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Flashcards in Wounds Deck (16)
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1
Q

What classifications of wounds are there?

A

Clean-surgical
Clean contaminated-surgical in GI tract
Contaminated-gi tract spillage
Dirty-necrotic/RTA

2
Q

What are the important considerations when managing a wound?

A
Will be hospitalised for long periods 
Patient nutrition (regular sedation's for bandage changes will require starving feeding tube?
long stay catheters 
Physio therapy 
soft bedding
3
Q

What type of dressing is used to promote wound healing in the early stages?

A

Wet to dry promotes granulation bed to form and debrides the wound

4
Q

Why is intracyte useful to apply to wounds?

A

osmotic properties gently debride the wound

5
Q

Why is honey useful to apply to wounds?

A

osmotic debridement

antibacterial

6
Q

Why are foam dressings useful in certain wounds?

A

Wounds with large amount of exudate
absorb 10 x there volume
semi permeable allow o2 to reach the wound

7
Q

What dressing would you apply to a wound that is being closed the following day?

A

wet to dry to allow debridement before surgery

8
Q

What is important to consider if a wound is open to the bone and contains an implant?

A

Implants allow for biofilms to occur
implant sound be removed
Bone should be foraged first before closure(Drilling holes in the bone to encourage granulation tissue)

9
Q

What are the indications for a free skin graft?

A

Not enough skin the cover the wound
Distal limbs effected
primary closure not possible
healthy granulating wounds/ acute surgical wounds

10
Q

What are the contra-indications for a free skin graft?

A

Necrotic tissue/ infection
Wounds on the head or trunk
incomplete granulation bed
Debris

11
Q

What is the technique for a free skin graft?

A
Donor site 
plan graft 
full thickness 
prepare graft-remove hypodermis 
mesh for drainage and conformity 
recipient bed 
(remove thick layer of fat as will prevent graft from obtaining nutrients)
12
Q

How should skin grafts be cared for?

A

Sedation for bandage changes
Aspetic technique
immobilisation
prevention of fluid accumulation

13
Q

What are the pros and cons of a skin graft?

A

Cover distal limb defects
labour intensive and time consuming
variable cosmetic and functional outcome
other reconstruction techniques prefered

14
Q

What is important to consider in dog bite wounds?

A

Underlying structures are more likely to be damaged more so than the superficial
contaminated wound
Crushing injury to underlying tissue

15
Q

How should a dog bite wound be managed?

A
Clip large area of fur 
Lavage the wound 
Explore the wound 
swab fro culture and sensitivity 
Broad spectrum antibiotics 
Closed (always use a drian) 
Manage as open
Check for underlying damage use of radiographs CT
Always explore bite wounds over the thorax, abdomen and neck
16
Q

What are the goals of wound management?

A
Prevent further contamination 
Remove foreign debris 
Debride dead and dying tissue
promote viable vascular bed 
patient considerations
select appropriate method of closure