Sara Shared "Med-Surg Lewis 9e Chapter 12" - 9 Picmonics
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Med-Surg Lewis 9e Chapter 12
Pathogens Infect Tissue
Mast Cells Release Histamine
Histamine Dilates and Increases Capillary Permeability
Macrophages Engulf Pathogens
Macrophage Signals Cells With Cytokines
Responding Neutrophils Cross Capillary Wall
B And T Lymphocytes Arrive At Injury Site
WBC Differential Lab Value
White Blood Cells (WBC)
R.I.C.E. (Treating Soft Tissue Injury)
Friction and Shear
Types of Wound Healing
Types of Wounds
Edges Not Approximated
Delayed Closure due to Infection and Necrosis
Wound Drainage Types and Devices
Record Drainage Amounts
Check Device Function
Flushed skin, warm to touch
Change in LOC
Provide adequate fluids
Monitor Electrolytes and Fluid
Monitor vital signs, esp temperature
Remove excess clothing and blankets
Sponge bath with tepid water
Stage 1 - Non-Blanchable Redness
Stage 2 - Partial Thickness
Stage 3 - Full Thickness Skin Loss
Stage 4 - Full Thickness Tissue Loss
Possible Deep Tissue Injury
Skin Color Alterations
Remove Necrotic Tissue Before Staging
Interventions for Impaired Skin Integrity
Signs of Skin Breakdown
Decreased Skin Turgor
Maintain Clean and Dry Skin
Adequate Nutrition and Hydration
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