Characteristics Of Major Dressing Categories

Question 1

Clear, adhesive, semipermeable membrane dressings. Permeable to atmospheric oxygen and moisture vapor, yet impermeable to water, bacteria, and environmental contaminants

Answer 1

Transparent film

Question 2

Adhesive wafers containing hydroactive/absorptive particles that interact with wound fluid to form gelatinous mass over wound bed. May be occlusive or semi-occlusive. Available in paste form that can be used as filler for shallow cavity wounds.

Answer 2

Hydrocolloids

Question 3

Water- or glycerine-based gel. Insoluble in water. Available in solid sheets, amorphous gels, or impregnated gauze. Absorptive capacity varies.

Answer 3

Hydrogen’s

Question 4

Semipermeable membranes that are either hydrophilic or hydrophobic. Vary in thickness, absorptive capacity, adhesive properties.

Answer 4

Foams

Question 5

Soft, absorbent non-woven dressings derived from seaweed that have a fluffy cottonlike appearance. React with wound exudate to form viscous hydrophilic hell mass over wound area. Available in ropes, pads.

Answer 5

Alginates

Question 6

Made of cotton or synthetic fabric that is absorptive and permeable to water and oxygen. May be used wt, point, dry, or impregnated with petrolatum, antiseptics, or other agents. Come in varying weaves and with different size interstices.

Answer 6

Gauze dressings

Question 7

Indications for transparent films:

1. What stage pressure ulcers?
2. ___ ___ in certain situations
3. ____ debridement
4. Skin ___ sites
5. Cover for ___ ___ and paste preparations and ___

Answer 7

1. Stage I and II
2. Secondary dressing
3. Autolytic
4. Donor
5. Hydrophilic powder, hydrogels

Question 8

Advantages of transparent films:

1. ____ ____ of wound without removal
2. Impermeable to ?
3. Transparent and ___
4. Promote ___debridement
5. Minimize ___

Answer 8

1. Visual evaluation
2. External fluid and bacteria
3. Comfortable
4. Autolytic
5. Friction

Question 9

Disadvantages of transparent films:

1. Non-___
2. Application can be difficult
3. Issue with application?
4. Not to be used on wounds with what characteristics?

Answer 9

1. Non-Absorptive
2. -
3. Channeling/wrinkling occurs
4. Fragile surrounding skin, infected wounds

Question 10

Considerations for transparent films:

1. Allow ____ wound margin around wound bed
2. Skin prep?
3. Secondary dressing is or is not required?
4. Dressing change varies with wound condition and location
5. Avoid in wounds with what?

Answer 10

1. 1-2 inch
2. Shave surrounding hair
3. Secondary dressing NOT required
4. -
5. Infection, copious drainage, tracts

Question 11

Indications for hydrocolloids:

1. Protection of ____ wounds
2. ___ debridement of ___ or ___
3. Wounds with ___

Answer 11

1. Partial-thickness
2. Autolytic, necrosis or slough
3. Mild exudate

Question 12

Advantages of hydrocolloids:

1. Maintain ___ wound environment
2. ____ to healing tissue
3. Conformable
4. Impermeable to ?
5. Support ___ debridement
6. ____ absorption level
7. Waterproof or not?
8. Reduces ___
9. Easy to apply
10. Time-saving
11. Thin forms diminish ___

Answer 12

1. Moist
2. Non-adhesive
3. —
4. External bacteria, contaminants
5. Autolytic
6. Minimal to moderate
7. Yes
8. Pain
9. —
10. —
11. Friction

Question 13

Disadvantages of hydrocolloids:

1. Transparent?
2. May soften and change shape with ___ or ___
3. ___ and ___ ___ on removal
4. Not recommended for wounds with what?
5. Dressing edges may ___

Answer 13

1. Not transparent
2. Heat/friction
3. Odor, yellow drainage
4. Heavy exudate, sinus tracts, infections; bones that expose bone/tendon; wounds with fragile surrounding skin
5. Curl

Question 14

Considerations for hydrocolloids:

1. Characteristic ___ with ___ exudate similar to ___; normal when dressing is removed
2. Allow ___ inch margin of healthy tissue around wound edges
3. Can you tape the edges to prevent curling?
4. Frequency of changes depends on?
5. Change dressing ever ___ days and as needed with leakage
6. Avoid in wounds with __ or __

Answer 14

1. Odor, yellow, pus
2. 1-1.5 inch
3. Yes
4. Amount of exudate
5. 3-7 days
6. Infection, tracts

Question 15

Indications for hydrogels:

1. ____ wounds
2. Wounds with __ and __
3. __ and tissue damaged by __

Answer 15

1. Partial- and full-thickness
2. Necrosis, slough
3. Burns, radiation

Question 16

Advantages of hydrogels:

1. How does it feel?
2. Fills ___ ___
3. Rehydrates what?
4. Promotes __ debridement
5. Provides __ absorption
6. Conforms to wound bed
7. Transparent?
8. Many are ___
9. Amorphous form can be used when ____

Answer 16

1. Soothing and cooling
2. Dead space
3. Dry wound beds
4. Autolytic
5. Min to mod
6. —
7. Transparent and translucent
8. Non-adherent
9. Infection is present

Question 17

Disadvantages of hydrogels:

