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Integumentary > 10] Dressings > Flashcards

10] Dressings Flashcards

1
Q

Functions of dressings (5)

A

 Act as a barrier to bacteria
 Provide cushioning and protection from shear and compression forces
 Decrease pain
 Provide for enzymatic or autolytic debridement
 Maintain moisture balance

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2
Q

If there is necrotic tissue you want to choose a dressing that promotes?

A

Autolytic debridement

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3
Q

Examples of autolytic debridement dressings (9)

A 
Hydrogel
Hydrocolloid
Alginate 
Foam
Silver
Silicone
Hydrofera blue
Unna boot
Medihoney
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4
Q

What does NICE stand for

A

Necrotic tissue
Infection/inflammation
Characteristics
Exudate

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5
Q

A type of dressing you can use in infected wounds

A

Antimicrobial (silver) dressing

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6
Q

What characteristics should you consider? (3)

A

Incontinence
Location
Amount of time dressing can be left in place

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7
Q

E- exudate

A

Match amount of absorbable to drainage

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8
Q

Primary dressings

A

In contact with the wound

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9
Q

Secondary dressings

A

Secure primary dressing in place or absorbs excess moisture

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10
Q

When packing wounds.. (3)

A

Fill it
Dont stuff it
Try to use just 1

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11
Q

Traps wound debris, absorbs exudate from wound

A

Gauze

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12
Q

Is gauze primary or secondary

A

Secondary

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13
Q

Advantages of gauze (2)

A

Good cost

Can be used on infected or non-infected

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14
Q 
 packing adheres to wound bed; 
 frequent dressing changes; 
 increased infection rate compared to 
occlusive dressings; 
 no barrier to bacteria
A

Disadvantages of gauzes

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15
Q

What is transparent film?

A

Thin membrane permeable to vapor and oxygen but not to bacteria and water

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16
Q

Is transparent film primary or secondary

A

Secondary

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17
Q

 Consider as secondary dressing for ulcers treated with wound fillers that will likely
remain in ulcer for an extended time period

A

Transparent film

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18
Q

Used for partial or shallow full-thickness wounds; granular or necrotic; minimal
exudate

A

Hydrocolloid

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19
Q

Consist of gel-forming polymers that absorb exudate

A

Hydrocolloid

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20
Q

Protect body areas at risk for friction injury orinjury from tape

A

Transparent film

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21
Q

Adhesive backing adheres to skin surrounding the wound

A

Hydrocolloid

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22
Q

Do not use as cover over enzymatic agents, gels or ointments

A

Transparent film

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23
Q

Remove carefully from fragile skin

A

Transparent film

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24
Q

Advantages of Hydrocolloid (3)

A

Moist environment- autolytic debridement
Protection
Moderate absorption

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25
Q 
May roll in areas of friction; 
 damage to skin of 
periwound; 
 cannot be used on infected or deep 
wounds; 
 should not be used on skin tears!
A

Disadvantages of Hydrocolloid

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26
Q

Two sides of foam

A

Wound side is hydrophilic and outer surface is hydrophobic

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27
Q

What two types of foams are available

A

Adhesive and no adhesive

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28
Q

Foam can be left on for

A

3-4 days

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29
Q

5 advantages of foam

A 
Moist environment
Cushions
Autolytic debride-mod to heavy absorb
Thermal insulation
Protects from periwound maceration
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30
Q

Disadvantages of foam (3)

A

May roll in friction areas
Damage to periwound
Not transparent

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31
Q

What are alginates

A

Highly permeable, non-occlusive

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32
Q

Alginates are used on what kinds of wound

A

Partial and full thickness

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33
Q

Contraindications for alginates (4)

A

Vasculitis
3rd degree burns
Dry wounds
Escher

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34
Q 
Advantages: 
 absorb heavy 
drainage; 
 use on infected or 
non-infected 
wounds; 
 can promote 
autolytic 
debridement;
 Can pack
 Can do hemostasis
A

Advantages of alginates

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35
Q

2 disadvantages of alginates

A

Needs secondary dressing

Frequent changes

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36
Q

What is hydro fiber made from and what does it interact with

A

Made from Na carboxymethylcellulose and interacts with exudate and forms a gel

37
Q

Advantages of hydro fiber (3)

A

Highly absorptive, can be placed over or in wounds, hemostasis

38
Q

Disadvantage of hydrofiber

A

Needs secondary dressing

39
Q

What is hydrogel

A

Sheet or amorphous form

40
Q

Hydrogel assists

A

Autolytic debride

41
Q

Hydrogel is contraindicated for

A

3rd degree burns

42
Q 
Indications: minor 
burns, skin tears, 
venous ulcers, 
surgical incisions, 
diabetic foot ulcers,
pressure ulcers
A

Hydrogel

43
Q

Disadvantage of hydrogel (2)

A

Can’t be used with mod/heavy drainage

Dressing Might dehydrate

44
Q

Non-adherent dressings help to

A

Retain moisture

45
Q

Non-adherent dressings can be placed ?

