Classification of Wounds Flashcards
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Questions and Answers

The wound healing process (wound classifications) is classified according to whether it is?

  • Left Open (correct)
  • Sutured (correct)
  • Contaminated (correct)
  • Clean (correct)
  • A surgical wound that is sutured together heals by?

    Primary intention

    A wound that is not sutured must heal by?

    Secondary intention

    What is the process in which an infected or contaminated wound is treated and packed to prevent serum accumulation?

    <p>Third intention (delayed closure)</p> Signup and view all the answers

    What type of wound is created surgically?

    <p>Intentional wound</p> Signup and view all the answers

    What type of wound is created accidentally?

    <p>Unintentional wound</p> Signup and view all the answers

    What are the classifications of wounds?

    <p>Clean Wound, Clean-Contaminated Wound, Contaminated Wound, Dirty or Infected Wound</p> Signup and view all the answers

    What characterizes a Clean Wound?

    <p>No interruption in respiratory, alimentary, genital or urinary system</p> Signup and view all the answers

    What characterizes a Clean-Contaminated Wound?

    <p>Respiratory, alimentary, genital, or urinary system has been interrupted</p> Signup and view all the answers

    What characterizes a Contaminated Wound?

    <p>Major break in sterile technique or large spillage from GI contents</p> Signup and view all the answers

    What characterizes a Dirty or Infected Wound?

    <p>Evidence of clinical infection, such as purulent drainage</p> Signup and view all the answers

    The remodeling phase of wound repair begins after how many weeks?

    <p>About 3 weeks</p> Signup and view all the answers

    What are the three stages of wound healing?

    <p>Primary intention, Secondary intention, Tertiary intention</p> Signup and view all the answers

    List three reactions that occur to assist in primary intention healing.

    <p>Inflammation, Granulation, Maturation</p> Signup and view all the answers

    What are the signs of infection in a surgical wound?

    <p>Redness, Warmth, Induration, Pain, Abscess formation, Odor</p> Signup and view all the answers

    Tight packing of a surgical wound can cause ischemia of the fragile wound tissue.

    <p>True</p> Signup and view all the answers

    When the proliferation of collagen is excessive, the scar is called?

    <p>Keloid</p> Signup and view all the answers

    What factors can affect wound healing?

    <p>Nutritional status, Health status, Infection, Age, Obesity, Diabetes mellitus, Anemia, Medications, Tissue trauma</p> Signup and view all the answers

    Complications can occur in the wound healing process?

    <p>Yes, at any time during the healing process.</p> Signup and view all the answers

    What are some complications of wound healing?

    <p>Hypertrophic Scar, Keloids, Contractures, Dehiscence, Evisceration, Adhesions, Major organ dysfunction</p> Signup and view all the answers

    What is dehiscence?

    <p>Separation of joined tissue or wound edges</p> Signup and view all the answers

    Study Notes

    Classification of Wounds

    • Wounds are classified as clean, contaminated, sutured, or left open based on their healing process.
    • Clean wounds: No interruption of respiratory, alimentary, genital, or urinary systems; no inflammation.
    • Clean-contaminated wounds: Interruption of systems but no infection; example includes surgical wounds.
    • Contaminated wounds: Major break in sterile technique or spillage of gastrointestinal contents; includes open, fresh, accidental wounds.
    • Dirty or infected wounds: Show clinical infection signs like purulent drainage; commonly old accidental wounds.

    Types of Healing

    • Primary intention: Wound edges neatly approximated; healing occurs with inflammation, granulation, and maturation.
    • Secondary intention: Wounds not sutured heal from the base, slower, larger scars may form, sometimes requiring skin grafts.
    • Tertiary intention: Contaminated wounds left open initially and later sutured after infection control.

    Phases of Healing

    • Remodeling phase starts after about three weeks, lasting from 22 days up to one year; wounds contract slightly during this time.
    • Inflammation phase lasts 3-5 days, involving blood clot formation and vessel constriction.
    • Granulation phase begins around days 4-5 and continues up to four weeks, with fibroblasts and epithelial cells strengthening the wound.
    • Maturation phase begins in week 2-3, lasting for several months, where scars become stronger and paler.

    Signs and Complications of Wound Healing

    • Six signs of infection include redness, warmth, induration, pain, abscess formation, and odor.
    • Complications can arise at any stage of healing, mostly in the first week after surgery; they may occur at the surface incision or deep tissue.
    • Complications include hypertrophic scars, keloids, contractures, dehiscence, evisceration, adhesions, and potential organ dysfunction.

    Factors Affecting Healing

    • Nutritional status, health conditions, age, obesity, diabetes mellitus, anemia, medications, and tissue trauma significantly impact wound healing.

    Specific Terms

    • Keloid: Scar resulting from excessive collagen production during healing.
    • Dehiscence: Separation of surgical join, leading to potential complications.

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    Description

    Test your knowledge on the classification of wounds and their healing processes with these flashcards. Each card provides definitions and types of wounds including clean, contaminated, and sutured wounds. Perfect for students studying nursing or medical terminology.

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