How does zinc, copper, and iron help wound healing
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Assist with collagen synthesis
Parts of a chest drainage system
-water seal
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•This chamber prevents air from moving back up the tubing to the client.
This chamber should be checked every shift to ensure the water level is at
least 2 cm.
•Allows air to exit the pleural space on exhalation and keeps air in on
inspiration.
oInhalation should cause a rise in water seal (increased pressure).
oExhalation should cause a drop in water seal (decreased pressure).
oThis is called TIDALING.
oTHIS IS NORMAL!
Braden scale
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•Score based on sensory perception, moisture, activity, mobility, nutrition,
and friction and shearing
•Score
oSevere risk <9
oHigh risk 10-12
oModerate risk 13-14
oMild risk 15-18
LOWER the number = HIGHER the risk
Is the pt aware and able to know when they feel pressure?
Any moisture? Huge part of skin break down
Able to move and get around
What are they eating, poor nutrition can lead to skin breakdown
Is the pt being pulled up in bed can they scoot themself up in bed
drains/vacuum
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, Take drainage away from wound—provide opportunity for granulation
tissue to grow without drainage present
-Wound vac: closed
why does ischemia occur, that what follows
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•ISCHEMIA occurs due to lack of oxygen; INFARCTION follows.
Pleural space
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Located between the parietal and visceral pleura...contains pleural fluid
that acts as a lubricant to assist in respiration****
Documentation
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•Location of wound
•Appearance of dressing prior to dressing change
•Assessment of wound bed, drainage, odor, surrounding skin, s/s of
infection, etc.
•Type of treatment
•Type of dressing applied
•How did you secure
, •How did patient tolerate
•REMEMBER PAIN CONTROL
Holter monitor
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Continuous monitor; can pick up changes in conduction
stage 2 pressure ulcer treatment
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Maintain moist environment for healing...saline or occlusive dressing; good
nutrition; analgesics as needed
•Myocardial ischemia
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Decreased oxygen supply to the heart...MAIN cause of a heart attack (MI)
Treatment for shock
Give this one a try later!
Give this one a try later!
Assist with collagen synthesis
Parts of a chest drainage system
-water seal
,Give this one a try later!
•This chamber prevents air from moving back up the tubing to the client.
This chamber should be checked every shift to ensure the water level is at
least 2 cm.
•Allows air to exit the pleural space on exhalation and keeps air in on
inspiration.
oInhalation should cause a rise in water seal (increased pressure).
oExhalation should cause a drop in water seal (decreased pressure).
oThis is called TIDALING.
oTHIS IS NORMAL!
Braden scale
Give this one a try later!
•Score based on sensory perception, moisture, activity, mobility, nutrition,
and friction and shearing
•Score
oSevere risk <9
oHigh risk 10-12
oModerate risk 13-14
oMild risk 15-18
LOWER the number = HIGHER the risk
Is the pt aware and able to know when they feel pressure?
Any moisture? Huge part of skin break down
Able to move and get around
What are they eating, poor nutrition can lead to skin breakdown
Is the pt being pulled up in bed can they scoot themself up in bed
drains/vacuum
Give this one a try later!
, Take drainage away from wound—provide opportunity for granulation
tissue to grow without drainage present
-Wound vac: closed
why does ischemia occur, that what follows
Give this one a try later!
•ISCHEMIA occurs due to lack of oxygen; INFARCTION follows.
Pleural space
Give this one a try later!
Located between the parietal and visceral pleura...contains pleural fluid
that acts as a lubricant to assist in respiration****
Documentation
Give this one a try later!
•Location of wound
•Appearance of dressing prior to dressing change
•Assessment of wound bed, drainage, odor, surrounding skin, s/s of
infection, etc.
•Type of treatment
•Type of dressing applied
•How did you secure
, •How did patient tolerate
•REMEMBER PAIN CONTROL
Holter monitor
Give this one a try later!
Continuous monitor; can pick up changes in conduction
stage 2 pressure ulcer treatment
Give this one a try later!
Maintain moist environment for healing...saline or occlusive dressing; good
nutrition; analgesics as needed
•Myocardial ischemia
Give this one a try later!
Decreased oxygen supply to the heart...MAIN cause of a heart attack (MI)
Treatment for shock
Give this one a try later!
