TOPASS s s
Initial NGAssessment NGGoals NG- NG NGcorrect NGanswer- NG1. NGetiologic NGfactors NG2.
s s s s s s s s s s
NGsystemic NGfactors NGand NGcomorbidities NG3. NGrecommendations NGfor NGmanagement
s s s s s s s s
NG4. NGdetermine NGphase NGof NGhealing NG5.determine NGgoals NGof NGtopical NGtherapy
s s s s s s s s s s
Hyperglycemia NGimpairs... NG- NG NGcorrect NGanswer- NGleukocyte NGfunction NGwhen
s s s s s s s s
NG>180; NGcollagen NGsynthesis; NGdevelopment NGof NGtensile NGstrength; NGepithelial
s s s s s s s s
NGresurfacing
s
Random NGBG NGgoals NG- NG NGcorrect NGanswer- NG<140
s s s s s s s
A1C NGgoal NGfor NGwound NGhealing NG- NG NGcorrect NGanswer- NG<7
s s s s s s s s s
Nutrients NGessential NGfor NGcollagen NGsynthesis NG- NG NGcorrect NGanswer- NGZinc,
s s s s s s s s s
NGglutamine, NG1-arginine
s s
Unplanned NGweight NGloss NGparameters NGindicative NGof NGmalnutrition NG- NG NGcorrect
s s s s s s s s s
NGanswer- NGgreater NGthan NGor NGequal NGto NG2.5% NGwithin NG30 NGdays; NGgreater
s s s s s s s s s s s
NGthan NGor NGequal NGto NG10% NGin NG180 NGdays; NG5% NGin NGlongterm NGcare NGsettings
s s s s s s s s s s s s s
Lab NGvalues NGindicative NGof NGmalnutrition NG- NG NGcorrect NGanswer- NGAlbumin NG<3.5;
s s s s s s s s s s
NGtransferrin NG<100; NGpre-albumin NG<19.5; NGtotal NGlymphocyte NGcount NG>1500
s s s s s s s s
Recommended NGcaloric NGintake NGfor NGwound NGhealing NG- NG NGcorrect NGanswer- NG30-
s s s s s s s s s s
35 NGcal/kg/day
s
Recommended NGprotein NGintake NGfor NGwound NGhealing NG- NG NGcorrect NGanswer- s s s s s s s s s
NG1.25 NG- NG1.5 NGg/kg/day
s s s s
Recommended NGfluid NGintake NG- NG NGcorrect NGanswer- NG30ml/kg/day s s s s s s s
Factors NGthat NGinterfere NGwith NGhealing NG- NG NGcorrect NGanswer- NG1.hyperglycemia
s s s s s s s s s
NG2. NGmalnutrition NG3. NGpoor NGperfusion/oxygenation NG4. NGimmunosuppression NG5.
s s s s s s s s
NGcomorbidities NGsuch NGas NGrenal NGfailure, NGliver NGfailure, NGmultisystem NGtrauma,
s s s s s s s s s
NGsmoking, NGadvanced NGage
s s s
, ISTAP NGskin NGtear NGclassification NGType NG1 NG- NG NGcorrect NGanswer- NGNo NGskin
s s s s s s s s s s s
NGloss; NGflap NGcan NGbe NGrepositioned NGto NGcover NGwound NGbed
s s s s s s s s s
ISTAP NGskin NGtear NGclassification NGType NG2 NG- NG NGcorrect NGanswer- NGPartial NGflap
s s s s s s s s s s s
NGloss
s
ISTAP NGskin NGtear NGclassification NGType NG3 NG- NG NGcorrect NGanswer- NGTotal NGflap
s s s s s s s s s s s
NGloss
s
Indications NGfor NGtransfer NGto NGburn NGcenter NG- NG NGcorrect NGanswer- NG1. NG> NG10%
s s s s s s s s s s s s
NGTBSA NGfull-thickness NGburns NG2. NG>10-20% NGTBSA NGpartial-thickness NGburns NG3.
s s s s s s s s s
NGHigh NGrisk NGarea NG(face, NGhands, NGfeet) NG4. NGPerineal NGburn NG(high NGrisk
s s s s s s s s s s s
NGinfection) NG5. NGage NG<10 NGor NG>50
s s s s s s
Etiologic NGfactors NGfor NGwounds NG- NG NGcorrect NGanswer- NG1.Surgical NG2.Traumatic
s s s s s s s s s
NG3.Thermal NG4.Autoimmune NG5.Neoplastic NG6.Allergic NG7.Chemical NG8.Microbial
s s s s s s
Hidradenitis NGsuppurativa NGdefinition NG- NG NGcorrect NGanswer- NGlesions NGinvolving
s s s s s s s s
NGthe NGsweat NGglands NGtypically NGdue NGto NGinflammation NGor NGinfection.
s s s s s s s s s
Hidradenitis NGsuppurativa NGcharacteristics NG- NG NGcorrect NGanswer- NGtypically NGfound
s s s s s s s s
NGin NGthe NGaxilla NGor NGperineal NGarea; NGpainful; NGindurated NGlesions; NGfoul NGsmelling
s s s s s s s s s s s
NGdrainage
s
Hidradenitis NGsuppurativa NGtreatment NG- NG NGcorrect NGanswer- NGtissue NGdissection
s s s s s s s s
NGto NGremove NGinvolved NGsweat NGglands NGand NGhair NGfollicles
s s s s s s s s
Necrotizing NGFasciitis NGcharacteristics NG- NG NGcorrect NGanswer- NGpetechial NGrash,
s s s s s s s s
NGedema, NGerythema, NGblisters, NGcrepitus, NGleukocytosis, NGlow NGserum NGsodium,
s s s s s s s s
NGsevere NGpain, NGrapid NGprogression NG(up NGto NG2.5 NGcm/hr)
s s s s s s s s
Staphylococcal NGScalded NGSkin NGSyndrome NGCharacteristics NG- NG NGcorrect NGanswer- s s s s s s s s
NGsevere NGdenudation NGof NGlarge NGskin NGsurfaces
s s s s s s
Who NGis NGaffected NGby NGSSSS NG- NG NGcorrect NGanswer- NGUsually NGneonates
s s s s s s s s s s
SSSS NGtreatment NG- NG NGcorrect NGanswer- NGAntibiotic NGtherapy
s s s s s s s
Community NGacquired NGMRSA NGCharacteristics NG- NG NGcorrect NGanswer- NGSkin NGand
s s s s s s s s s
NGsoft NGtissue NGlesions; NGlook NGlike NGa NGspider NGbite NG(pustular NGlesion NGwith
s s s s s s s s s s s
NGpurplish NGhue NGsurrounded NGby NGerythema NGand NGinduration)
s s s s s s s
Viral NGlesions NGcharacteristics NG- NG NGcorrect NGanswer- NGsmall NGvesicles NGthat
s s s s s s s s s
NGrupture NGto NGreveal NGyellow-red NGand NGpainful NGbase
s s s s s s s