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autolytic wound debridement
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Use a dressing to trap wound drainage against dead tissue so body
enzymes can slowly degrade the necrotic tissue
Purosanguineous wound drainage
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Yellow-reddish : pus and blood present
Newly infected wound
,Nursing interventions for airborne precaution
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Keep door closed
N95 mask when entering
Susceptible people should not enter
Surgical mask of client leaves
Serum proteins and infection?
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Indicates the body's nutritional reserves for rebuilding cells
what does afibrile mean?
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normal temperature
Albumin and infection
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, Less than 3.5 poor nutrition affecting would healing
what do we do when the heart rate is irregular
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take the apical pulse for accuracy
risk factors of heat stroke
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very young or very old
cardiovascular disease
diabetes
alcoholism
exercise or working outdoors in predisposing conditions
What is the tripod position?
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Leaning forward with arms braced against their knees, chair, or bed. This
gives them leverage so that their rectus abdominis, intercostal, and
accessory neck muscles all can aid in expiration.
, Factors affecting skin integrity ?
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Genetics
Age
Chronic illness
Medications
Fecal incontinence
Urinary incontinence
Nutrition status
Trauma
Contraindications to cold
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Allergy or hypersensitivity to cold
signs and symptoms of infection?
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