1. Most require ___
2. Not used for ___ exudating wounds
3. May __ then __ to wound bed
4. May __ surrounding skin

Answer 17

1. Secondary dressing
2. Heavily
3. Dry out, adhere
4. Macerate

Question 18

Considerations for hydrogels:

1. Sheet form works well on ____ ulcers
2. Do not use sheet form on ___ ulcers
3. Sheet form can promote growth of ____ and ___
4. Dressing changes every ____
5. Use skin barrier wipe on surrounding intact skin to decrease risk of ___

Answer 18

1. Partial-thickness
2. Infected
3. Pseudomonas, yeast
4. 8-48 hours
5. Maceration

Question 19

Indications for foams:

1. ___ wounds with ___ exudate
2. Secondary dressing for wounds with ___ to provide additional absorption
3. Provide __ and __

Answer 19

1. Partial- and full-thickness, min-mod
2. Packing
3. Protection, insulation

Question 20

Advantages of foams:

1. ___ wounds
2. Provide ___
3. Most are __
4. Conformable
5. Manage __ exudate
6. Easy to use
7. Some newer products are designed for ___

Answer 20

1. Insulate
2. Padding
3. Non-adherent
4. —
5. Minimal-heavy
6. —
7. Deep cavities

Question 21

Disadvantages of foams:

1. Transparent?
2. Non-adherent foams require ____
3. Some newer foams have ___ on edges
4. Poor ___ to deep wounds
5. Not for use with ___ or wounds with no __

Answer 21

1. Nontransparent
2. Secondary dressings, tape, or net
3. Tape
4. Conformity
5. Dry eschar or wounds with no exudate

Question 22

Considerations for foams:

1. Change schedule varies from ___ or as needed for leakage
2. Protect intact surrounding skin with skin sealant to prevent __

Answer 22

1. 1-5 days

2. Maceration

Question 23

Indications for alginates:

1. Wounds with ___ exudate
2. Wounds with combination __ and __
3. Wounds that require __ and __
4. __ and __ exudating wounds

Answer 23

1. Mod-large
2. Necrosis, exudate
3. Packing, absorption
4. Infected and non infected

Question 24

Advantages for alginates:

1. Absorb up to ___x their weight in drainage
2. Fill __ __
3. Support __ in presence of exudate
4. Easy to apply

Answer 24

1. 20x
2. Dead space
3. Debridement

Question 25

Disadvantages of alginates: 1. Require ___ 2. Not recommended for ___ exudating wounds 3. Can ___ wound bed

Answer 25

1. Secondary dressing 2. Dry or lightly exudating 3. Dry

Question 26

Considerations for alginates: 1. May use __ or __ as secondary dressing 2. Change schedule varies (with type of product used and amount of exudate)from every __ to every __

Answer 26

1. Dry gauze pad, transparent film | 2. 8 hrs to every 2-3 days

Question 27

Indications for gauze dressings: 1. ___ wounds 2. Wounds with __, __ or __ 3. Wounds with combination __ or __

Answer 27

1. Exudating 2. Dead space, tunneling, sinus tracts 3. Exudate, necrotic tissue

Question 28

Gauze dressings: | WET TO DRY- ____ debridement of necrotic tissue and ___

Answer 28

Mechanical, slough

Question 29

Gauze dressings: | CONTINUOUS DRY: used for ?

Answer 29

Heavily exudating wounds

Question 30

``` Gauze dressings: CONTINUOUS MOIST- 1. Protection of ___ wounds 2. ___ debridement of slough or ___ 3. Delivery of ___ needs ```

Answer 30

1. Clean 2. Autolytic, eschar 3. Topical

Question 31

What are the 3 types of gauze dressing applications?

Answer 31

1. Wet to dry: mechanical debridement 2. Continuous dry 3. Continuous wet: autolytic debridement

Question 32

Advantages of gauze dressings: 1. Readily available 2. Can be used with appropriate solutions such as gels, normal saline, topical antimicrobials to keep wounds __ 3. Good ___ debridement if used properly 4. Cost-effective for __ wounds 5. Effective delivery of topical if kept __

Answer 32

1. — 2. Moist 3. Mechanical 4. Large 5. Moist

Question 33

Disadvantages of gauze dressings: 1. Delayed healing if used improperly 2. ___ on removal (wet to dry) 3. Labor-intensive 4. Requires ___ 5. Avoid direct contact with __

Answer 33

1. — 2. Pain 3. — 4. Secondary dressing 5. Granulating tissue

Question 34

Considerations for gauze dressings: 1. May use ___ or ___ as secondary dressing 2. Pack ___ into wounds; __ packing compromises blood flow/delays wound closure 3. Use ___ roll of gauze for packing large wounds to ensure complete removal 4. If too __, dressings will macerate surrounding skin 5. Use wide mesh gauze for ___ and fine mesh gauze for ___ 6. Protect surrounding skin with moisture barrier ointment and skin sealant as needed

Answer 34

1. Dry gauze dressing, transparent film 2. Loosely, tight 3. Continuous 4. Wet 5. Debridement, protection

Question 35

What dressing would be used for partial- and full-thickness wounds?

Answer 35

Hydrocolloids Hydrogels Foams

Question 36

What dressing would be used for combination exudate and necrosis?

Answer 36

Alginates, gauze