Dressing Selection Flashcards

1
Q

What to do if a wound is infected

A
  • do not occlude
  • a moist, dark, warm environment can assist in bacterial/fungal growth
  • if not already performed, request a culture
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2
Q

When to not use topical antibacterials for infected wounds

A
  • don’t use topical agents that are also administered systemically to avoid development of resistant-strain organisms
  • don’t use topical agents that are known allergens
  • don’t use topical agents that have a high cellular toxicity
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3
Q

What to do for noninflected wounds

A
  • debridement (autolytic or enzymatic)
  • moist wound healing (granulation & epithelial cell migration)
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4
Q

When to use and when not to use autolytic debridement

A
  • to use the wound must demonstrate signs & symptoms of inflammation suggesting WBC present
  • can not be performed infected
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5
Q

When should you not do enzymatic debridement

A
  • do not use if granulation tissue is present
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6
Q

Describe moist wound dressings

A
  • wound dressings need to maintain a moist wound environment but not stick to the wound during removal
  • exudate must be contained
  • a dry wound needs a hydrating agent to prevent the exudates from becoming a glue-like substance
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7
Q

What dressings can be used for non-infected wounds

A
  • hydrogels
  • transparent films
  • hydrocolloids
  • hydrocellular foams
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8
Q

What dressings can be used for infected wounds

A
  • alginates
  • hydrofibers
  • composite border dressings/island dressings
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9
Q

Hydrogels

A
  • dry or minimal draining wounds - add moisture to the wound bed
  • change every 1-3 days
  • sheet or gel
  • should not be used with infections
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10
Q

Transparent films

A
  • adhesive, semipermeable polyurethane dressings that are clear, waterproof, & impermeable to bacteria & other contaminants
  • no absorbent ability but maintain a moist wound environment to promote autolytic debridement
  • can be used as a primary (shallow wounds) or secondary (deeper wounds) dressing
  • should not be used with infections
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11
Q

Hydrocolliods

A
  • provide a moist wound environment in wounds with small to moderate exudate & promotes autolytic debridement
  • can lead to an unpleasant odor
  • should not be used with infections
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12
Q

Hydrocellular foam

A
  • intended for absorption of moderate to heavy exudate
  • foams have also been used for padding in areas of constant trauma
  • should not be used with infections
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13
Q

Alginates & hydrofibers

A
  • used as primary dressings, can fill dead space, & require a secondary dressing
  • used for moderate to heavy exudate & promotes autolytic debridement
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14
Q

Composite border dressing/Island dressing

A
  • made of non adherent gauze with border tape & covered by a transparent film to protect the wound from outside contaminants
  • may be used in combination with enzymatic debridement agents or with alginates
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15
Q

Tissue engineered therapies

A
  • Dermagraft & Apligraf
  • provide living fibroblasts, which produce necessary growth factors & collagen to the wound base
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16
Q

Dressing considerations for inflammation phase

A
  • maintain moist wound environment
  • protect wound from infection
  • promote debridement of dead tissue (autolytic, enzymatic, & mechanical)
17
Q

resting considerations for repair/proliferation phase

A
  • maintain moist wound environment
  • protect wound from infection
  • manage exudate
  • limit disruption of wound bed
  • pressure management