Week 2 Wound Dressings Flashcards
(64 cards)
what is the purpose of a dressing
to provide the optimal environment of moisture, warmth, protection, odor, topical and pain. and one that changes with drainage response, temperature and bioburden
are dressings static or not? what does this mean
not, because they are applied in response to how the wound is changing
how often to we re-eval dressings
every visit
what are some considerations when choosing a wound dressing
educate (type and amount) bioburden tissue type (granular, tendon, non-viable) location, size depth peri-wound etiology and history allergies patient confort supplies and cost and schedule goals common sense
when might you need to change a dressing
when it is saturated, and there is strike through to keep a moist environment timeline for topical becomes soiled, contaminated or wet disrupted loose or falls doctors appointment bathing odor when concerned
what are some good things about regular gauze
readily available, many sizes, not much money.
non-occlusive and absorptive
can offer mechanical debridement
padding and can be cut to size.
what is tell
non-adherent, and little absorption, like the white part of the band aid
how often much you change gauze
every day
what are cautions around using gauze
drying, can absorb topical quickly, you can get fibers in the wound bed and you must apply roll gauze at an angle
what is impregnated gauze
it is adapted with petroleum or xeroform
what does impregnated gauze do
it has a atraumatic removal of the contact layer
can have many sizes
mild inclusiveness, and promotes moist healing
less permeable then regular
how long can you leave impregnated gauze
for several days
what does secondary impregnated gauze mean
that you need coverage over it because there is oil
what kinds of wounds is impregnated gauze usually used on
wounds with a lot of depth (and maybe to protect deeper named structures)
what are cautions with impregnated gauze
maceration, adherent if allowed to dry ( so can rip some skin off)
what is semipermeable film
thin and flexible and transparent and occlusive that is a barrier to the outside world
what kind of debridement does semipermeable film provide
autolytic
how long can you keep a semipermeable dressing on
7 days
is there a lot of a little absorption when you use a semipermeable film
little, unless combo with something else.
what kinds of wounds do you use a semipermeable dressing on
more superficial wounds.
does the semipermeable film feel comfortable, and how does it attach
yes, and to the peri-wound
what are cautions with semipermeable film
limit the wrinkles apply it with tension hard to apply not water proof must remove specifically (stretch skin and dressing perpendicular to not rip skin) can damage skin when you remove it
what are hydrogels
they can donate moisture, and absorb a small amount if fluid
what kind of debridement can hydrogels promote
autolytic
