WITH COMPLETE SOLUTIONS GRADED A++
Clean Wounds
Degree of Contamination
- uninfected wounds in which there is minimal inflammation, and the gastrointestinal,
genital, and urinary tracts are not entered
- primarily closed wounds-> no contamination
Clean-Contaminated Wounds
Degree of Contamination
- surgical wounds in which the gastrointestinal, genital, or urinary tract has been entered
- show no evidence of infection
Contaminated Wounds
Degree of Contamination
- open, accidental, and surgical wounds involving a major break in sterile technique or
spillage from the gastrointestinal tract
- show evidence of inflammation-> everything is contained, but once they cut into the
patient everything ruptures into the body cavity during surgery
Dirty/Infected Wounds
Degree of Contamination
- wounds with evidence of a clinical infection, such as purulent drainage or necrosis
Serous
, Exudate
- thin clear or yellow tinged
- contains white blood cells, sugars, and proteins
Sanguineous
Exudate
- bright red
- large amounts of red blood cells
Serosanguineous
Exudate
- thin pink tinged exudate
Purulent
Exudate
- thicker than serous exudate because of the presence of pus, which consists of
leukocytes, liquefied dead tissue debris, and dead and living bacteria
- vary in color
- may have odor
Sanguinopurulent
Exudate
- pink cloudy exudate
- contains pus and blood
Pressure Injury
Localized damage to the skin and underlying soft tissue usually over a bony prominence
or related to a medical or other device