PRN0098C Lecture Notes - Pressure Ulcer, Blunt Trauma, Wound
31 Jan 2023
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Document Summary
Contusions, abrasions, puncture wounds, penetrating wounds, lacerations, or pressure injuries. Closed discolored wound caused by blunt trauma. Blood leak from broken blood vessels interstitial spaces. Bright red or purple, fades to blue, bluish-green, and yellow as contusion heals. Skin could be intact and erythemic (reddened), or the skin may be nonintact with open. If nonintact - ulcer may be superficial or very deep. Wounds are clean, clean-contaminated, contaminated, infected, or colonized. Clean-contaminated: surgically made wound; not infected, but has direct contact with normal flora in respiratory, urinary, or gastrointestinal tract - has more potential to become infected. Contaminated: surgical wound or wound caused by trauma; contaminated by breaking asepsis. Infected: infectious process is established; high numbers of microorganisms and purulent (containing pus) drainage or necrotic (dead) tissue. Classic signs of infection: erythema (redness), increased warmth, edema, pain, odor, drainage. Colonized: high numbers of microorganisms present but without signs of infection. Also called pressure ulcer ,decubitus ulcer, bedsore.
