Exam (elaborations)
Principles Of Wound Management: Questions/Answers
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Principles Of Wound Management: Questions/Answers
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Principles Of Wound Management: Questions/AnswersStages of Healing Right Ans - inflammation/debridement
reapir (proliferation)
maturation (remodeling)
Wound Management Primary Objective Right Ans - close wound and
reestablish skins protective function (and underlying tissue
integrity/function)
Tenets of Wound Management Right Ans - proper
patient/wound/surgeon/owner prep
assessment/promotion of viable wound bed (time)
-initial assessment
-remove/prevent impediments to healing
-promote healing by providing moisture balance and appropriate adjunctive
therapies
-continued reassessment during course of healing
selection of appropriate method of closure
-wound closure vs open wound management
Patient Prep Right Ans - stabilize
thorough PE
proper sedation/anesthesia
pain management
patient signalment and hx
Wound Prep Right Ans - first aid cover with sterile dressing
clip hair
cleanse surrounding tissue
lavage
, bandage if not immediate definitive debridement
Surgeon Prep Right Ans - hand carefully - use gloves
knowledge of anatomy
consideration of entire patient
Owner/Client Prep Right Ans - uncertainty in clinical course/potential
complications
time and financial commitments
success is dependent on partnership and communication
Patient Signalment and Hx Right Ans - advanced age
malnourishment
hypoproteinemia
dehydration/edema
anemia with hypovolemia
hypotension
uremia/hepatic disease
FeLV/FIV
endocrinopathies
therapies (steroids, chemo)
Prognosis Right Ans - full extent of wound not able to be assessed without
thorough explore of wound
progression of wound healing can sometimes be difficult to predict in
complicated wounds/patients
complicating factors and complications
Time and Financial Commitment Right Ans - may impact clinical decisions
time = money
ancillary supportive measures
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