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KN JD NPTE: INTEG > Characteristics Of Major Dressing Categories > Flashcards

Characteristics Of Major Dressing Categories Flashcards

1
Q

Clear, adhesive, semipermeable membrane dressings. Permeable to atmospheric oxygen and moisture vapor, yet impermeable to water, bacteria, and environmental contaminants

A

Transparent film

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2
Q

Adhesive wafers containing hydroactive/absorptive particles that interact with wound fluid to form gelatinous mass over wound bed. May be occlusive or semi-occlusive. Available in paste form that can be used as filler for shallow cavity wounds.

A

Hydrocolloids

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3
Q

Water- or glycerine-based gel. Insoluble in water. Available in solid sheets, amorphous gels, or impregnated gauze. Absorptive capacity varies.

A

Hydrogen’s

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4
Q

Semipermeable membranes that are either hydrophilic or hydrophobic. Vary in thickness, absorptive capacity, adhesive properties.

A

Foams

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5
Q

Soft, absorbent non-woven dressings derived from seaweed that have a fluffy cottonlike appearance. React with wound exudate to form viscous hydrophilic hell mass over wound area. Available in ropes, pads.

A

Alginates

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6
Q

Made of cotton or synthetic fabric that is absorptive and permeable to water and oxygen. May be used wt, point, dry, or impregnated with petrolatum, antiseptics, or other agents. Come in varying weaves and with different size interstices.

A

Gauze dressings

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7
Q

Indications for transparent films:

  1. What stage pressure ulcers?
  2. ___ ___ in certain situations
  3. ____ debridement
  4. Skin ___ sites
  5. Cover for ___ ___ and paste preparations and ___
A
  1. Stage I and II
  2. Secondary dressing
  3. Autolytic
  4. Donor
  5. Hydrophilic powder, hydrogels
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8
Q

Advantages of transparent films:

  1. ____ ____ of wound without removal
  2. Impermeable to ?
  3. Transparent and ___
  4. Promote ___debridement
  5. Minimize ___
A
  1. Visual evaluation
  2. External fluid and bacteria
  3. Comfortable
  4. Autolytic
  5. Friction
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9
Q

Disadvantages of transparent films:

  1. Non-___
  2. Application can be difficult
  3. Issue with application?
  4. Not to be used on wounds with what characteristics?
A
  1. Non-Absorptive
  2. -
  3. Channeling/wrinkling occurs
  4. Fragile surrounding skin, infected wounds
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10
Q

Considerations for transparent films:

  1. Allow ____ wound margin around wound bed
  2. Skin prep?
  3. Secondary dressing is or is not required?
  4. Dressing change varies with wound condition and location
  5. Avoid in wounds with what?
A
  1. 1-2 inch
  2. Shave surrounding hair
  3. Secondary dressing NOT required
  4. -
  5. Infection, copious drainage, tracts
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11
Q

Indications for hydrocolloids:

  1. Protection of ____ wounds
  2. ___ debridement of ___ or ___
  3. Wounds with ___
A
  1. Partial-thickness
  2. Autolytic, necrosis or slough
  3. Mild exudate
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12
Q

Advantages of hydrocolloids:

  1. Maintain ___ wound environment
  2. ____ to healing tissue
  3. Conformable
  4. Impermeable to ?
  5. Support ___ debridement
  6. ____ absorption level
  7. Waterproof or not?
  8. Reduces ___
  9. Easy to apply
  10. Time-saving
  11. Thin forms diminish ___
A
  1. Moist
  2. Non-adhesive
  3. —
  4. External bacteria, contaminants
  5. Autolytic
  6. Minimal to moderate
  7. Yes
  8. Pain
  9. —
  10. —
  11. Friction
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13
Q

Disadvantages of hydrocolloids:

  1. Transparent?
  2. May soften and change shape with ___ or ___
  3. ___ and ___ ___ on removal
  4. Not recommended for wounds with what?
  5. Dressing edges may ___
A
  1. Not transparent
  2. Heat/friction
  3. Odor, yellow drainage
  4. Heavy exudate, sinus tracts, infections; bones that expose bone/tendon; wounds with fragile surrounding skin
  5. Curl
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14
Q

Considerations for hydrocolloids:

  1. Characteristic ___ with ___ exudate similar to ___; normal when dressing is removed
  2. Allow ___ inch margin of healthy tissue around wound edges
  3. Can you tape the edges to prevent curling?
  4. Frequency of changes depends on?
  5. Change dressing ever ___ days and as needed with leakage
  6. Avoid in wounds with __ or __
A
  1. Odor, yellow, pus
  2. 1-1.5 inch
  3. Yes
  4. Amount of exudate
  5. 3-7 days
  6. Infection, tracts
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15
Q

Indications for hydrogels:

  1. ____ wounds
  2. Wounds with __ and __
  3. __ and tissue damaged by __
A
  1. Partial- and full-thickness
  2. Necrosis, slough
  3. Burns, radiation
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16
Q

Advantages of hydrogels:

  1. How does it feel?
  2. Fills ___ ___
  3. Rehydrates what?
  4. Promotes __ debridement
  5. Provides __ absorption
  6. Conforms to wound bed
  7. Transparent?
  8. Many are ___
  9. Amorphous form can be used when ____
A
  1. Soothing and cooling
  2. Dead space
  3. Dry wound beds
  4. Autolytic
  5. Min to mod
  6. —
  7. Transparent and translucent
  8. Non-adherent
  9. Infection is present
17
Q

