Wound Management Principles UPDATED ACTUAL Questions and
CORRECT Answers
1. Abrasion Loss of epidermal/dermal layers
2. Penetrating Piercing deep into skin layers with a sharp object
3. Incision Surgical excision/cut
4. Bruising/Ecchy- Blood leakage into epidermal/dermal layers
mosis
5. Contusion Area of inflammation from a blow to the skin
6. Ulcer/wound Open skin with loss of tissue layers
7. Wound Etiologies Cancer (malignant), Trauma, Burns
8. Wound Etiology Surgery (surgical), Pressure, friction and shear, Diabetes (diabetic foot)
Types
9. Hemostasis Constriction of blood vessels, clot formation
10. Inflammation Increased vascular permeability, WBC phagocytosis
11. Proliferation (re- Filling/coverage of wound bed, new blood vessels (capillary beds), migration of
generation) fibroblasts and secretion of collagen
12. Maturation (re- Collagen formation/organization, moving fibroblasts- edges contract inward de-
modeling) creasing size of wound, mature scar formation
13. Primary Intentional, no tissue loss, edges well approximated
14. Secondary Not intentional, tissue loss, edges not well approximated, wound heals from
bottom up, fills in wound cavity with granulation tissue
15. Tertiary Intentional or not intentional, wound left open and to be sutured later, high risk
for scarring
, 16. Wound Classifica- Cause (surgical/nonsurgical; acute/chronic), Level of contamination, Depth of
tion tissue (superficial, partial thickness, full thickness), Colour (red, yellow and black)
17. Factors Affecting Age, Nutritional Status, Mobility, Comorbidities (Diabetes, Anemia), Infection (POD
Wound Healing 5- surgical, tissue destruction)
18. Infection Commonly by staphylococcus aureus. Often diagnosed once discharged or after
POD 5
19. Dehiscence Partial or complete cut of wound edges
20. Evisceration Protrusion of internal contents/structures through the wound
21. Scarring Related to poor healing and tertiary closure
22. Adhesions Bands of scar tissue between or around organs
23. Hypertrophic Red, raised scar. From excess skin
Scars/ Keloids
24. Fistula Formation Abnormal passage between organs
25. Principles of Conduct a comprehensive wound assessment, Cleanse the wound, Remove
Wound Manage- necrotic debris, Fill the dead space, and Manage exudate
ment
26. REEDA or R - REDNESS, E - EDEMA, E - ECCHYMOSIS, D - DRAINAGE, A - APPROXIMATION
REEDAO (edges coming together), O - ODOUR
27. WOUND Colour - SEE NEXT SLIDE; Serous: clear; Sanguineous: bloody; Serosanguineous:
ASSESSMENT: clear with blood pinkish; Purulent: yellow/white/greenish; Amount - scant, small,
DRAINAGE moderate, large, copious (very large); Consistency - thick/thin; Odour - none/foul
smelling
28.
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CORRECT Answers
1. Abrasion Loss of epidermal/dermal layers
2. Penetrating Piercing deep into skin layers with a sharp object
3. Incision Surgical excision/cut
4. Bruising/Ecchy- Blood leakage into epidermal/dermal layers
mosis
5. Contusion Area of inflammation from a blow to the skin
6. Ulcer/wound Open skin with loss of tissue layers
7. Wound Etiologies Cancer (malignant), Trauma, Burns
8. Wound Etiology Surgery (surgical), Pressure, friction and shear, Diabetes (diabetic foot)
Types
9. Hemostasis Constriction of blood vessels, clot formation
10. Inflammation Increased vascular permeability, WBC phagocytosis
11. Proliferation (re- Filling/coverage of wound bed, new blood vessels (capillary beds), migration of
generation) fibroblasts and secretion of collagen
12. Maturation (re- Collagen formation/organization, moving fibroblasts- edges contract inward de-
modeling) creasing size of wound, mature scar formation
13. Primary Intentional, no tissue loss, edges well approximated
14. Secondary Not intentional, tissue loss, edges not well approximated, wound heals from
bottom up, fills in wound cavity with granulation tissue
15. Tertiary Intentional or not intentional, wound left open and to be sutured later, high risk
for scarring
, 16. Wound Classifica- Cause (surgical/nonsurgical; acute/chronic), Level of contamination, Depth of
tion tissue (superficial, partial thickness, full thickness), Colour (red, yellow and black)
17. Factors Affecting Age, Nutritional Status, Mobility, Comorbidities (Diabetes, Anemia), Infection (POD
Wound Healing 5- surgical, tissue destruction)
18. Infection Commonly by staphylococcus aureus. Often diagnosed once discharged or after
POD 5
19. Dehiscence Partial or complete cut of wound edges
20. Evisceration Protrusion of internal contents/structures through the wound
21. Scarring Related to poor healing and tertiary closure
22. Adhesions Bands of scar tissue between or around organs
23. Hypertrophic Red, raised scar. From excess skin
Scars/ Keloids
24. Fistula Formation Abnormal passage between organs
25. Principles of Conduct a comprehensive wound assessment, Cleanse the wound, Remove
Wound Manage- necrotic debris, Fill the dead space, and Manage exudate
ment
26. REEDA or R - REDNESS, E - EDEMA, E - ECCHYMOSIS, D - DRAINAGE, A - APPROXIMATION
REEDAO (edges coming together), O - ODOUR
27. WOUND Colour - SEE NEXT SLIDE; Serous: clear; Sanguineous: bloody; Serosanguineous:
ASSESSMENT: clear with blood pinkish; Purulent: yellow/white/greenish; Amount - scant, small,
DRAINAGE moderate, large, copious (very large); Consistency - thick/thin; Odour - none/foul
smelling
28.
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