Wound Care Certification Debridement Methods and Indications Flashcards
6 cards from real Wound Care Certification Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
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What is the PRIMARY purpose of wound debridement?
Answer: Remove necrotic tissue and reduce bacterial load to promote healing
Debridement removes necrotic tissue, slough, and bacterial burden that impede wound healing and prevent granulation tissue formation.
Which type of tissue should generally NOT be debrided in heel wounds?
Answer: Stable, dry, adherent eschar without signs of infection
Stable, dry, adherent eschar on heel wounds without infection or fluctuance should not be debrided, as it serves as a biological cover protecting underlying tissue.
Before performing any debridement, the clinician must FIRST assess:
Answer: Wound etiology, tissue perfusion, and patient goals
Wound etiology, perfusion status, and patient goals/consent must be assessed before debridement to avoid harming poorly vascularized tissue.
Which debridement method is most appropriate for a patient with a large necrotic wound requiring rapid tissue removal?
Answer: Surgical/sharp debridement
Surgical or sharp debridement is the fastest method and is appropriate when rapid removal of large amounts of necrotic tissue is required.
Which term describes the progressive removal of necrotic tissue over multiple sessions using conservative sharp debridement?
Answer: Serial debridement
Serial debridement refers to repeated conservative sharp debridement sessions performed incrementally to remove devitalized tissue over time.
Sharp debridement is contraindicated in wounds with:
Answer: Poor arterial blood supply and ischemia
Sharp debridement is contraindicated in ischemic wounds due to the risk of creating non-healing wounds or worsening necrosis without adequate perfusion.