Medical History: Alcoholism Effects on Wound Healing

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Questions and Answers

How does alcoholism impact wound healing by reducing blood flow to the wound site?

  • Stimulating the production of pro-inflammatory cytokines, enhancing wound healing
  • Causing blood vessels to dilate, increasing blood flow to the wound
  • Decreasing the production of collagen, promoting tissue regeneration
  • Constricting blood vessels, reducing blood flow to the wound (correct)

What effect does diabetes mellitus have on the body's ability to fight infection in case of a wound?

  • Boosting the immune system, increasing the body's defenses
  • Impairing white blood cells' ability to fight infection (correct)
  • Enhancing circulation to prevent bacterial entry through open skin wounds
  • Strengthening diabetic neuropathy to combat harmful bacteria

What is a significant risk associated with Mycobacterium chimaera infection during heart valve replacement surgery?

  • Respiratory distress due to bacterial contamination
  • Cardiac arrhythmias from excessive blood loss
  • Neurological complications post-surgery
  • Sepsis leading to systemic inflammation (correct)

How does diabetic neuropathy affect wound healing processes?

<p>Causing a loss of sensation, making it difficult to notice signs of infection (D)</p> Signup and view all the answers

How does alcoholism affect collagen synthesis and tissue repair?

<p>Interfering with collagen production, impeding tissue rebuilding (D)</p> Signup and view all the answers

Which factor contributes to impaired healing in individuals with diabetes mellitus?

<p>Nerve damage leading to a lack of sensation in affected body areas (B)</p> Signup and view all the answers

What action is essential to reduce the risk of infection in open heart surgery patients?

<p>Keeping the wound covered and clean (D)</p> Signup and view all the answers

Which factor can contribute to increased wound infection according to the text?

<p>Presence of necrosis and excess tissue (A)</p> Signup and view all the answers

What is crucial for collagen synthesis in tissue repair according to the information provided?

<p>Controlling blood sugar levels pre-surgery (A)</p> Signup and view all the answers

Which activity should be avoided in patients after open heart surgery?

<p>Standing or sitting for extended periods (B)</p> Signup and view all the answers

What may patients with diabetic neuropathy experience during wound healing according to the text?

<p>Increased risk of infection (C)</p> Signup and view all the answers

How can diabetic wounds be effectively managed based on the text?

<p>Regularly changing dressings (D)</p> Signup and view all the answers

Why is Mr. Ma at a high risk of infection during his heart surgery?

<p>Due to his advanced age (B)</p> Signup and view all the answers

Why are germs more likely to attach to an artificial heart valve than a regular heart valve?

<p>Artificial valves are made of materials that bacteria can easily attach to (D)</p> Signup and view all the answers

What factor makes Mr. Ma's aortic valve an example of a faulty heart valve?

<p>It is narrowed and cannot open properly (D)</p> Signup and view all the answers

How can the risk of wound breakdown be minimized before surgery?

<p>Regular self-checks for catching wounds early (A)</p> Signup and view all the answers

In the context of infection prevention, why is it advised to stop smoking at least two weeks before surgery?

<p>Smoking decreases the body's ability to fight infections (C)</p> Signup and view all the answers

What role does bacteremia play in systemic complications following an infection?

<p>Spreading infection to distant parts of the body through the bloodstream (B)</p> Signup and view all the answers

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