Flashcards in Early wound management Deck (53)
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1
What are 4 history questions to ask?
1. duration of injury
2. mechanism of injury
3. estimation of blood loss
4. treatments (thus far)
2
What are 4 history questions to ask?
1. duration of injury
2. mechanism of injury
3. estimation of blood loss
4. treatments (thus far)
3
What are recommendations for wound @ site? (b4 get to hospital)
1. restrict movement
2. garden hose lavage--decontaminate
3. control hemorrhage (pressure bandage--don't leave on long!)
4. see to the case! don't just let go to hospital
4
What are two aspects of patient assessment?
1. systemic assessment
2. wound assessment
5
What are three things examine to assess systemic condition of the patient?
1. cardiovascular status
2. resp status
3. body condition
6
What are three things to look at when assessing cardiovascular status?
1. pulse
2. mucus membrane colour
3. capillary refill time
7
What does a good pulse indicate?
That the pressure is ok
8
What is the most significant indicator to see if animal has lost a significant amount of blood?
mucus membrane colour
9
Why is it hard to assess cardiovascular state during hemorrhage?
1. heart rate is up
2. PCV and protein will not change for a few hours (until fluid compartments are reestablished)
10
What is the golden period?
11
Is the golden period longer on the head and body or on the limbs?
longer on the head and body
12
What are three ways to examine a wound?
1. visual examination
2. digital examination (gloves)
3. diagnostic imaging
13
What can you find out about a wound by looking at it?
1. location of wound
2. extent of injury
3. age of wound
4. condition of wound
14
How old does a wound have to be before you see granulation tissue macroscopically?
4-5 days
15
How do you perform a digital examination?
1. sedate (small animal, maybe horse)
2. local anesthesia
3. sterile lube in wound
4. clip and prep
5. explore wound, involved structures
6. joint evaluation (arthrocentesis, fluid injection)
16
What can diagnostic imaging be used to do when looking at a wound?
1. assess bone
17
What are recommendations for wound @ site? (b4 get to hospital)
1. restrict movement
2. garden hose lavage--decontaminate
3. control hemorrhage (pressure bandage--don't leave on long!)
4. see to the case! don't just let go to hospital
18
What are two aspects of patient assessment?
1. systemic assessment
2. wound assessment
19
What are three things examine to assess systemic condition of the patient?
1. cardiovascular status
2. resp status
3. body condition
20
What are three things to look at when assessing cardiovascular status?
1. pulse
2. mucus membrane colour
3. capillary refill time
21
What does a good pulse indicate?
That the pressure is ok
22
What is the most significant indicator to see if animal has lost a significant amount of blood?
mucus membrane colour
23
Why is it hard to assess cardiovascular state during hemorrhage?
1. heart rate is up
2. PCV and protein will not change for a few hours (until fluid compartments are reestablished)
24
What is the golden period?
25
Is the golden period longer on the head and body or on the limbs?
longer on the head and body
26
What are three ways to examine a wound?
1. visual examination
2. digital examination (gloves)
3. diagnostic imaging
27
What can you find out about a wound by looking at it?
1. location of wound
2. extent of injury
3. age of wound
4. condition of wound
28
How old does a wound have to be before you see granulation tissue macroscopically?
4-5 days
29
How do you perform a digital examination?
1. sedate (small animal, maybe horse)
2. local anesthesia
3. sterile lube in wound
4. clip and prep
5. explore wound, involved structures
6. joint evaluation (arthrocentesis, fluid injection)
30
