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MC III > wound care dressing > Flashcards

wound care dressing Flashcards

1
Q

advantages/disadvantages of alginates

A
  • advantages
  • highly absorbent
  • easy to use
  • slows bleeding
  • layered for more absorption
  • used for more packing
  • disadvantages
  • none listed
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2
Q

contraindications/indications for alginates

A
  • contraindications
  • dry eschar
  • third-degree and full-thickness burns
  • heavy bleeding
  • minimal exudate or dry wounds
  • indications
  • moderate to heavy drainage
  • infections
  • slough or granulation
  • partial- and full-thickness wounds with moderate to heavy exudates
  • bleeding wounds
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3
Q

advantages/disadvantages for antimicrobials

A
  • advantages
  • controls bacteria
  • reduces or prevents infection
  • disadvantages
  • none listed
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4
Q

contraindications/indications for antimicrobials

A
  • contraindications
  • known sensitivity
  • silver can cause staining in wound/skin
  • indications
  • infected wounds
  • wounds at risk for infection
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5
Q

advantages/disadvantages for collagen

A
  • advantages
  • encourages deposition and organization of newly formed colalgen fibers and granulation tissue
  • absorbant
  • non-adherent
  • conforms well to wounds
  • helps maintain moisture
  • disadvantages
  • requires secondary dressing
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6
Q

advantages/disadvantages of composites

A
  • advantages
  • includes non-adherent contact layer, middle absorptive layer, outer bacterial barrier
  • disadvantages
  • none listed
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7
Q

advantages/disadvantages of contact layer

A
  • advantages
  • protects
  • disadvantages
  • none lsited
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8
Q

advantages/disadvantages of enzymatic topical

A
  • advantages
  • breaks down proteins
  • slow results
  • disadvantages
  • sensitivity to ingredients
  • cannot be used with silver-based products
  • expensive
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9
Q

advantages/disadvantages of foam

A
  • advantages
  • absorbs moisture
  • helps with maintaining moisture through insulation
  • can be impregnated or layered with other materials
  • non-adhesive (may be available with adhesive borders)
  • can be used as a filler
  • can help reduce granulation tissue
  • can be used under compression
  • disadvantages
  • expensive for daily dressing changes
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10
Q

advantages/disadvantages of gauze

A
  • advantages
  • highly permeable, non-occlusive
  • inexpensive
  • disadvantages
  • none listed
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11
Q

advantages/disadvantages of honey

A
  • advantages
  • hydrates wound bed
  • decreases pH - helps with healing
  • disadvantages
  • slow results
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12
Q

advantages/disadvantages of hydrocolloids

A
  • advantages
  • very adhesive
  • also available in powders and pastes
  • promotes autolytic debridement
  • can be used under compression
  • good for contoured areas
  • can be cut to fit
  • helps to maintain moisture and thermal insulation
  • disadvantages
  • may encourage hypertrophic granulation
  • may cause maceration
  • may increase risk for anaerobic infection
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13
Q

advantages/disadvantages of hydrogel

A
  • advantages
  • cooling effect
  • promotes autolytic debridement
  • hydrates wound bed
  • absorbs minimal fluid
  • may help decrease wound pain
  • non-adhesive
  • good filler material
  • disadvantages
  • less effective bacterial barrier
  • may cause maceration
  • may require daily dressing change
  • requires secondary dressing
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14
Q

advantages and disadvantages of hydrofiber and alginate

A
  • advantages
  • absorbs moisture
  • used for packing
  • disadvantages
  • none listed
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15
Q

advantages and disadvantages of impregnated gauze

A
  • advantages
  • highly comfortable
  • non-adherent
  • maintains moisture
  • disadvantages
  • none listed
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16
Q

advantages and disadvantages of silicone gel sheets

A
  • advantages
  • soft cover
  • disadvantages
  • may require secondary dressing
  • may cause maceration or rash
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17
Q

advantages/disadvantages of transparent films

A
  • advantages
  • hydrates wound bed
  • sticks to dry skin but doesn’t adhere to moist surface
  • highly elastic
  • impermeable to liquid and bacteria, but permeable to vapor/gases
  • promotes autolytic debridement
  • prevents/reduces friction
  • disadvantages
  • may cause maceration
18
Q

advantages and disadvantages of wound fillers

A
  • advantages
  • available in many forms
  • often include a time-release antimicrobial
  • helps maintain a moist environment and manage exudate
  • disadvantages
  • requires secondary dressing
19
Q

