Dressings - Class 3 Flashcards

(41 cards)

1
Q

wound related factors

A

wound type

wound location

wound characteristics

bacterial load

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2
Q

wound type

A

superficial

full thickness

cavity

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3
Q

pt related factors

A

activity level

incontinence

mental status

dressing medication sensitivity

skin condition and integrity

compliance

caregiver competence

need to bathe/shower

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4
Q

product related factors

A

conformability

mass or volume

sensitization potential

odor absorbing properties

antibacterial activity

hemostatic properties

permeability to tissue fluid and microorganisms

ease of use

pain related factors

non toxic

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5
Q

cost factors

A

unit cost

total cost for wound closure

reimbursement

availability

application cost

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6
Q

ideal dressing keeps

A

wound bed moist

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7
Q

ideal dressing allows for

A

gaseous exchange

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8
Q

idea dressing is

A

thermally insulating

impermeable to microorganisms

non-adherent or non traumatic

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9
Q

idea dressing is free of

A

particles or toxic compounds

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10
Q

additional considerations

A

user friendly

easily applied and removed

minimized dressing change frequency

cost effective

minimal need for secondary dressing

can be combined w/ compressive therapy

can be used on infected wounds

WILL REMAIN IN PLACE

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11
Q

primary dressing

A

dress that is in direct contact with the wound

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12
Q

primary dressing maintains

A

the wound bed dressing interface moist

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13
Q

secondary dressing

A

placed on top of primary dressing to secure it in place

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14
Q

what does secondary dressing provide

A

further exudate absorption

moisture retention of primary dressing

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15
Q

permeability

A

non occlusive

semi occlusive

occlusive

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16
Q

non occlusive

A

non occlusive to air or wound drainage

allows wound drainage to evaporate

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17
Q

non occlusive can be used for

A

acute surgical wound incisions

as a primary dressing

infected wounds

highly draining wounds

18
Q

non occlusive poor for

A

clean granulating and epithelializing wounds

19
Q

non occlusive examples

A

gause

hydrofiber

alignates

20
Q

semi occlusive/semi permeable

A

allows gaseous and water vapor exchange

moisture retentive

21
Q

semi occlusive/semi permeable can be used for

A

autolytic debridement

scant to moderately draining wounds

as a primary and secondary dressing

painful wounds as a nonadherent dressing

22
Q

semi occlusive/semi permeable as a primary dressing

A

for scant to moderately draining wounds

23
Q

semi occlusive/semi permeable as a secondary dressing

A

for moderate-highly draining wounds

24
Q

semi occlusive/semi permeable are poor for

A

infected wounds

highly draining wounds

25
semi occlusive/semi permeable examples
transparent films foams impregnated gauze
26
occlusive
totally occlusive to air, water vapor and outside elements keeps everything in and out
27
occlusive can be used for
autolytic debridement minimally draining wounds perineal/pelvic wounds primary and secondary dressings second skin for protection from frequent dressing changes
28
occlusive as a primary dressing
shallow, minimally draining wound
29
occlusive as a secondary dressing
for deep cavity wound
30
occlusive is poor for
infected wounds highly draining wounds as a primary thin fragile skin
31
occlusive examples
some foams hydrocolloids biological dressings
32
passive moisture management
moderately-highly absorbent low-no absorbency hydrating misc
33
moderately-highly absorbent
gauze alginates hydrofiber foams wound fillers
34
low-no absorbency
hydrocolloids transparent films impregnated gauze
35
hydrating
hydrogel
36
misc
composites contact layers negative pressure wound therapy
37
interactive dressing
antimicrobial enzymatic debriders wound stimulating
38
antimicrobial
silver based iodine based honey based topical antibacterial
39
enzymatic debriders
"collagenase santyl"
40
wound stimulating
collagens growth factors biologicals hypertonic saline
41