2. DEFINITION-
IT IS THE DEATH OF TISSUE DUE TO
THE LOSS OFBLOOD SUPPLY TO
THAT TISSUE .
OR
DEATH OF TISSUE CAUSED BY
INSUFFICIANT BLOOD SUPPLY ,
USUALLY FOLLOWING DISEASE ,
INFECTIO N , INJURY , BLOOD VESSEL
DISEASE , OR SURGERY
3. TYPES OF GANGRENE-
1- DRY GANGRENE –( ARTERIAL GET
BLOCKED )
- DRY GANGRENE BEGINS AT THE
DISTAL PART OF THE LIMB DUE
TO ARTERIOSCLEROSIS.
- MOSTLY AFFECTS EXTREMITIES
SUCH AS FINGERS AND TOES
4. CONT…
C/F-
- THE EARLY SIGN ARE A DULL ACHE AND
SENSATION OF COLDNESS IN THE AFFECTED
ARE
– THE AFFECTED PART IS DRY , SHRUNKEN AND
DARK BLACK
5. 2- WET GANGRENE-(OCCURS WITH
INJURY AND INFECTION)
WET GANGRENE OCCURS IN MOIST TISSUE AND
ORGANS SUCH AS THE MOUTH , BOWEL ,
LUNGS , CERVIX AND VULVA .
BEDSORES OCCURING ON BODY PARTS SUCH
AS THE SACRUM , BUTTOCKS AND HEELS (NOT
IN “MOIST” AREAS) ARE ALSO CATEGORIZED AS
WET GANGRENE INFECTIONS .
6. CONT…
C/F-
- EXTREMELY PAINFUL ,
SMELLY , THEN TURNS
BLACK AND AFFECTED
PERSON DEVELOPS A FEVER
.
7. GAS GANGRENE -
GAS GANGRENE IS A BACTERIAL
INFECTION THAT PRODUCES GAS
WITHIN TISSUES
IT IS A DEADLY FORM OF GANGRENE
USUALLY CAUSED BY BACTERIA
INFECTION SPREADS RAPIDELY AS
THE GASES PRODUCED BY BACTERIA
EXPAND AND EFFECT HEALTHY
TISSUE
8. CAUSATIVE AGENT -
CLOSTRIBIUM SPECIES- SPORE
FORMING , GRAM POSITIVE
EXAMPLE – C.NOVYI, C. SEPTICUM
, C. PERFRINGERS (MOSTLY)
9. C/F-
HIGH FEVER
SHOCK
MASSIVE TISSUE DESTRUCTION
BLACKING OF SKIN
SEVERE PAIN AROUND A SKIN OF
WOUND
BLISTERS WITH GAS BUBBLES FROM
NEAR THE INFECTED AREA , THE
HEARTBEAT AND BREATHING BECOME
RAPID
13. NURSING MANAGEMENT-
-IMPAIRED SKIN INTEGRITY RELATED
TO GANGRENE
- IMPAIRED PHYSICAL MOBILITY
RELATED TO ACTIVITY RESTRICTION
-IMBALANCE NUTRITION LESS THAN
BODY REQUIREMENT RELATED TO
INCREASE NEED OF NUTRITION
