Exam (elaborations)
8. Principles Of Wound Management – Q’s And A’s (A+)
- Course
- Institution
8. Principles Of Wound Management – Q’s And A’s (A+)
[Show more]
Content preview
8. Principles Of Wound Management – Q’s And A’s (A+)What are ways wounds can be managed? Right Ans - 1. being surgically
close
2. Delayed surgical closure
3. Left open to heal by secondary intention
How do we decide to close or not to close a wound? Right Ans - 1. degree of
contamination
2. Amount of tissue trauma
3. Patients general heath
4. Extent of free skin in adjacent areass
What are the 4 classifications of contamination of a wound? Right Ans - 1.
Clean
2. Clean-contaminated
3. Contaminated
4. Dirty
What is a 'clean' wound? Right Ans - minimally traumatic, no inflammation,
no entry into lumen of viscera
What is a 'clean-contaminated' wound? Right Ans - Entry into lumen of
viscera without infection but no gross spillage, minor break in sterile
technique
What is a 'contaminated' wound Right Ans - Traumatic wound <6-8hrs old
Spillage of GIT
Bacteria present but they have not had time to sterilise
What is a dirty wound? Right Ans - Infection present
Incision into inflamed tissue/pus encountered
What type of wound is more likely to be managed as open wound? Right
Ans - a contaminated or traumatic wound
How is an >8hr old wound managed? Right Ans - Consider leaving open as
bacterial proliferation may have occurred
, If not too traumatic close and consider a drain
How does amount of tissue trauma effect the decision to close a wound?
Right Ans - Effects
- status of blood supply
- amount of necrotic tissue
more traumatic = less likely to perform primary closure
How does the patients general health effect the decision to close a wound?
Right Ans - Can they cope with anaesthetic
Are they in shock
Are the immunocompromised
According to the Gustilo and Anderson grading system, what is a type 1 open
fracture? Right Ans - Open fracture with wound <1cm and clean
According to the Gustilo and Anderson grading system, what is a type 2 open
fracture? Right Ans - Open fracture with laceration >1cm with extensive
soft tissue damage, flaps or avulsions
According to the Gustilo and Anderson grading system, what is a type 3 open
fracture? Right Ans - Open fracture with extensive soft tissue damage, or
traumatic amputation
According to the Gustilo and Anderson grading system, what is a type 3a open
fracture? Right Ans - open fracture with adequate soft tissue coverage of
bone despite extensive soft tissue laceration/flaps/high energy trauma
regardless of size of wound
According to the Gustilo and Anderson grading system, what is a type 3b open
fracture? Right Ans - open fractures with extensive soft tissue injury loss
with periosteal stripping and bone exposure - massive contaminatio
According to the Gustilo and Anderson grading system, what is a type 3c open
fracture? Right Ans - open fractures associated with arterial injury
requiring repair
What are the 3 basic considerations of wound care? Right Ans - 1. cleaning
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now