Wound care pt.2

Question 1

Uses:
- Waterproofing and protection
- Surface wounds w/ no to LOW drainage
- Stage 1 and 2 pressure ulcers
- IV sites and catheters
- Hold dressings in place
- promotes autolysis

Answer 1

transparent film

Question 2

Uses:
- Non-adherent protection between dressing and wound bed
- Protect fragile tissue
- Minimize pain during dressing changes
- Prevent maceration
- Protect bone, tenson and muscle under NPWT

Answer 2

contact layer

Question 3

• Partial and full thickness wounds
• Granulating wounds
• Abrasions
• Wounds with eschar
• Promote autolytic debridement by providing hydration
• promotes growth of granulating tissue and epithelialization

Answer 3

hydrogels

Question 4

What dressing can evaporate if it is exposed to air?

Answer 4

hydrogels

Question 5

(true/false) you can use a contact layer on a dehydrate wound or wound with eschar

Answer 5

false

Question 6

Uses:
- Protect intact skin or newly healed wounds
- Non-infected wounds with scant to minimal drainage
- Partial and full thickness wounds
- Promotes autolytic debridement
- promotes moist wound healing

Answer 6

hydrocolloids

Question 7

(true/false) hydrocolloids can be used with necrotic and granulation tissue.

Answer 7

true

Question 8

What are cons of hydrocolloids?

Answer 8

• Can cause maceration
• Shearing, friction or exudate may cause dislodging of dressing
• Odor while removing

Question 9

Uses:
- Infected and non-infected wounds
- Wounds with minimal amount of drainage
- Collagen formation
- Growth of granulation
- Maintaining moist wound environment
- assists with collagen formation and organization/growth of granulation tissue

becomes part of the wound

Answer 9

collagen

Question 10

(true/false) you can use collagen on necrotic wounds

Answer 10

false

Question 11

Collagen must be used on wounds with < ___% necrotic tissue

Answer 11

< 10%

Question 12

Collagens are usually derived from what?

Answer 12

cow hides

Question 13

Calcium aginates are derived from what?

Answer 13

brown seaweed

Question 14

Uses:
- PRIMARY dressing for partial and full thickness wounds
- Moist wounds
- Moderate to heavy draining wounds
- Infected and non-infected wounds
- Wounds with tunneling/undermining
- promotes moist wound environment
- can contain up to 20x its absorption

Answer 14

calcium aginates

Question 15

(true/false) you need to moisten the area before applying calcium alginate

Answer 15

FALSE

Question 16

What is a con of calcium alginate?

Answer 16

Can cause trauma to healthy tissue in wounds that are not moist enough

Question 17

• PRIMARY dressing for partial and full thickness wounds
• Moist wounds
• Moderate to heavy draining wounds
• Infected and non-infected wounds
• Wounds with tunneling/undermining
• fill dead space

Answer 17

calcium alginates

Question 18

What dressings become gel when coming in contact with exudate?

Answer 18

calcium alginates
gelling fiber dressing
super absorbent polymer dressings

Question 19

Uses:
- PRIMARY dressing on partial and full thickness wounds
- Can be moistened and used in dry wounds
- Infected and non-infected wounds
- Wounds with tunneling/undermining
- takes up dead space

Answer 19

gelling fiber dressings

Question 20

Uses:
- Primary or secondary dressing
- Partial or full thickness wounds
- Moderate to heavy draining wounds
- Bacterial barrier

Answer 20

foam

Question 21

(true/false) foam adheres to the wound.

Answer 21

false

Question 22

Uses:
- Keeps harmful wound fluid away from wound bed and periwound
- Prevents maceration
- Primary or secondary dressing

Answer 22

super absorbent polymer dressing

Question 23

definition: Stimulates growth factor and fibroblast activity (wound bed application w/ hydrogel)

• Accelerates wound contraction
• Improves nutrient and O2 delivery
• Decreases edema
• Periwound application Creates thermal effect for vasodilation and circulation

Answer 23

ultrasound

Question 24

What are contraindications for ultrasound?

Answer 24

• Acute infection
• Osteomyelitis
• Active heavy bleeding
• Severe arterial insufficiency
• Acute DVT
• Necrotic wound bed

Question 25

- Vasodilation / increase circulation - Increase reabsorption of exudate - Increases granulation formation - Stimulates wound contracture, closing, and healing

Answer 25

pulsed short wave diathermy

Question 26

What are contraindications of pulsed short wave diathermy?

Answer 26

- Demand pacemakers - Malignancy - Metal - Active heavy bleeding - Severe arterial insufficiency - Infection - Fever - Pregnancy/over a pregnant uterus

Question 27

What are contraindications for NPWT?

Answer 27

- > 20% necrosis - Untreated osteomyelitis - Malignancy - Fistulas - Exposed blood vessels - Exposed organs

Question 28

Suction causes: - mechanical stress - evacuating wound drainage - granulation tissue stimulation - decrease bacteria - maintain moist wound environment

Answer 28

NPWT

Question 29

What are indications for autolytic debridement?

Answer 29

- any wound with minimal to moderate necrotic tissue - non-infected wounds/dry gangrene

Question 30

What are the indications for biological debridement?

Answer 30

- > 70% necrotic tissue - Chronic wounds/non-healing - Infection - Patient unable to tolerate surgical debridement

Question 31

What are contraindications for biological debridement?

Answer 31

- Fear of Maggots - Granulating wounds - Osteomyelitis - Deep - Tunneling/undermining - Bleeding abnormalities - Rapid progression of infection

Question 32

What are indications for selective mechanical debridement?

Answer 32

- Locally infected wounds - Wound w/ decreased circulation - Necrotic tissue

Question 33

What are contraindications of selective mechanical debridement?

Answer 33

- Untreated cellulitis - Metal - Pacemaker in field - Uncontrolled pain