wound care dressings Flashcards
transparent film
pros
cons
pros - autolytic debridement, retains moisture
cons - must have border intact
maceration
difficult to apply
min exudate management
hydrogels
indication
pros
cons
wound hydration –> dry ARTERIAL ulcer
pros - autolytic
easy to apply
cheap
min absorption
cons dehydrates easily if not covered
maceration
foam
indication
pros
cons
secondary dressing
pros - boney prominences
suitable for hypergranulation - tissue growing out of wound
prevent ICU pressure injuries
warm + moist –> ideal for healing
cons - wound may dry out
maceration
don’t do w/ eschar
calcium alginates
indication
pro
con
exudate, deep pressure, DM and VENOUS ulcers
pros - absorbable
cons - no dry wounds
cant us on high bleed
dont leave on too long –> painful
hydrocolloids
indications
pros
cons
non infected wounds w/ low exudate
pros - impermeable to bacteria
change every few days
cons - dislodged if high exudate
maceration
hypergranulation
hydrofibers
deep wounds - need 2nd dressing
pros - moist environment
autolytic debridement
very absorptive
lasts 3 days
cons - expensive
expand and overfill wound
medical grade honey
promotes autolytic debridement - need good BF
ulcers, sores; partial full burn
pro - high drug resistant bacteria
collagenase
indications
pros
cons
used for burns/dermal ulcers
pros - not harmful to healthy tissue
synthetic enzyme that cleaves necrotic tissue
cons. - expensive
prescription required
silver sulfadiazine
indications
pros
cons
burn wounds are cleaned and debrided then this is applied -
pros - this decreases risk of sepsis
inhibits bacterial growth
cons - leukopenia
necrosis
skin equivalents
indications
pros
cons
decrease scar –> need sterile and properly debridement
pros - permanent
chronic conditions
cons - infection/rejections
