NUR 2206 Midterm 5 - 2. Inflammatory phase Answer 4-6 days long, pha...

NUR 2206 Midterm 5

• Hemostasis

Answer Right after tissue injury, clotting, swelling, pain

• Inflammatory phase

Answer 4-6 days long, phagocytosis, generalized body response to inflammatory processes

• Proliferation phase

Answer Several weeks long, fibroblasts make collagen + growth factors, capillaries grow, granulation occurs

• Maturation

Answer Starts around day 21; collagen is remodeled + deposited

• Primary intention

Answer Wound edges are well-approximated, minimal scarring

• Secondary

Answer Edges not well-approximated, heals from bottom up by granulation tissue (pressure sore)

• Tertiary

Answer Delayed primary intention (ie abdominal wound that's kept open to allow drainage)

• Dehiscence 1 / 2

Answer Bursting open of wound

• Stage 1 sore

Answer Nonblanchable erythema

• Stage 2 sore

Answer Partial thickness skin loss, blister possible

• Stage 3 sore

Answer Full-thickness skin damage, NO bone/tendon/muscle visible

• Stage 4 sore

Answer Bone/tendon/muscle YES visible

• Unstageable

Answer Too much slough/eschar to determine depth

• Why wash distal to proximal?

Answer Stimulates venous circulation

• Isotonic exercise

Answer Muscle shortening + movement

• Isometric

Answer Muscle contracts without shortening

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