C6

Question 1

are there blood vessels in the epidermis layer?

Answer 1

no

Question 2

which layer is absent in thin skin

Answer 2

clear layer

Question 3

what are examples of non-viable Tissue?

Answer 3

necrotic tissue - black/purple colour due to dehydration
eschar - thick, dry, black, leathery
slough - moist, yellow

Question 4

what does an Infection look like?

Answer 4

formation of pus, necrosis, foul odour, delayed healing
-> usage of antimicrobials or debridement

Question 5

what are the other 2 wound bed preparation?

Answer 5

Moisture imbalance and non-advancing wound Edge

Question 6

which dressing comes into contact with the wound and highly absorbent to absorb exudate?

Answer 6

primary dressing not secondary

Question 7

cautions of (1) antiseptics

Answer 7

• should be used in eyes or over large areas of body, deep wounds, puncture wounds or animal bite & infected wounds
• should not be used for > 1 week unless directed by Dr

Question 8

indication of (2) adhesive tapes

Answer 8

wound closure & securing non-adhesive dressings over a wound to help prevent infection

Question 9

what should (4) gauze not be used for?

Answer 9

• not useful on dry wounds
• not recommended for moderate to heavily exudative wounds -> often sticks to wound surface

Question 10

cautions of (5) semi-permeable film dressings

Answer 10

• avoid in infected wounds
• should not be used when anaerobic bacteria are suspected
• not useful for wounds with heavy exudate

Question 11

cautions of (6) hydrocolloids (sheets/paste)

Answer 11

• not preferred in infected wounds, unless with antimicrobial
• not good for fragile surrounding skin

Question 12

indication of (6) hydrocolloids

Answer 12

low to moderately exuding wounds such as pressure sores, leg ulcers, minor burns…

Question 13

(7) hydrogels (sheet/gel)

Answer 13

• not useful for wounds with heavy exudates
• may be used as primary or secondary dressings

Question 14

cautions of (8) foam dressings (sheet/tubes)

Answer 14

not useful for dry wounds, necrotic wounds or hard eschar

Question 15

cautions of (9) alginates (sheet/rope)

Answer 15

do not apply to dry or necrotic wounds or wounds with low exudate as dressing can adhere to wound surface
not applicable for full thickness wound & 3rd degree wounds

Question 16

examples of (10) antimicrobial dressings

Answer 16

silver dressing - antimicrobial & bactericidal properties, should only be used for 2-3 weeks
chlorhexidine dressing - bacteriostatic & bactericidal properties, disinfectant & antiseptic before surgery

Question 17

what is an exudate wound

Answer 17

consists of fluid

Question 18

wound dressing selection for low moisture level

Answer 18

hydrogel (gel/sheet) dressing
- gently re-hydrate dry necrotic tissue
- loosen & absorb slough & exudate
- provide a moist environment

Question 19

wound dressing selection for low to moderate moisture level

Answer 19

hydrocolloid dressing
- absorb low levels of exudate while maintaining a moist environment
- for partial thickness wound

Question 20

wound dressing selection for moderate to heavy moisture level

Answer 20

foam dressing or alginate dressing
- provides thermal insulation, high absorbency, moist wound environment, gas permeable
- available as adherent or non

Question 21

wound debridement needed

Answer 21

hydrocolloid dressing
hydrogel dressing
…

Question 22

wound infected

Answer 22

antimicrobial dressing

Question 23

wound deep or shallow

Answer 23

alginate dressing
hydrogel dressing
foam dressing

Question 24

low exudate wound

Answer 24

hydrogel dressing

Question 25

medium exudate wound

Answer 25

foam dressing
alginate dressing
hydrocolloid dressing

Question 26

high exudate wound

Answer 26

foam dressing
alginate dressing