Disadvantages of hydrogels:

  1. Most require ___
  2. Not used for ___ exudating wounds
  3. May __ then __ to wound bed
  4. May __ surrounding skin
A
  1. Secondary dressing
  2. Heavily
  3. Dry out, adhere
  4. Macerate
18
Q

Considerations for hydrogels:

  1. Sheet form works well on ____ ulcers
  2. Do not use sheet form on ___ ulcers
  3. Sheet form can promote growth of ____ and ___
  4. Dressing changes every ____
  5. Use skin barrier wipe on surrounding intact skin to decrease risk of ___
A
  1. Partial-thickness
  2. Infected
  3. Pseudomonas, yeast
  4. 8-48 hours
  5. Maceration
19
Q

Indications for foams:

  1. ___ wounds with ___ exudate
  2. Secondary dressing for wounds with ___ to provide additional absorption
  3. Provide __ and __
A
  1. Partial- and full-thickness, min-mod
  2. Packing
  3. Protection, insulation
20
Q

Advantages of foams:

  1. ___ wounds
  2. Provide ___
  3. Most are __
  4. Conformable
  5. Manage __ exudate
  6. Easy to use
  7. Some newer products are designed for ___
A
  1. Insulate
  2. Padding
  3. Non-adherent
  4. —
  5. Minimal-heavy
  6. —
  7. Deep cavities
21
Q

Disadvantages of foams:

  1. Transparent?
  2. Non-adherent foams require ____
  3. Some newer foams have ___ on edges
  4. Poor ___ to deep wounds
  5. Not for use with ___ or wounds with no __
A
  1. Nontransparent
  2. Secondary dressings, tape, or net
  3. Tape
  4. Conformity
  5. Dry eschar or wounds with no exudate
22
Q

Considerations for foams:

  1. Change schedule varies from ___ or as needed for leakage
  2. Protect intact surrounding skin with skin sealant to prevent __
A
  1. 1-5 days

2. Maceration

23
Q

Indications for alginates:

  1. Wounds with ___ exudate
  2. Wounds with combination __ and __
  3. Wounds that require __ and __
  4. __ and __ exudating wounds
A
  1. Mod-large
  2. Necrosis, exudate
  3. Packing, absorption
  4. Infected and non infected
24
Q

Advantages for alginates:

  1. Absorb up to ___x their weight in drainage
  2. Fill __ __
  3. Support __ in presence of exudate
  4. Easy to apply
A
  1. 20x
  2. Dead space
  3. Debridement
25
Q

Disadvantages of alginates:

  1. Require ___
  2. Not recommended for ___ exudating wounds
  3. Can ___ wound bed
A
  1. Secondary dressing
  2. Dry or lightly exudating
  3. Dry
26
Q

Considerations for alginates:

  1. May use __ or __ as secondary dressing
  2. Change schedule varies (with type of product used and amount of exudate)from every __ to every __
A
  1. Dry gauze pad, transparent film

2. 8 hrs to every 2-3 days

27
Q

Indications for gauze dressings:

  1. ___ wounds
  2. Wounds with __, __ or __
  3. Wounds with combination __ or __
A
  1. Exudating
  2. Dead space, tunneling, sinus tracts
  3. Exudate, necrotic tissue
28
Q

Gauze dressings:

WET TO DRY- ____ debridement of necrotic tissue and ___

A

Mechanical, slough

29
Q

Gauze dressings:

CONTINUOUS DRY: used for ?

A

Heavily exudating wounds

30
Q 
Gauze dressings:
CONTINUOUS MOIST-
1. Protection of \_\_\_ wounds
2. \_\_\_ debridement of slough or \_\_\_
3. Delivery of \_\_\_ needs
A
  1. Clean
  2. Autolytic, eschar
  3. Topical
31
Q

What are the 3 types of gauze dressing applications?

A
  1. Wet to dry: mechanical debridement
  2. Continuous dry
  3. Continuous wet: autolytic debridement
32
Q

Advantages of gauze dressings:

  1. Readily available
  2. Can be used with appropriate solutions such as gels, normal saline, topical antimicrobials to keep wounds __
  3. Good ___ debridement if used properly
  4. Cost-effective for __ wounds
  5. Effective delivery of topical if kept __
A
  1. —
  2. Moist
  3. Mechanical
  4. Large
  5. Moist
33
Q

Disadvantages of gauze dressings:

  1. Delayed healing if used improperly
  2. ___ on removal (wet to dry)
  3. Labor-intensive
  4. Requires ___
  5. Avoid direct contact with __
A
  1. —
  2. Pain
  3. —
  4. Secondary dressing
  5. Granulating tissue
34
Q

Considerations for gauze dressings:

  1. May use ___ or ___ as secondary dressing
  2. Pack ___ into wounds; __ packing compromises blood flow/delays wound closure
  3. Use ___ roll of gauze for packing large wounds to ensure complete removal
  4. If too __, dressings will macerate surrounding skin
  5. Use wide mesh gauze for ___ and fine mesh gauze for ___
  6. Protect surrounding skin with moisture barrier ointment and skin sealant as needed
A
  1. Dry gauze dressing, transparent film
  2. Loosely, tight
  3. Continuous
  4. Wet
  5. Debridement, protection
35
Q

What dressing would be used for partial- and full-thickness wounds?

A

Hydrocolloids
Hydrogels
Foams

36
Q

What dressing would be used for combination exudate and necrosis?

A

Alginates, gauze

KN JD NPTE: INTEG (15 decks)

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