Fundamentals of Nursing Latest 2023 Already Passed

Fundamentals of Nursing Latest 2023 Already Passed stages of wound healing 1. Inflammation--> hemostasis 2.Proliferative- new granulation tissue and capillaries, wound edges come together, epithelialization 3. maturation- scar tissue/ collagen transparent film autolytic debridement, semi-permeable allows skin to breathe. uses: burns, IV sites, stage 1& 2 pressure ulcers, skin tears Hydrocolloids promote autolytic debridement, water-loving uses: pressure ulcers, partial to full thickness (not to use on infected wounds) Hydrogels promotes moisture, hydrate wound bed, enhances skin production Uses: stage 2-4 ulcers, painful wounds infected wounds Alginates super absorbent holds 20-40x their weight. require a secondary dressing Uses: mod-large amount of drainage, wounds with tunneling and infected. Foams conform to the wound shape, absorptive based on thickness. Uses: stage 2-4, partial to full thickness, not to be used on dry wounds what do we secure dressings with montgomery straps pressure ulcer localized area of tissue necrosis on chronic wound, boney prominence ischemia reactive hyperemia 1st response to ischemia, lasts 1/2 as long as the duration of impended blood flow nonblanchable redness that persists after palpation indicating tissue damage stage 1 intact skin with non blanchable erythema. only epidermis involved firm, soft