Wound Management Overview

<p>Delayed primary closure (D)</p> Signup and view all the answers

<p>Reducing bacterial numbers by flushing away necrotic debris (A)</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>Bacterial numbers greater than 10^5 CFU (A)</p> Signup and view all the answers

<p>Secondary closure (A)</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>Non-absorbable monofilament (D)</p> Signup and view all the answers

<p>Communicate with the referring veterinarian and the owner (C)</p> Signup and view all the answers

<p>Aggressive therapy (C)</p> Signup and view all the answers

<p>Both A and B are acceptable (D)</p> Signup and view all the answers

<p>Surgical removal (B)</p> Signup and view all the answers

<p>Both A and B (C)</p> Signup and view all the answers

<p>Apply the prep from the wound outwards (C)</p> Signup and view all the answers

<p>1 cm (C)</p> Signup and view all the answers

<p>Greater than 2 to 3 cm (B)</p> Signup and view all the answers

<p>Compression (C)</p> Signup and view all the answers

<p>Incising the incision after closure (A)</p> Signup and view all the answers

<p>For a permanent tracheotomy (A)</p> Signup and view all the answers

<p>Better perfusion (C)</p> Signup and view all the answers

<p>Increased suture density on concave aspects (C)</p> Signup and view all the answers

<p>Weight loss history (B)</p> Signup and view all the answers

<p>Fair (C)</p> Signup and view all the answers

<p>To stretch overlaying tissue for flap creation (D)</p> Signup and view all the answers

<p>Elliptic incision (D)</p> Signup and view all the answers

<p>Make a transverse incision through the annular ligament (D)</p> Signup and view all the answers

<p>Gunshot wound (B)</p> Signup and view all the answers

<p>Collagen-dense tissues (C)</p> Signup and view all the answers

<p>Providing clear information about potential outcomes (D)</p> Signup and view all the answers

<p>PCV/hematocrit with blood smear, TP, BUN, and blood glucose (D)</p> Signup and view all the answers

<p>Contaminated (D)</p> Signup and view all the answers

<p>Antibiotics should be given only if necessary within 60 mins of surgery. (D)</p> Signup and view all the answers

<p>Providing foals with increased milk (A)</p> Signup and view all the answers

<p>Overnight with water access (C)</p> Signup and view all the answers

<p>By undermining wound edges with scissors (C)</p> Signup and view all the answers

<p>Administer IV fluids (B)</p> Signup and view all the answers

<p>To speed up wound healing and reduce dehiscence (D)</p> Signup and view all the answers

<p>Administer IV fluids and possibly electrolytes (C)</p> Signup and view all the answers

<p>To create fresh, clean margins (B)</p> Signup and view all the answers

<p>Gentamicin sulfate (C)</p> Signup and view all the answers

<p>They are ineffective (A)</p> Signup and view all the answers

<p>Wound management (B)</p> Signup and view all the answers

<p>Early in wound healing (B)</p> Signup and view all the answers

<p>Increased healing times (A), Improved blood flow (D)</p> Signup and view all the answers

<p>They can act as foreign bodies (A)</p> Signup and view all the answers

<p>To transfer exudate and allow breathability (D)</p> Signup and view all the answers

Presence of some microbes, usually in the first few hours after injury.

Bacterial numbers over 10^5 CFU, where microbes invade and replicate.

A wound created by tearing, can be deep or superficial.

Tearing of tissues with skin flaps, often extensive loss.

Skin compression between bony prominence and hard surface, like pressure sores.

Wound edges apposed and closed within 12 hours, involves 1st intention healing.

Wound left open heals naturally, involves 2nd intention healing.

Process to reduce bacterial numbers by flushing away debris.

Medications that kill or inhibit bacterial growth, aiding in wound healing.

The process of removing dead tissue and debris to promote healing.

New connective tissue and blood vessels forming on a wound's surface.

A technique that enhances wound healing by applying negative pressure.

A bandaging technique for horses to prevent constriction.

A common padded bandage providing support and absorption.

The first bandage layer that contacts the wound, facilitating drainage.

A natural agent that enhances healing and reduces inflammation.

Unvaccinated individuals > 12 months require tetanus toxoid and anti-toxin.

Non-absorbable monofilament sutures are preferred, placed 5mm from the cut edge.

Always warn about potential wound dehiscence, which is the reopening of a wound.

Dead/infected bone fragment that can harm blood supply, often needing surgical removal.

Methods include sharp, mechanical, or autolytic techniques for removing dead tissue.

Draining is crucial to prevent exudate accumulation and dead space.

Complications include excessive granulation tissue, pressure sores, and bandage bows.

Essential to communicate between the veterinarian, owner, and insurance before euthanizing.

Factors affecting health in equines, including age and breed.

Categories of surgical wounds based on contamination and technique.

No infection or breaks in sterile technique; closed in sterile manner.

Major break in technique with gross spillage; risk of infection is high.

Horses should fast overnight but have water access.

Direction of incisions should be parallel to natural skin tension lines.

Use antibiotics post-surgery only if necessary and within 60 mins.

Assessing hydration, anemia, protein levels, and electrolytes before surgery.

Evaluating the skin's ability to stretch and return, important before surgical procedures.

Surgical removal of a benign tumor plus 1 cm of normal tissue around it.

Surgical removal of a malignant tumor plus more than 2 to 3 cm of normal tissue.

Pre-stretching the surgical site to provide extra skin during closure, typically done 24 hours prior to surgery.

Surgical technique using continuous suture placement in a circular motion to eliminate dead space.

Surgical flaps that include arteries and veins at their base, promoting better blood flow for healing.

Inflatable devices used to stretch skin, introduced to expand subcutaneous tissue over time.

Methods to prevent puckers in skin following excision, like adjusting suture spacing and excising redundant skin.

A rapid drop in body temperature affecting consciousness and pupil equality.

Bleeding that can be stopped by applying compression, like a puncture wound.

Bleeding that cannot be stopped by pressure; may worsen with compression, like gunshot wounds.

Surgical insertion of a tube into the trachea through a specific incision location on the neck.

Evaluating a patient's history, physical exam, and lab data before surgery.

Prediction of surgery outcomes based on potential complications.

A classification system to assess the physical status of the patient before surgery.

CDC’s criteria for categorizing infections at surgical sites post-operation.