8 Wounds and Other Openings

An acute wound heals in < __ weeks and a chronic wound is stalled in a healing phase.

<4 weeks acute wound

The stages of wound healing include:
hemostasis → inflammation → ______ → _______

hemostasis → inflammation → proliferation → remodeling

True or False - healing by secondary intention involves a suture closure

false

Which of the following is an open, passive drain often used for abscesses or infected wounds?

a. Penrose

b. Jackson-Pratt/Hemovac

c. Pigtail

d. T-tube

A. Penrose

see image for descriptions of other types

Which of the following would be used to promote autolysis (type of debridement) for a wound with mild exudate?

a. hydrogels

b. foam/alginates

c. hydrocolloids

d. wound vac

c. hydrocolloids

When do you use split thickness skin graft?

to increase overall size of graft in cases where wound size is greater than the available donor site

Which of the following describes a seroma?

a. blood pooling out of vessels creating a pocket of blood under skin

b. reopened surgical suture

c. non-infectious serous fluid collection under skin that may be reabsorbed, or may need aspiration

d. infectious fluid collection under skin that requires surgical debridement and IV abx

c. non-infectious serous fluid collection under skin that may be reabsorbed, or may need aspiration

Which of the following could be described as an abnormal tract between the bowel and skin?

a. enterocutaneous

b. colovesical

c. vesicovaginal

d. colocutaenous

a. enterocutaneous