dressings and documentation Flashcards
gauze
-non occlusive
-permeable, can absorb liquids
-can make a dry wound too dry
films
-transparent
-sticks well to dry skin
-lets gases and fumes escape
-helps with autolytic debridement
-can use alone or with something else
-impermeable to liquid and bacteria
what are films indicated for
-wounds with little or no exudate
-wounds with necrosis
-cover donor sites, lacerations, abrasions
-protect intact blisters
what are films contraindicated for
-wounds with moderate to heavy exudate
-not ideal of infected wounds
-full thickness burns
hydrogels
-contribute a lot of moisture to wound bed
-can be cooling to skin and help w pain
-permaeable to gas and water, not a great bacterial barrrier
-need adhesive over wound
hydrogel indications
-partial or full thickness wounds that are dry or moist
-granulating wounds
-wounds with necrosis
-minor burns, skin tears, donor sites
-infected wounds
hydrogel contraindications
-wounds with mod to heavy exudate
-full thickness burns
foams
great for absorbing but expensive
-can last couple days to weeks
foam indications
-partial and full thickness wounds
-minimal to heavy exudative wounds
-softened necrotic tissue
-can fill dead space or under compression
-reduction of hypergranulation tissue
foam contraindications
-dry wounds
-third degree or full thickness burns
-sinus tracts
alginates
-can turn into gel to provide moisutre
-can act as a neat to prevent bacteria
-very permeable
-have to have secondary dressing
-change every couple days
alginates indication
-partial and full thickness wounds with mod to heavy exudates
-bleeding wounds
alginates contraindications
-third degree or full thickness burns
-eschar covered wound
-minimal exudate or dry wounds
composites
glorified bandaids
-can help with maceration
hydrocolloids
-entire back is adhesive
-gelatin, peptin, cellulose
-can proomote autolytics
-turns white when picks up moisutre
-impermeable to gas, liqiuid , bacteria
-one of the best protections
hydrocolloids indications
-partial and full thickness wounds with or without nectroic tissue
-skin tears
-lacerations
hydrocolloids contraindications
-burns or dry wounds
-wounds w heavy exudate
-tunneling wounds or sinus tracts
-infected wounds
-wounds w exposed tendon or bone
-wounds w fragile periowund skin
what are indications for wound fillers
-partial and full thickness wounds
-infected wounds
-draining wounds
-deep wounds
what are contraindications for wound fillers
dry wounds
silicone gel sheets indications
prevention or improvment or appearance of keloids
silicone gel sheets contraindications
silicone allergy
unhealed, open wounds
what to put on the label
-date, time, initials
-# of pieces in wound
-removal direction
