effects of free radicals
Vitamin K function Right Ans - blood clotting
Vitamin B function Right Ans - immunity and metabolism
Vitamin E function Right Ans - -decrease inflammation phase
-decrease platelet adhesion
Zinc function Right Ans - Essential for wound repair
Calcium fucntion Right Ans - -fibrin synthesis
-blood clotting
Describe the TIME Principle of Debridement Right Ans - T = Tissue (non-
vital tissue)
I = Infection or inflammation
M = moisture imbabalce
E = edge of wound advancement and epihtelialization
,Name the contraindications to debridement Right Ans - -Red, Granular,
healthy wound bed
-heel ulcers with DRY ESCHAR
-muscle, tendons, ligaments, nerves
-GANGRENE
-electrical or full thickness burns
Describe Autolytic Debridement Right Ans - use of bodies own enzymes to
rehydrate and liquefy eschar and slough
which agents promote autolytic debridement Right Ans - hydrogels and
medical honey
Contraindications to Autolytic debridement Right Ans - -infection
Describe Mechanical Debridement (non-selective) Right Ans - -exert force
on necrotic tissue to rip or pull it away, and may also cause damage to healthy
tissue
What is a disadvantage to Mechanical Debridement? Right Ans - may cause
damage to healthy tissue
Name 5 types of Mechanical Debridement Right Ans - -wound irrigation
-pulsed lavage with suction
-whirlpool
-contact US
-scrub w/ gauze
What are some indications for wound irrigation Right Ans - -clean wounds
-small infected wounds
-loose slough
Define pulsed lavage with suction Right Ans - -wound irrigation and
negative pressure to wound that are > 50% necrotic
Contraindications to whirlpool Right Ans - -edema
-dry gangrene
-incontinence
-bleeding
,-infection
-macerated
-neuropathic foot ulcer
Surgical Debridement (non-selective) indications Right Ans - -full thickness
wounds of bones or joints
-infected necrotic tissue
-large amounts of necrotic tissue with undermining or tunneling
Name and describe 2 types of Selective Surgical Debridement Right Ans - 1.
Serial Instrumental
-use forceps or scissors to remove loosely adherent necrotic tissue
2. Selective Sharp
-uses scissors or scalpel to cut along border of viable and non viable tissue
Contraindications toSurgical Debridement (selective and non-selective)
Right Ans - -systemic infection
-dry gangrene
-impaired arterial flow
-pyoderma gangrenosum
-dark hole & cant visualize
-non-infected pressure ulcer over heel covered with dry eschar
What are 2 good things to have on-hand if you need to stop bleeding? Right
Ans - -calcium alginate
-silver nitrate sticks
Define Enzymatic Debridement Right Ans - -chemical debridement that
makes use of exogenous enzymes to DISSOLVE necrotic tissue
Name Advantages and Disadvantages to Enzymatic Debridement Right Ans
- Advantages:
-will NOT damage healthy tissue
-fast acting
-can use on infected wound
-allergic reactions are rare
Disadvantages
, -expensive
-prescription needed
-cannot use in combo with heavy metals
Define Biological Debridement Right Ans - -use of maggots from sterilized
eggs
Function of Zinc Oxide Right Ans - -diaper rash cream
-healing to the skin
you should limit the use of antimicrobial solutions to ______ - _____ weeks
Right Ans - 2-4 weeks
Describe Nystatin Right Ans - -kills yeast/Candida
Describe Silver Sulfadaizine Right Ans - -antimicrobial including
psuedomonas
Describe Mafenide Acetate Right Ans - -bacteriostatic for gram + and gram
- organisms, especially pseudomonas
-PENETRATES eschar
-used with deep partial and full thickness wounds
*PAIN = WHITE LIGHTENING (if used on superficial wounds where nerves are
still intact)
Which topical medication do you only use on deep partial or full thickness
wounds because, if used on superficial wounds, will cause a "white lightening"
pain? Right Ans - Mafenide Acetate
What drug should you use with caution if you have a sulfa allergy? Right
Ans - Mafenide Acetate
What are Polysporin, Neosporin, and Bactracin used for? Right Ans -
superficial or partial thickness burns
Name advantages and Disadvantages of Polysporin, Neosporin, Bactracin
Right Ans - Advantages:
-kill bacteria
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