A

Directly over the wound/hydrogel/skin graft

46
Q

Examples of non-adherent dressings (3)

A

Oil emulsion
Petroleum based
Vaseline gauze

47
Q

Immediate and sustained release of ionic silver

A

Silver dressing

48
Q

Silver dressings is an effective barrier to?

A

Penetrating bacteria

49
Q

Silver dressings is used for?

A

Infected or highly colonized wounds

50
Q

Advantage of silver dressing

A

Stops pathogen growth

51
Q

3 disadvantages of Silver dressings

A

Can’t use with enzymatic debriders, topical meds or oil
Secondary needed
Dont use with cellulitis

52
Q

Bacteriostatic dressing
 Methylene Blue and Gentian Violet
 Effective against MRSA and VRE

A

Hydrofera blue

53
Q

Hydrofera blue must be?

A

Changed every 3 days or when dressing turns white

54
Q

Absorbency of hydrofera blue

A

High

55
Q

Wound types for hydrofera blue

A

All types EXCEPT 3rd degree burns

56
Q

Reduces bacterial load in wound environment, i.e. MRSA

A

Cadexomer iodine dressing

57
Q

Removes loose slough and debris

A

Cadexomer iodine dressings

58
Q

Manages excess exudate in highly exudate wounds

A

Cadexomer iodine dressings

59
Q

Avoid iodine in

A

Large cavity ulcers that need daily changes

60
Q

Can you pack iodine in wounds?

A

Yes

61
Q

Consider as would contact layer to promote atraumatic dressing changes

A

Silicone

62
Q

When would you use silicone?

A

To prevent tissue injury when ulcer/periwound is fragile

63
Q

Enzymatic debride aka

A

Santyl

64
Q

EzD santyl is what?

A

Chemical agent that breaks down devitalized tissue

65
Q

Santyl is used for

A

Wounds with necrotic tissue- infected or non

66
Q

What do you need a prescription for?

A

EzD- santyl

Silver nitrate

67
Q

Advantage of santyl

A

Surgery alternative

68
Q

3 disadvantages of santyl

A

Daily dressing change
Inactivated by wound cleanser
Needs secondary

69
Q

% of silver nitrate

A

75% silver nitrate

25% K nitrate

70
Q

Silver nitrate is used on

A

Hypergranulation tissue

71
Q

How do you do silver nitrate

A

Apply tip to moist wound and drag around until grey

72
Q

Antimicrobial; keeps wound bed moist, allowing for autolysis of eschar

A

Silvadene

73
Q

Changes for silvadene

A

Daily to BID

74
Q

Silvadene indicated for

A

Burns, road rash

75
Q

Does silvadene need a Rx?

A

YES

76
Q

What to remember with silvadene?

A

allergies!!

77
Q

4 types of tape from most to least harsh

A

Silk
Plastic
Paper
Foam

78
Q

Silk aka

A

Durapore

79
Q

Plastic aka

A

Transpore

80
Q

Paper aka

A

Micropore

81
Q

Foam aka

A

Micro foam

82
Q

Lowers pH to decrease inflammation, inhibit

bacteria growth, and increase oxygen diffusion

A

Honey

83
Q

Honey impregnated dressings can be used on

A

All types of wounds

1st and 2nd degree burns

84
Q

Typical wear time of honey

A

3 days

85
Q

Indications for honey (4)

A

Necrotic tissue
Foreign bodies
Wound infection/biofilm
Autolytic debride

86
Q

Most occlusive to least occlusive

A 
Hydrocolloid
Hydrogel
Foam
Film
Impregnated gauze 
Alginate 
Normal gauze
87
Q

Moisture retention from most to least

A 
Alginate
Foam
Hydrocolloid
Hydrogel
Film
88
Q

High adherence to low to skin

A

Silk
Plastic
Paper
Foam

89
Q

Dressings you CANT use with infected wounds (3)

A

Transparent film (not as primary)
Hydrocolloid ( no pus!)
Silicone

Integumentary (15 decks)

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