SURGICAL NURSING - Suturing
Terms
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- What are the 2 main types of wound classifications?
- Wounds are generally classified by whether they are closed or open.
- What are the 4 types of open wounds?
- Open wound types are abrasions, incisions, lacerations, and punctures.
- What is another definition for abrasions?
- Abrasions are also called road rash.
- What are abrasions?
- Abrasions are a superficial wound in which epidermis and part of dermal layer have been scraped away.
- What are incisions?
- Incisions are openings made with an extremely sharp object, and usually have clean edges.
- What are lacerations?
- Lacerations are wounds created by dull objects, and usually have jagged edges.
- What are punctures?
- Punctures are made by penetration of a sharp object.
- What is the difference between a perforating puncture and and penetrating puncture?
- A perforating puncture has an entrance and exit wound, and a penetrating puncture has an entrance wound.
- What are 4 ways that open wounds are assessed?
- Open wounds are classified as either clean, clean contaminated, contaminated, and infected.
- What is the difference between clean contaminated wounds and contaminated wounds?
- Clean contaminated wounds are less than 6 hours old and show no signs of contamination, while contaminated wounds are over 6 hours old and show evidence of contamination.
- What are the 3 steps used in classifying a wound?
- Wounds are first classified as open or closed, then cause is determined, followed by time elapsed since injury.
- What are the signs of an infected wound?
- An infected wound is pussy, has necrotic dead tissue, and has debris in wound.
- What are the 4 stages of healing?
- The 4 stages of healing are inflammatory, debridement, re-epithelialization, and remodeling.
- What are the 4 signs produced by histamine reaction?
- The 4 signs produced by histamines are swelling, redness, heat, and associated pain.
- What is debridement?
- Debridement is when macrophages start to eat dead tissue and cleaning up the wound.
- What is re-epithelialization?
- Re-epithelialization is when new skin cells begin to grow across the granulation bed in order to form new skin growth.
- What is remodeling?
- Remodeling is the process of smoothing and thinning out scar tissue.
- What is another name for remodeling?
- Remodeling is also called maturation.
- What are the 3 types of healing?
- The 3 types of healing are first, second, and third intention.
- Which intention of healing is surgical in nature?
- First intention occurs in a clean or properly treated wound less than 6 hours.
- What is another term for second intention healing?
- Second intention healing can also be called natural healing occuring in wounds over 6 hours old.
- What is third intention healing?
- Third intention healing is a combination of second intention and first intention healing.
- When will a wound begin to gain strength?
- A wound will being to gain strength about 7 days after cause.
- When will a wound gain maximum strength?
- A wound will gain maximum strength at 14 days.
- What are 4 common wound complications?
- Common wound complications are infection, dehiscence, hematoma/seroma, and wound contracture.
- What are signs of infection?
- Signs of infection include redness, purulent discharge, swelling, and possible odor.
- What is one of the most common causes of dehiscence?
- One of the most common causes of dehiscence is infection, usually caused by improper home care.
- What is a hematoma/seroma?
- A hematoma is an accumulation of blood or serum below suture line.
- What is used to take the pressure off hematomas?
- Drains are used to take the pressure off hematomas and seromas.
- What is wound contracture?
- Wound contracture is the formation of scar tissue creating a lack of use in area.
- What are the 6 purposes of suture material?
- The purpose of suture material is to realign tissue edges, close dead speaces, tighten joints, strengthen weakened tissues, ligate bleeding vessels, and to hold tissues in place.
- What are 7 ideal suture properties?
- Ideal suture properties are strength, absorbability, easy to hyandle, minimal tissue reaction, monofilament, good knotting ability, and economical.
- What are the 2 categories of suture?
- Suture categories are absorbable and nonabsorbable.
- What are the 2 types of suture?
- Suture types are monofilament and braided.
- What are the 3 most used absorbable sutures?
- The 3 most used sutures are vicryl, PDS, and catgut.
- What are 5 types of absorable suture?
- Absorbable sutures include catgut, dexon, vicryl, PDS, and maxon.
- What was the first absorbable suture ever used?
- The first absorbable suture ever used was catgut.
- What are 4 types of nonabsorbable suture?
- Nonabsorbable sutures include silk, cotton, stainless steel, and nylon.
- What is one of the oldest suture materials?
- Silk is one of the oldest suture materials.
- Which 3 suture materials cannot be autoclaved?
- Gut, PDS, and Maxon cannot be autoclaved.