Exam 4: Management of Wounds with Dressings

Question 1

gauze is an ____ dressing and contains fibrous material that sheds and can _____ a wound

Answer 1

inert; contaminate

Question 2

Is gauze good at absorbing fluid?

Answer 2

yes it is very absorbent

Question 3

Gauze is (permeable/impermeable) to bacteria

Answer 3

permeable

Question 4

Can you gauze on an infected wound

Answer 4

yes

Question 5

What are the six types of interactive wound dressings

Answer 5

film
foam
hydrogel
hydrocolloid
alginate
hydroactive

Question 6

do you need a secondary dressing with a moisture retentive dressing

Answer 6

no

Question 7

Which type of dressing is thin, flexible, moisture vapor permeable, oxygen permeable, transparent

Answer 7

film

Question 8

what are the indications of using film dressings

Answer 8

minor burns/injuries
post op
protect IVs
primary or secondary dressing

Question 9

are film dressings absorbive

Answer 9

not really

Question 10

what are indications to stop using a film dressing

Answer 10

too much exudate or infection

Question 11

if a foam dressing is a primary dressing, is a secondary dressing required

Answer 11

yes, if it is not adhesive

Question 12

can you use film dressings on infected wounds

Answer 12

no

Question 13

which type of dressing absorbs exudate, raises core temp of wound, maintains moist environment, and protects skin from maceration

Answer 13

foams

Question 14

What are the effects of using a foam dressing

Answer 14

moist environment, high absorbency, cushions, non-adherent

Question 15

should you use a foam dressing on an infected wound

Answer 15

no unless you can change it every day

Question 16

What are the indications for foam dressings

Answer 16

major and minor wounds, superficial and cavity

skin grafts, donor sites, burns

Question 17

When would you use a foam dressing as a secondary dressing

Answer 17

over amorphous hydrogels

Question 18

What are the indications of when to stop using a foam dressing

Answer 18

when exudate cannot be absorbed in less than a 24 hour period

Question 19

what are the precautions of using a foam dressing

Answer 19

dry wounds or wound with eschar or with amorphous hydrogel in a dry cavity

Question 20

hydrogel dressings are ___% to __% water/glycerin based

Answer 20

30 to 90

Question 21

hydrogel dressings are 30% to 90% _____/____ based

Answer 21

water/glycerin

Question 22

hydrogels can either be sheets or ____

Answer 22

gels

Question 23

hydrogels can either be ___ or gels

Answer 23

sheets

Question 24

hydrogel dressings are great for (slough/eschar) filled wound beds

Answer 24

eschar

Question 25

can you use sheet hydrogel on an infected wound

Answer 25

no

Question 26

can you use gel hydrogel dressings on an infected wound

Answer 26

yes

Question 27

what are the effects of hydrogel dressings

Answer 27

moist environment, autolytic debridement, relieve pain, absorbs mild to moderate moisture

Question 28

what are the indications for using amorphous hydrogel dressings

Answer 28

dry wounds or wounds with eschar | chicken pox and shingles

Question 29

what are the indications for using sheet hydrogel dressings on wounds

Answer 29

prevent dryness of tissues such as tendons | they can carry topical drugs to wounds

Question 30

What are the indications for stopping the use of amorphous hydrogel

Answer 30

if wound exudate is excessive

Question 31

what are the indications for stopping the use of sheet hydrogel dressing

Answer 31

if the wound becomes infected

Question 32

how long can hydrogel dressings stay on

Answer 32

about three days

Question 33

True or False: sheet hydrogels should not be use in small cavity wounds

Answer 33

true

Question 34

amorphous hydrogels should not be used on patients who have a sensitivity to ____ ___

Answer 34

propylene glycol`

Question 35

does a sheet hydrogel dressing require a secondary dressing

Answer 35

yes

Question 36

does a hydrocolloid dressing require a secondary dressing

Answer 36

no

Question 37

which type of dressing has gelatin particles suspended on a backing and is available in granules, powder, or paste

Answer 37

hydrocolloids

Question 38

hydrocolloid dressings may leave residue or an ____ in the wound

Answer 38

odor

Question 39

what are the effects of using a hydrocolloid dressing

Answer 39

moist wound environment autolytic debridement waterproof protect from microbial contamination

Question 40

does a sheet alginate dressing require a secondary dressing

Answer 40

yes

Question 41

what are the indications of using hydrocolloids

Answer 41

``` superficial leg ulcers burns donor sites pressure ulcers over sutures ```

Question 42

what are the indications for stopping hydrocolloid dressings

Answer 42

surface or hyper granulation

Question 43

would you use a hydrocolloid dressing on an infected wound

Answer 43

no

Question 44

which type of dressing is highly absorbent and has calcium and/or sodium salt

Answer 44

alginates

Question 45

alginate dressings form a ____ yet keep their basic structure

Answer 45

gel

Question 46

what are the effects of alginate dressings

Answer 46

``` moist wound environment highly absorbent conforms to body protects microbial contamination provide hemostasis ```

Question 47

what are the indications for using an alginate dressing

Answer 47

lots of exudate leg ulcers cavities pressure wounds

Question 48

can you use a alginate dressing on an infected wound

Answer 48

yes

Question 49

what are the indications for stopping alginate dressing

Answer 49

insufficient exudate

Question 50

does a rope alginate require a secondary dressing

Answer 50

yes

Question 51

what type of dressings are similar to hydrocolloids but are not gel forming and swell as they absorb exudate

Answer 51

hydroactive

Question 52

what are the effects of the hydroactive dressings

Answer 52

``` high absorption waterproof surface autolysis no residue semipermeable to moisture vapor ```

Question 53

what are the indications of using hydroactive dressings

Answer 53

``` exuding wounds leg ulcers pressure wounds minor burns wounds over joints ```

Question 54

do you use hydroactive dressings over an infected wound

Answer 54

no

Question 55

what are indications to stop using hydroactive dressings

Answer 55

not enough exudate (light exudate

Question 56

where does a matrix dressing come from

Answer 56

a porcupines small intestine

Question 57

when should you use a collagen dressing

Answer 57

when you need to promote fibroblasts

Question 58

when should you use hypertonic saline

Answer 58

to manage hypergranulation

Question 59

when should you use proteolytic enzymes

Answer 59

when you use enzymatic debridement

Question 60

what are two topical antimicrobials used with dressings

Answer 60

silver and iodine

Question 61

when are silver topical antimicrobial dressings used

Answer 61

for reduction of bioburden or burns and to reduce risk of infection

Question 62

is silver dressings long term or short term

Answer 62

short term

Question 63

when are iodine topical antimicrobials dressings used

Answer 63

to fight against bacteria, mycobacteria, fungi, protozo and viruses also is usually used as a skin prep

Question 64

What type of acute wounds can be treated with an antibiotic

Answer 64

traumatic wounds and major burns

Question 65

infected wounds need a (local/systemic) antibiotic

Answer 65

systemic

Question 66

Topical antibiotics (are/are not) generally recommended for infected chronic wounds, but the exception is for surface anaerobic contamination

Answer 66

are not

Question 67

List all of the dressings from most absorbent to least absorbent

Answer 67

``` alginate foam gauze hydrocolloid hydrogel film ```