Bringman’s Exam 1 (Day 2
Notes)/45 Questions with
Complete Answers/Updated
What are some wound characteristics we should document? - -Location
Size (depth, width, length)
Shape
Edges
Tunneling, undermining, sinus tracts (presence and depth)
Base (necrosis, exudate, granulation tissue, epithelialization, exposed
structures)
Periwound area (edema, induration, maceration)
Pain
Quantity of bacteria
-What is primary intention? - -Surgeon closes wound by approximating
edges together with stitches, glue, staples, skin graft, etc immediately
after
-What is dehiscence? - -When the doc tries primary closure, but it gets
infected and the wound pops back open
-What is secondary intention? - -Letting a wound heal on its own (edges
not brought together)
A surgeon will not close it if infection has already begun
-What is contact inhibition? - -When epithelial cells meet at the center
of the wound, the wound is covered with new skin, migration ends, and
cells will stop dividing
-What is tertiary intention? What is it AKA? - -A wound is allowed to heal
by secondary intention and then is closed by primary intention as the
final treatment
Aka: delayed primary
-When is tertiary intention commonly used? - -If there's a
problem/infection or so much swelling that you let the wound stay open
to heal and then they close it up later
Common with head wounds and abdominal surgeries
-What are 2 types of necrotic tissue? - -Eschar and slough
-What is undermining? - -"Shadow" area, like a cave where the depth
continues beyond/under the skin border
-What is tunneling? - -Longer, and narrower undermining that becomes
like a tube/tunnel
Notes)/45 Questions with
Complete Answers/Updated
What are some wound characteristics we should document? - -Location
Size (depth, width, length)
Shape
Edges
Tunneling, undermining, sinus tracts (presence and depth)
Base (necrosis, exudate, granulation tissue, epithelialization, exposed
structures)
Periwound area (edema, induration, maceration)
Pain
Quantity of bacteria
-What is primary intention? - -Surgeon closes wound by approximating
edges together with stitches, glue, staples, skin graft, etc immediately
after
-What is dehiscence? - -When the doc tries primary closure, but it gets
infected and the wound pops back open
-What is secondary intention? - -Letting a wound heal on its own (edges
not brought together)
A surgeon will not close it if infection has already begun
-What is contact inhibition? - -When epithelial cells meet at the center
of the wound, the wound is covered with new skin, migration ends, and
cells will stop dividing
-What is tertiary intention? What is it AKA? - -A wound is allowed to heal
by secondary intention and then is closed by primary intention as the
final treatment
Aka: delayed primary
-When is tertiary intention commonly used? - -If there's a
problem/infection or so much swelling that you let the wound stay open
to heal and then they close it up later
Common with head wounds and abdominal surgeries
-What are 2 types of necrotic tissue? - -Eschar and slough
-What is undermining? - -"Shadow" area, like a cave where the depth
continues beyond/under the skin border
-What is tunneling? - -Longer, and narrower undermining that becomes
like a tube/tunnel
