Dressings/ Wound Description Flashcards
List all the types of dressings available
Alginate
Tulle
Antimicrobial
Film
Hydrogel
Hydrocolloid
Hydrofibre
Foam
Name 2 alginate (haemostatic -stop bleeding) dressings
kaltostat / sorbsan (exuding wounds)
absorbent dressing compromised of calcium alginate used to manage exudate.
Not to be used on. infected wounds/ necrotic wounds, dry wounds.
Name some tulle dressings (low adherent)
jelonet
Mepilex
bactigras
inadine (antimicrobial)
activon
Good for acute wound less than 72 hours- open fissures
Name some antimicrobial dressings
inadine / acticoat / actisorb/ Aqaucel Ag/ Idosorb/ tegaderm plus, / activon gel
Reduce likelihood of infection
Name some film dressings and when to use them
Biatin / opsite
flexible/ autolytic/ protection of Superficial wounds. acts as a second skin
Name some hydrogels and when to use them
intrasite gel
Aqua cool
donate or absorb fluid
Facilitate autolytic debridment
dry, sloughy and necrotic tissue.
Rehydrates cools, soothes, high absorbing,
Burns and painful wounds
Name some hydrocolloid dressings and when best to use them
Duoderm /granuflex
promote epithelialisation insulates, waterproof without causing maceration - light to moderate exuding wounds.
Blisters or recently healed wounds which are still fragile.
Name some Hydrofibre dressings and when to use.
Aqaucel - deeper cavity wounds and sinuses
absorbs and traps bacteria, granulating wounds
deeper cavity wounds and sinues.
When should foam dressings be used
Allevyn
Biatin
Lyofoam
Foam dressings may be used as primary and secondary dressings for partial- and full-thickness wounds with minimal, moderate, or heavy exudate. Absorbs and retains exudate
Antimicrobial dressings can be used to …….
kill microorganisms and thereby reduce bacterial burden. no use on dry wounds
What are the key anti-microbial dressings used to dress infected wounds
Iodene
Silver
HoneyPMBH (Polyhexamethylene biguanide)
(Idoflex, Atruman Ag, Activon tulle
Things to know and ask when assessing a wound
*how long wound been there
*What medication patient is on
*Size, Site, length, width and depth
*take a photo with patient’s details and date
*levels of exudate, low/moderate/high
*is an infection present, take a swab and send for microscopy
*start the patient on antibiotics and refer to GP
*level of pain
What is the time principle of wound healing
Tissue debridement, remove non-viable tissue
Infection/inflammation- remove infected tissue via topical systemic antibiotics
Moisture - apply moisture balancing dressing
Edge of wound non-advanced or undermined, reassess cause, debridement , peri-wound
What are the 4 types of wound drainage
Serous - clear or light yellow, thin watery
Sanguineous - Red/ fresh blood
Serasangineous - plasma/blood pink to light red, thin and watery
Purulent - creamy yellow green, thick and opaque
How would you manage a wound
Clean with sterile solution and sterile gauze
Debride any non-viable tissue where necessary
Apply a sterile non adherent dressing using ANTT
Give patient appropriate advice
