First choice for clean, fresh well-vascularized wounds Indications: onset <24h, clean, viable tissue, approximation of skin edges is achievable Treated with: irrigation, débribement, margins approximated using simple methods Scar depends on: initial injury, amount of contamination, accuracy of closure Fastest healing & most cosmetically pleasing Healing by second intention - secondary wound healing Wound is left open & closed by epithelialization & myofibroblasts Wound heals without surgical intervention Indicated in infected or contaminated wound Presence of granulation tissue Complications: contracture & hypertrophic scarring Healing by third intention - tertiary wound healing For managing wounds that: bacterial contraindicates primary closure subsequent repair of a wound initially left open or not previously treated a crush component with tissue devitalized 4. Complete the following. Wound What is it? Consistency Exudate Type Serous or plasma clear watery or (ex, fluid in straw blister or burn) Purulent Pus. Filled with green Thicker than serous leuokocytes, dead or tissue, bacteria yellow (alive or dead) serum and tends moderately thin us to be light (seen in red surgical incisions) Sanguineous RBCs dark moderately thick, may have clots red (seen in open wounds) Pus and blood thick (seen in new wound that is infected) 5. Describe the difference between an arterial and a venous wound Arterial (Insufficiency ulcers) Venous (stasis ulcers) MAINLY Wound Characteristics remember..good arterial blood BAD arterial blood flow flow! Ruddy color base Pale base color when elevated Shallow wound
First choice for clean, fresh well-vascularized wounds Indications: onset <24h, clean, viable tissue, approximation of skin edges is achievable Treated with: irrigation, débribement, margins approximated using simple methods Scar depends on: initial injury, amount of contamination, accuracy of closure Fastest healing & most cosmetically pleasing Healing by second intention - secondary wound healing Wound is left open & closed by epithelialization & myofibroblasts Wound heals without surgical intervention Indicated in infected or contaminated wound Presence of granulation tissue Complications: contracture & hypertrophic scarring Healing by third intention - tertiary wound healing For managing wounds that: bacterial contraindicates primary closure subsequent repair of a wound initially left open or not previously treated a crush component with tissue devitalized 4. Complete the following. Wound Exudate Type What is it? Consistency Serous (ex, fluid in blister or burn) or plasma clear or straw watery Purulent Pus. Filled with leuokocytes, dead tissue, bacteria (alive or dead) green or yellow Thicker than serous (seen in surgical incisions) serum and tends to be light red moderately thin Sanguineous (seen in open wounds) RBCs dark red moderately thick, may have clots (seen in new wound that is infected) Pus and blood thick 5. Describe the difference between an arterial and a venous wound Arterial (Insufficiency ulcers) Venous (stasis ulcers) MAINLY Wound Characteristics remember..good arterial blood flow! Pale base color when elevated BAD arterial blood flow Ruddy color base Shallow wound us
slos-exam-3.docx