Dressing Changes Flashcards
0
Q
Gauze
A
Dry or moist dressing
1
Q
Purpose of Dressings
A
- Protect wound from microorganism contamination
- Aid in hemostasis
- Promote healing by absorbing drainage and debriding a wound
- support or splint wound site
- protect patients from seeing the wound
- promote thermal insulation of the wound surface
2
Q
Hydrocolloid
A
Protects wound from surface contamination
- maintain wound moisture
- self adhesive
- 3-5day and change
- slowly liquefies necrotic debris
- absorbs drainage through the use of exudate absorbers in dressing
3
Q
Hydrogel
A
Maintains a moist surface to support healing
- does not adhere to wound base and easy to remove
- debrides necrotic tissue
- provides a moist environment
- soothing and reduces wound pain
4
Q
Wound vac
A
Wound vacuum assisted closure uses negative pressure to support healing
5
Q
Film Dressing
A
Secondary dressing and for autolytic debridement of small wounds
- adheres to undamaged skin
- does not require secondary dressing
- permits viewing a wound
- promotes moist environment that speeds epithelial cell growth
- serves as barrier to external fluids and bacteria but still allows the wound surface to breathe because oxygen passes through transparent dressing
6
Q
Changing dressings
A
- know type of dressing, placement of drains, and equipment needed
- evaluate pain
- describe procedure steps
- gather supplies
- recognize normal signs of healing
- answers questions about procedure or wound
7
Q
Packing a wound
A
Assess size
Depth
Shape
8
Q
Securing
A
Tape
Ties
Binders
9
Q
Comfort measures
A
Carefully remove tape
Gently clean wound
Administer analgesics 30-60min before dressing change
10
Q
Cleaning Skin
A
- Clean in a direction from the least contaminated area to the surrounding skin or from an isolated drain site to surrounding skin
- Use gentle friction when applying solutions locally to the skin
- When irrigating allow solution to flow from the least to most contaminated area
