Wound Dressings Flashcards
(45 cards)
Alginates Contents
seaweed rope flat dressing Ca hydrofiber synthetic
Alginates Indications
moist
pressure
infected
Alginates Effects
moist environment
protects
absorption
Alginates Application
24-48 hrs
expensive
Contraindications
dry wounds
Collagens Contents
freeze dried sheets of collagen
particles
paste
gels (over cowhide)
Collagens Indications
partial/full thickness
provide scaffolding for host cell proliferation (over tendons or other structures)
Collagens Effects
encourages deposition of collagen
absorbent, may use w/ topical agents
Collagens Application
24-48 hrs
Collagens Contraindications
not full thickness burns
eschar
Composites Contents
combo of 2 or more physically distinct products
Composites Indications
partial to full thickness
min to heavy drainage
granulation tissue
necrotic tissue
Composite Effects
autolytic debridement
exchange of moisture vapor
Composite Applications
24-48 hrs
inexpensive
Composite Contraindications
dependent on product
Contact Layers Contents
thin, non adherent sheets
Contact Layers Indications
partial/full thickness
min to mod drainage
donor sites
graft sites
Contact Layers Effects
protect wound during dressing changes
introduce topical meds/wound fillers
Contact Layers Application
goes directly on wound
as needed - only reimbursed for 1 wk
Contact Layer Contraindications
dry
shallow
eschar
copious exudate
Foam Contents
semipermeable polyurethane
non/semi adherent contact layer
hydrophobic or waterproof outer layer
Foam Indications
mod to heavy drainage autolytic debridement/softening granulation tissue compression hypergranulation absorption and protection
Foam Effects
provide moist environment
permeable to water vapor
bacterial barrier
Foam Application
allow for 3-4 cm barrier around wound
expensive if daily changes
3-7 days