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CHAPTER TWELVE. Wound Debridement

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Which class of medications requires that extreme caution be used when debriding with sharp instruments or mechanical techniques?

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a. β-blockers

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b. Corticosteroids

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c. Anticoagulants

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d. Antipsychotics

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Which of the following is a contraindication for sharp debridement?

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a. Diabetic foot ulcers

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b. Pressure ulcers

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c. Venous insufficiency

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d. Severe arterial insufficiency

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Autolytic debridement is

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a. The application of a topical pharmaceutical preparation that is specifically designed to target and break down the devitalized collagen

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b. Use of an outside force or energy directly to the wound surface to remove necrotic tissue

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c. The process by which the body’s endogenous enzymes loosen and liquefy necrotic tissue

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d. The use of maggots to digest and debride necrotic tissue

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Which of the following procedures is a method of nonselective debridement?

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a. Wet-to-dry debridement

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b. Sharp debridement

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c. Enzymatic debridement

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d. Autolytic debridement

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Which of the following debridement techniques is an absolute contraindication for removing necrotic tissue in a venous insufficiency leg ulcer?

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a. Autolytic debridement

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b. Whirlpool

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c. Enzymatic debridement

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d. Low-frequency ultrasound

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Which group of patients is more inclined to have difficulty with autolytic debridement, often requiring more aggressive forms of debridement to clean the wound bed of necrotic tissue?

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a. Older adults

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b. Children

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c. Immobilized patients

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d. Patients who smoke

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Maggot debridement proposed actions include all of the following except

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a. Debridement of necrotic tissue

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b. Antimicrobial activity

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c. Facilitation of wound healing

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d. Improved arterial blood flow

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