Integument Dressings Study Guide Flashcards by Brooke Routhier

Moderately- Highly Absorbent

Gauze (aka 4x4s)
Alginates
Hydrofiber
Foams
Wound fillers

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Low-No Absorbency

Hydrocolloids
Transparent Films
Impregnated Gauze

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Hydrating

Hydrogel

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Misc.

Composites
Contact Layers (pain)
Negative pressure wound therapy

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Antimicrobial

Silver-based, Iodine-based, Honey-based, Topical antibacterials

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Enzymatic Debriders

Collagenase Santyl, Accuzyme, Panafil

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Wound Stimulating

Collagens, Growth Factors, Biologicals, Hypertonic, Saline

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Primary dressings :

directly in contact with wound; maintains wound moisture

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Secondary dressings:

on top of primary dressing for retention; augments primary dressing’s function

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Types of Tape Securement:

Paper= gentle to skin, comfortable, porous and highly breathable; holds well on damp skin

Soft cloth = soft and stretchy, comfortable, polyester fabric

Foam = comfortable, stretches for compression, secure adhesion for contoured sites

Transparent plastic = easy to tear, sticks well to self

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Gauze
Alginates
Hydrofiber
Permeability:

Non-occlusive
*This permeability is good for primary dressings

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Foams
Wound fillers
Permeability:

Semi-occlusive/
semi-permeable
(some are occlusive)

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Gauze Special Characteristics:

Can be woven or non-woven
→ Non-woven = better absorbency Wrapping gauze

primary = absorbency
secondary = bulk cushioning

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Gauze Used for:

Wet-to -dry dressings to pack wound with undermining or filling cavernous wounds

Acute surgical wound incisions

Highly draining wounds

Infected wounds

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Gauze Poor for:

Clean granulating and epithelializing wounds

Exposed bone, tendons, mesh, grafts

Third degree burns

Minimal exudate/dry wound

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Alginates Special Characteristics:

Highly absorbent, conforms to body shape, doesn’t adhere to wound bed, hemostatic

Will need a secondary dressing

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Alginates Used for:

Maintains wound moisture

Provides autolytic debridement

Acute surgical wound incisions

Highly draining wounds

Infected wounds

Good for full or partial thickness wounds with mod-heavy exudate and bleeding wounds

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Alginates Poor for:

Clean granulating and epithelializing wounds

Exposed bone, tendons, mesh, grafts

Third degree burns

Minimal exudate/dry wound

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Hydrofiber Special Characteristics:

Same as alginates except it is NOT a hemostat

Will need a secondary dressing

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Hydrofiber Used for:

Maintains wound moisture

Provides autolytic debridement

Acute surgical wound incisions

Highly draining wounds

Infected wounds

Good for full or partial thickness wounds with mod-heavy exudate and bleeding wounds

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Hydrofiber Poor for:

Clean granulating and epithelializing wounds

Exposed bone, tendons, mesh, grafts

Third degree burns

Minimal exudate/dry wound

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Foams Special Characteristics:

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Moderate-highly absorbent, conforms to body shape, does not adhere to wound bed, provides no residue

May or may not have an adhesive border; if none, will need securement

Foams Used for:

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Maintains wound moisture

Wound insulator

Aids in autolytic debridement

Primary for scant to moderately
draining wounds

Secondary for moderately-highly
draining wounds

Painful wounds as non-adherent
dressing

Foams Poor for:

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Infected wounds

Highly draining wounds

Dry eschar

Hydrocolloids Permeability:

Occlusive *primary= shallow minimally draining wound secondary= deep cavity wound

Hydrocolloids Special Characteristics:

Combo of gel-forming polymers with adhesives into backing of film or foam; conforms to body shape Does not require a secondary dressing

Hydrocolloids Used for:

Maintains wound moisture Aids in autolytic debridement Provides insulation Minimally draining wounds For perineal/pelvic wounds Second skin for protection from frequent dressing changes Dry wound or necrotic/granular wound

Hydrocolloids Poor for:

Infected wounds Highly draining wounds as a primary Thin fragile skin Third degree burns Exposed tendon/bone

Transparent Films Permeability:

Semi-occlusive/ semi-permeable

Transparent Films Special Characteristics:

Provides no absorbency; moisture vapor and O2 permeable

Transparent Films Used for:

Maintains wound moisture Aids in autolytic debridement May function as a secondary dressing

Transparent Films Poor for:

Infected wounds Highly draining wounds

Impregnated Gauze Permeability:

Semi-occlusive/ semi-permeable

Impregnated Gauze Special Characteristics:

Primarily used as a contact layer

Impregnated Gauze Used for:

Aids in autolytic debridement Primary for scant to moderately draining wounds Secondary for moderately-highly draining wounds Painful wounds as non-adherent dressing

Impregnated Gauze Poor for:

Infected wounds Highly draining wounds

Hydrogel Permeability:

Semi-occlusive/ semi-permeable

Hydrogel Special Characteristics:

Conforms to body shape; does not adhere to wound bed

Hydrogel Used for:

Provides moisture to wound Promotes granulation/epithelialization Aids in autolytic debridement Relieves pain

Hydrogel Poor for:

Infected wounds Highly draining wounds Third degree burns

Composites Used for:

Primary or secondary cover dressing Provides autolytic debridement Manages minimal to heavy exudates

Contact Layers (pain) Permeability:

Semi-occlusive/ semi-permeable

Contact Layers (pain) Special Characteristics:

Thin, non adherent dressings; porous to allow wound exudate to pass through Requires secondary dressing

Contact Layers (pain) Used for:

Primary dressing to protect wound bed from overlying secondary dressings Allows wound exudate to pass through up to secondary dressings

Contact Layers (pain) Poor for:

Shallow, dehydrated, or eschar covered wounds or thick exudate

Negative pressure wound therapy Special Characteristics:

Uses V.A.C. therapy to draw excess fluid from wound

Negative pressure wound therapy Used for:

Non invasive treatment that aids and improves wound healing Reduces wound healing time by stimulating more rapid cellular replication

Negative pressure wound therapy Poor for:

Malignancy, ischemic wounds, osteomyelitis, direct placement over arteries, veins, nerves, organs

Antimicrobial: Silver-based, Iodine-based, Honey-based, Topical antibacterials Used for:

Against different bacteria

Enzymatic Debriders: Collagenase Santyl, Accuzyme, Panafil Used for:

Stimulates new tissue development. Good for chronic, non-healing granulated wounds and partial- thickness, tunneling wounds with minimal to heavy exudate

Enzymatic Debriders: Collagenase Santyl, Accuzyme, Panafil Poor for:

Third degree burns Sensitivity to specific debridger material

Wound Stimulating: Collagens, Growth Factors, Biologicals, Hypertonic, Saline Special Characteristics:

They require a secondary dressing

Wound Stimulating: Collagens, Growth Factors, Biologicals, Hypertonic, Saline Used for:

chronic non-healing granulated wounds (Ex: skin graft, tunneling, min to heavy exudates)

Wound Stimulating: Collagens, Growth Factors, Biologicals, Hypertonic, Saline Poor for:

Not good for 3rd-degree burns

Integument Dressings Study Guide Flashcards

(54 cards)