Wound Dressings Flashcards

(45 cards)

1
Q

Alginates Contents

A
seaweed
rope 
flat dressing
Ca
hydrofiber synthetic
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2
Q

Alginates Indications

A

moist
pressure
infected

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3
Q

Alginates Effects

A

moist environment
protects
absorption

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4
Q

Alginates Application

A

24-48 hrs

expensive

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5
Q

Contraindications

A

dry wounds

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6
Q

Collagens Contents

A

freeze dried sheets of collagen
particles
paste
gels (over cowhide)

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7
Q

Collagens Indications

A

partial/full thickness

provide scaffolding for host cell proliferation (over tendons or other structures)

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8
Q

Collagens Effects

A

encourages deposition of collagen

absorbent, may use w/ topical agents

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9
Q

Collagens Application

A

24-48 hrs

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10
Q

Collagens Contraindications

A

not full thickness burns

eschar

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11
Q

Composites Contents

A

combo of 2 or more physically distinct products

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12
Q

Composites Indications

A

partial to full thickness
min to heavy drainage
granulation tissue
necrotic tissue

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13
Q

Composite Effects

A

autolytic debridement

exchange of moisture vapor

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14
Q

Composite Applications

A

24-48 hrs

inexpensive

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15
Q

Composite Contraindications

A

dependent on product

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16
Q

Contact Layers Contents

A

thin, non adherent sheets

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17
Q

Contact Layers Indications

A

partial/full thickness
min to mod drainage
donor sites
graft sites

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18
Q

Contact Layers Effects

A

protect wound during dressing changes

introduce topical meds/wound fillers

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19
Q

Contact Layers Application

A

goes directly on wound

as needed - only reimbursed for 1 wk

20
Q

Contact Layer Contraindications

A

dry
shallow
eschar
copious exudate

21
Q

Foam Contents

A

semipermeable polyurethane
non/semi adherent contact layer
hydrophobic or waterproof outer layer

22
Q

Foam Indications

A
mod to heavy drainage
autolytic debridement/softening
granulation tissue
compression
hypergranulation
absorption and protection
23
Q

Foam Effects

A

provide moist environment
permeable to water vapor
bacterial barrier

24
Q

Foam Application

A

allow for 3-4 cm barrier around wound
expensive if daily changes
3-7 days

25
Foam Contraindications
dry | cavity use as adjunct
26
Hydrocolloids Contents
hydrophilic colloid particles in an adhesive compound laminated onto flexible water resistant outer layer
27
Hydrocolloids Indications
partial/full thickness necrotic scant to mod drainage
28
Hydrocolloid Effects
covers wound prevent O2, bacteria or fluids from interacting w/ wound autolytic debridement promotes granulation/epithelization
29
Hydrocolloid Application
apply w/ 1-2 in barrier around wound | change every 3 days, can leave for 7
30
Hydrocolloid Contraindications
``` infected tunneling undermining lesions caution w/ diabetic feet ```
31
Hydrogels Contents
90% water in gel base
32
Hydrogels Indications
partial/full thickness granulation tissue necrotic tissue burns
33
Hydrogels Effects
donates moisture cooling/soothing autolytic debridement
34
Hydrogel Application
skin protective | 1-3 days
35
Hydrogel Contraindications
not highly recommended for highly exudative wounds
36
Transparent Films Contents
transparent sheets of polyurethane w/ adhesive | moisture vapor permeable
37
Transparent Films Indications
superficial wounds (min drainage) partial thickness eschar granulation tissue
38
Transparent Films Effects
blister roof moist wound environment promote autolysis protect from trauma
39
Transparent Films Applications
need 2 in border around wound change 2-3 days for autolytic Change 24-48 hrs for other applications
40
Transparent Films Contraindications
does not adhere well in moist environments | risks for epidermal stripping
41
Wound Fillers Contents
``` pastes granules powders beads gels ```
42
Wound Fillers Indications
partial/full thickness min- mod drainage infected wounds cavity wounds
43
Wound Fillers Effects
absorb exudate decried fill dead space
44
Wound Fillers Application
24 hrs
45
Wound Fillers Contraindications
dry wounds