Wound stoma

Question 1

Sorbsan, algosteril, kaltostat are examples of what?

Answer 1

alginates

Question 2

alginates obtained from seaweed and absorb exudate
what type of wounds are they suitable for?

Answer 2

moderate - heavily exuding

Question 3

alginates available as flat sheets or packing for which wounds?

Answer 3

cavity

Question 4

T/F alginates need secondary dressingt o hold in place?

Answer 4

true

Question 5

alginates come with what for infected wounds?

Answer 5

silver

Question 6

allevyn and tegaderm what type of dressing?

Answer 6

foam

Question 7

foam dressings are suitable for which wounds?

Answer 7

all exuding (leaking or fragile skin)… vary in hm exudate they absorb

Question 8

can foam dressings be used as a secondary dressing?

Answer 8

yes…
and sometimes come as complete on own with adhesive border

Question 9

jelonet and bactigras are examples of which dressing?

Answer 9

paraffin impregnated gauze

Question 10

what is the primary dressing for partial thickness burns

Answer 10

paraffin gauze dressing eg jelonet

Question 11

how would you manage an acute burn in the community

Answer 11

paraffin gauze dressing
use clingfilm or mepore as secondary dressing

Question 12

when woulf you refer burn to A&E?

Answer 12

if larger than px hand and or blistering
white/charred skin
chemical/electrical

Question 13

duoderm and tegaderm examples of what dressing?

Answer 13

hydrocolloids

Question 14

why would a hydrocolloid dressing not be appropriate for a burn

Answer 14

takes moisture away from the skin and can cause sticking

Question 15

hydrocolloid dressings are a suspension of what in an adhesive matrix?

Answer 15

gelatin/ pectin

Question 16

what type of dressing ideal for lightly exuding wounds/ dryer wounds depending on individual dressing property?

Answer 16

hydrocolloids duoderm… promote granulation

Question 17

how to manage burn asap?

Answer 17

cool with cool/lukewarm water for 20mins
dont rip off stuck clothes
cover w clingfilm
analgesia

Question 18

if have infected wound: green slough and redness, what other markers to check?

Answer 18

temp and WCC: for infectionwh

Question 19

what type of dressing ideal for green sloughy wound

Answer 19

alginate/ hydrolooid fibrous depending on hm exudate for packing

secondary dressing as cover eg foam- stop maceration and further breakdowny

Question 20

would you give systemic antibiotics for green sloughy wound

Answer 20

infected, must cover staphylococcus

Question 21

what sort of dressing would you give px w pink wound: healing well w granulation and epithelisation?

Answer 21

ep tissue fragile, nothing sticky to new skin

simple protection eg low adherence dressing, vapour permeable film or hydrocolloid

Question 22

what systemic treatment might be needed to manage infected ulcerations

Answer 22

analgesia
antibiotic

Question 23

which antibiotic would be appropriate to manage skin infections and why

Answer 23

flucloxacillin because it targets staph aureus which is likely causative agent for skin infections

Question 24

what would be the problem of using a hydrocolloid or sticky dressing on a wound that is showing epithelialisation

Answer 24

may rip skin off

Question 25

what is the difference between ileostomy and colostomy bag

Answer 25

colostomy collects stool and ileostomy can collect solid and liquid

Question 26

colostomy bags use a stoma from the large intestine whereas ileostomy bags use a stoma x the large intestine

Answer 26

before

Question 27

true or false, ostomy bags can be used to preserve function and give the bowel a rest and therefore can be reversed in the future

Answer 27

true

Question 28

which type of bag uses a stoma from the urethra to collect urine

Answer 28

urostomy