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Wound Healing (Complications (Hemorrhage (internal (blood travels by…

- - - - blood travels by gravity so laying down goes to the back
        
        can't just look anteriorly
    - - all over the place
  - - - apply pressure
        
        big issues
  - - - cover with wet sterile (saline) dressings
        
        call surgeon
  - - - poop coming out vagina
- - - - arterial doppler, want arterial blood flow to that area
        
        if no blood flow to wound, must cutoff until you get blood flow
    - - blanching of tissue not have to be on nail bed
  - - - decrease swelling and pain
  - - - to tight
        
        pulse distal to the site
        
        should be able to get 2 fingers in between
      - start distal and move proximal, going towards the heart
- - - - vasodilation (red warm tender swollen edges) DOESN'T MEAN INFECTED. bodys response, how we get platelets to the site to heal everything
        
        clear drainage to light yellow or pink beefy red tissue
      - infection
        
        chunky drainage, purulence, smell, worse inflammatory respionse
      - proliferation, granulation tissue is good
        
        pink and wet wound, pink and wet means blood flow to area
        
        dry and beef jerky, not getting that back
        
        anything black is dead
        
        must debride
        
        mechanical, dressing changes
        
        surgical, surgically remove dead tissue so wound can heal
        
        maturation is when skin gaining strength back (months to years)
        
        epithelialation skin coming back (scar)
  - - - clean nothing wrong
        
        heal from inside out
- - - - good
      - bad
        
        create pressure ulcer
        
        decrease blood flow
  - - - can cause wound's surrounding tissue if white wiuth fluid to get pressure ulcer
- - - - put pressure on edges making it hard to approximate
        
        organs damaged that are swollen won't come back together soon
  - - - Close infection inside cuz bacteria loves it
        
        absess and and possibly septic
        
        get dead tissue out
- - - - vasoconstricts
- - - - zero silk is very strong
      - thin thread above eye
    - - creates a bit of a barrier that helps seal the wound
  - - - sugically placed in the area
        
        taking out all the excess fluid, blood clots
        
        keeping clean and improve healing process
        
        not in organ in the space
  - - - negative pressure
        
        increases blood flow to area
        
        giving wound a hickey
        
        goal
        
        decreases time for wound healing
    - - tegaderm over sponge
        
        has sucking tube, sponge sinks in to wound and tissue
- - - - not sterile wound
        
        may still use sterile technique to protect patient
    - - traumatic brain injury
      - stroke
      - does not respond to tylenol
        
        need cooling mattress or an icepack
        
        armpits and groin
- - - - bear hugger
        
        once at 97 take bear hugger off
      - body doesnt like big variations
      - warm IV fluids
      - warm blankets
- - - - increase delivery of O2 to tissue/wound
      - treatment option in addition to dressings/wound vac
    - - flammable
        
        go in with special gown/sheet
        
        no static
      - once in, can't come out very quickly