Week 1 Wound Interventions Irrigation

Question 1

what is irrigation

Answer 1

the use of fluid to remove loosely adherent cellular debris surface bacteria, exudate, dressing residue, and residual topical agents

Question 2

why would be irrigate

Answer 2

keep a moist environment
enhance healing
facilitate debridement

Question 3

irrigation if a perfect treatment for healing ___ wounds

Answer 3

granular

Question 4

what are contraindications for irrigation

Answer 4

dont immerse or soak, 
don't use on skin grafts 
don't use on recent surgical incisions 
don't use on diabetic foot 
don't use on active profuse bleeding 
or dry gangrene

Question 5

what are the four irrigation solution

Answer 5

sterile water
tap water
saline
wound cleanser

Question 6

what is the benefit of saline and when is it best to use

Answer 6

can be made at home, and keep in fridge, but warm before use.

Question 7

you must use what when using sterile water

Answer 7

silver dressing

Question 8

who must we be cautious about when using tap water

Answer 8

immunocompromised

Question 9

can we use saline with silver

Answer 9

no because it deactivates it

Question 10

when can we use acetic acid pseudomonas

Answer 10

2-3 days after to control infection

Question 11

when can we use chlorhexidine gluconate (Hibiclens)

Answer 11

on intact skin, or as a surgical scrub. not in open wounds

Question 12

when can we use Dakin’s solution

Answer 12

this is sodium hypochlorite and bleach. can use on inanimate objects, never open wounds

Question 13

when can we use chloramine T (chloazene)

Answer 13

heavily colonized or infected wounds.

Question 14

when can we use hydrogen peroxide

Answer 14

cleanse around pin sites and sutures, not in open wounds

Question 15

when can we use povidone - iodine (butadiene)

Answer 15

surgical scrub, or very short term acute new wound

Question 16

with gentle irrigation and rinsing with a syringe or feeding tube, what is a safe and effective PSI

Answer 16

4-15

Question 17

what PSI is low pressure capsules at

Answer 17

4-8, 10 max

Question 18

what is low pressure lavage

Answer 18

irrigation without suction

Question 19

what is the PSI and how does it work (talking about low pressure irrigation)

Answer 19

Jetox, 4-12 PSI and used wall O2 as the pressure. So there is a jet stream tip

Question 20

what are the positives with whirlpool

Answer 20

cleanses, agitation, additives, temperature can range/vary, can treat large areas, and can exercise.

Question 21

what are the negatives with whirlpool

Answer 21

risks infection (because aerosolizes and hard to sterilize), can injure tissues with the PSI, and can cause maceration. additives can be bad, and it is expensive and time consuming.

Question 22

what are some contraindications for whirlpool

Answer 22

cleaning and granulating, edematous, draining or macerated wounds, bleeding, VI, multi-wound areas, uncontrolled seizures, B and B issues

Question 23

what is PLWS

Answer 23

pulsed lavage with suction, which is where you have a pulsed jet of irrigation with suction. negative pressure. this can also stimulate granulation growth

Question 24

what are the positives of PLWS

Answer 24

cleaning is disposable, you know the PSI, its sterile, the temp can range, nothing added, site specific, portable, disposable and easy clean up and few contraindications

Question 25

what are the negatives of PLWS

Answer 25

expensive, aerosolized. risk in confined spaces of horizontal surfaces.

Question 26

what are contraindications to PLWS

Answer 26

exposed tissues,
body cavities 
facial wounds
recent grafts or surgical sites
active bleeding