1. Phases of wound healing

NUR 2206

• Phases of wound healing

Answer Hemostasis Inflammatory Proliferation Maturation

• Wound infection can lead to or

Answer osteomyelitis; sepsis

• Internal hemorrhage causes

Answer hematoma

• Dehiscence

Answer partial or total separation of wound layers due to excessive stress

• Evisceration

Answer complete separation of wound with protrusion of viscera through incision

• Protocol for dehiscence or evisceration

Answer Place the patient in low Fowler's position, Cover with sterile towels moistened with sterile 0.9% saline, and notify MD immediately

• Risk factors for dehiscence and evisceration

Answer Smoking Obesity Anticoagulation therapy Infection 1 / 2

• Fistula

Answer Abnormal passage from an internal organ or vessel to the outside of the body or from one internal organ or vessel to another

• Granulation tissue

Answer new tissue that is pink/red in color and composed of fibroblasts and small blood vessels that fill an open wound when it starts to heal

• Maceration

Answer softening or dissolution of tissue after lengthy exposure to fluid

• Medical vs. Surgical Asepsis

Answer Medical asepsis—clean technique, minimize number and transfer of pathogens

Surgical asepsis—sterile technique, free of all microorganisms including spores and viruses

• Sterile body sites

Answer circulatory system urinary tract

spinal fluid inside body cavities

• Non-sterile body sites

Answer respiratory tract GI tract

skin

• Which more impactful in formation of pressure ulcers - duration or force?-
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