On which types of wounds may the nurse use a pulsatile ...

[erika]

On which types of wounds may the nurse use a pulsatile high-pressure lavage for irrigation?
 
  a. Graft sites
  b. Wounds with exposed blood vessels
  c. Necrotic tissue
  d. Wounds with exposed muscle or tendons

Question 2

The specific blood product used for replacement of clotting factors and fibrinogen is:
 
  a. whole blood.
  b. packed RBCs.
  c. cryoprecipitate.
  d. albumin, 25 pooled.

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Answer to Question 1

C
Pulsatile high-pressure lavage is often the irrigation of choice for necrotic wounds. The amount of irrigant is wound size dependent. Pressure settings on the device need to remain between 4 and 15 psi. Do not use this type of irrigation with graft sites or exposed blood vessels, muscle, tendon, or bone.

Answer to Question 2

C
Cryoprecipitate replaces factors VIII and XIII, von Willebrand's factor, and fibrinogen. It also replaces red cell mass and plasma volume and is expected to raise hemoglobin by 1 g/100 mL and hematocrit by 3 in a nonhemorrhaging adult. Using cryoprecipitate is the preferred method of replacing red blood cell mass.

[erika]

Excellent

[Dominic]

Gracias!