(contra)indications of collagen

A
  • contraindications
  • wounds with heavy eschar
  • third degree burns
  • sensitivity to bovine products
  • indications
  • chronic non-healing wounds
  • partial and full thickness wounds
  • granulating or necrotic wounds
  • infected and non-infected wounds
  • tunneling wounds
  • wound with minimal to heavy exudate
20
Q

contra/indications for enzymatic topical

A
  • contraindications
  • not recommended for heavily infected wounds
  • indications
  • eschar
21
Q

contra/indications for foam

A
  • contraindications
  • dry wounds
  • third degree or full thickness burns
  • sinus tracts
  • indications
  • partial and full thickness wounds
  • minimal to heavy exudate wounds
  • softened necrotic tissue
  • infected wounds
22
Q

contra/indications for gauze

A
  • contraindications
  • minimally draining/dry wounds
  • indications
  • none listed
23
Q

contra/indications for hydrocolloids

A
  • contraindications
  • burns or dry wounds
  • wounds with heavy exudate
  • tunneling wounds or sinus tracts
  • infected wounds
  • wounds with exposed tendon or bone
  • wounds with fragile periwound skin
  • indications
  • partial and full thickness wounds with or without necrotic tissue
  • skin tears
  • lacerations
  • dry, necrotic wounds
  • minimal exudate
  • clean granulating wounds
24
Q

contra/indications for hydrogel

A
  • contraindications
  • moderate to heavy exudate
  • full thickness burns
  • indications
  • minimally draining
  • dry wounds
  • eschar
  • partial and full thickness wounds that are dry or moist
  • granulating wounds
  • wounds with necrosis
  • minor burns, skin tears, donor sites
  • infected wounds
25
Q

contra/indications for impregnated gauze

A
  • contraindications
  • heavy exudate
  • indicates may vary depending on dressing
  • indications
  • painful wounds
  • burns
  • dry wounds
  • minimal drainage
  • alginates
26
Q

contra/indications silicone gel sheets

A
  • contraindications
  • silicone allergy/sensitivity
  • unhealed, open wounds
  • indications
  • prevention or improvement of appearance of old and new hypertrophic and keloid scars
27
Q

contra/indications for transparent/films

A
  • contraindications
  • wounds with moderate to heavy exudate
  • not ideal for infected wounds
  • full thickness burns
  • indications
  • wounds with little/no exudate
  • wounds with necrosis
  • cover donor sites, lacerations, abrasions
  • protect intact blisters
  • partial thickness
28
Q

contra/indications for wound fillers

A
  • contraindications
  • dry wounds
  • indications
  • partial and full thickness wounds
  • infected wounds
  • draining wounds
  • deep wounds
29
Q

cloth tapes

A
  • soft surgical cloth
  • no latex, hypoallergenic
  • porous
  • good for areas that stretch
  • good for wear and tear, repeated re-dressing
30
Q

silicone tape

A
  • can be removed and re-applied with less pain or skin irritation
  • breathable
  • allergy concern with silicone
31
Q

foam tape

A
  • cushions
  • flexes and stretches
  • waterproof
  • good for moisture control
32
Q

silk tape

A
  • most economical option
  • high strength - careful on delicate skin
  • high adhesive
  • hypoallergenic
  • great for bulky dressings and tubing
  • breathable, conforming
  • bi-directional tearing
33
Q

paper tape

A
  • good for repeated applications on sensitive skin and elderly patients
  • allows for moisture evaporation
  • breathable
  • minimal adhesive residue left behind
34
Q

clear plastic surgical tape

A
  • latex-free
  • hypoallergenic
  • transparent
  • perforated
  • strong adhesive
  • bi-directional tearing
  • water resistant
35
Q

labelling dressings

A
  • date
  • time
  • initials - whoever put dressing in place
  • number of pieces in wound (if applicable)
  • info like removal direction (if applicable)
  • limit time open to air between dressings
36
Q

negative pressure wound therapy - wound vac

A
  • promotes granulation tissue
  • for large wounds - for pretty clean wounds
  • special foam - can have silver, white foam good for extensions
37
Q

PPE and other equipment

A

in the order of putting on:
1. gowns
2. mask - if any chance of splash/spray
3. goggles or face shield - if any chance of splash/spray
4. gloves - always
maybe headlamp or other light (don before gloves if used)

38
Q

clean technique

A
  • reduces overall number of microorganisms - prevent or reduce risk of microorganism transmission
  • handwashing
  • maintain clean field
  • clean gloves, dressing
  • sterile instruments
  • prevention of direction contamination of materials and supplies

research inconclusive on which technique is better

39
Q

sterile technique

A
  • reduces and maintains objects and areas as free from microorganisms as possible
  • handwashing
  • use of sterile field
  • sterile gloves, dressings, and instruments
  • avoid sterile materials touching any nonsterile surface/product
40
Q

disposal of medical waste

A
  • sharps
  • needles/syringes
  • scalpels, curettes
  • pieces of bone, stables
  • anything with a sharp edge/point
  • trash
  • contains blood or other biological waste - red bio bag
  • no blood/bio - regular trash
41
Q

patient-dedicated equipment

A
  • tape, sprays, creams, and other wound care products
  • open dressing containers must be resealed - some cannot be saved/reused
  • store in clean area of room (acute care) - other areas may have assigned bins for each patient

MC III (12 decks)

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