Sanguineous

Definition

Sanguineous refers to bright red, bloody drainage. It is expected in fresh wounds and can indicate active bleeding or tissue trauma.

Wound Drainage Types

• Serous: Clear, watery.
• Sanguineous: Bright red, bloody.
• Serosanguineous: Pink, a mix of serum and blood (normal in early healing).
• Purulent: Thick yellow/green, infected.
• Seropurulent: Yellowish watery purulent.

Nursing Considerations

Document color, amount, consistency, and odor of drainage. Sanguineous drainage is expected in the first 24 to 48 hours post-op, increasing or persistent bright red bleeding may indicate hemorrhage (notify provider). Monitor vital signs and hemoglobin.

NCLEX Relevance

Serosanguineous normal in early healing, increasing sanguineous = potential hemorrhage.