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Wound test 1 wocn Exam/75 Questions and Answers 2024
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Wound test 1 wocn Exam/75Questions and Answers 2024
Osteomylitis treatment - -Referrals
-Pathway topical therapy - -Indicators osteo
Ss of infection
Ss of colonization aggressive cleaning. Antimicrob dresisng
Periwound
Wound edges open or Epibole
Bed neurotic ?
Not neucrotic dressing based on volume of exudate and context and volume
of wounds
-dressing functions - -Passive support for healing
-Surface wound with no depth - -Cover dressing only
-exudative - -Alginates
Hydro fibers
Polymers
Foams
-Maintain hydration/ minimal exudate/ keeps moisture - -Hydrocolloids
Transparent adhesive dressing
Contact later dressing
-Moisture vapor transport rate (MVTR) - -a measure as to how quickly
moisture vapor moves from the fabric side next to the body to the exterior
( hydrocolloids no MVTR) they trap moisture
-Hydrocolloids - Indications - -Protection of partial thickness wounds with
mild exudate, maintaining a moist wound environment.
Form a gelatinous mass over the wound bed.
-Treatment of dry wounds - -Gels
-Dry crusty surface - -Need hydrating dressing - gel
-dressing selection considerations - -Depth
Contours (tunnels or undermining
Volume or exudate
-The first E in ESPE stands for - -Etiologies factors
, -The s in ESPE stands for - -Systemic support
-The P in ESPE stands for - -Principle based topical support
-The 2nd E in ESPE stands for - -Evaluation
-Proliferative phase - -Evidence of clean wound base but lack of granulation
tissue
-inflammatory phase - -Evidence of necrotic tissue
-If erythema does not extend beyond wound margins - -Not infected but just
unprotected skin due to moisture
-Skin structure that provides photo protective properties by absorbing
ultraviolet light - -Melanin
-stratum basale - -Reproductive layer proliferating keratinocytes that
produce new epithelial cells
-Fibroblasts - -Produce collagen and elastin critical to immune function and
healing
-ABCDEs of melanoma - -Asymmetric, border irregular, color variable and
uneven color, diameter >0.6 cm, evolution
-What body part would transdermal application of medication obtain the
greatest percutaneous absorption - -Forehead
-stratum granulosum - -Contains cells that release lipids such as ceramides
to maintain brick and mortar
-Acute Wound Healing - -Hemostasis
inflammatory phase
proliferation or regeneration
Remodeling or maturation
-Goal of inflammatory phase - -To establish a clean wound bed
-Begins with fibroblasts migration and formation of new extracellular matrix
ECM - -
-Remodeling - -Occurs when wound is closed at surf e and conversion of
type 3 collagen to type 1 collagen - which provides tensile strength
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