Dressings Flashcards
Primary Dressing
direct contact with wound
Secondary Dressinig
over primary dressing to increase protection
Gauze
Material: fibers in rolls, strips, can be inpregnated
Common Uses:
-scrubbing, absorption, protection, fill space
1. Infected wounds
2. Packing
3. Frequent changes
4. High discharge
Pros:
-easy to use
-cheap
Cons:
-can stick
-more changes needed
Nonadherent Petroleum Impregnated Gauze
Material: fibers in rolls, strips with petroleum
Common Uses:
1. Burn wounds
2. Granulating wounds
3. Epitheliazing wounds
4. deep tissues exposed
5. wounds that bleed easily
6. Painful wounds
Pros:
-decrease trauma and pain
-increase occlusiveness
Cons:
-costly
-require another dressing
-not as absorptive
Semipermeable Film
Material: co polymer with porous adhesive layer, transmission of O2
Common Uses:
1. Early PU
2. low draining wounds
3. Skin tears
4. Friction/abrasion areas
Pros:
-can see the wound, impermeable, autolytic, reduces friction
Cons:
-doesn’t absorb, adheres to dry skin, can cause maceration
Hydrogel Amorphous
Material: polymers with water or glycerin
Common Uses:
1. Minimally draining wounds
2. PU 2-4
3. Abrasion/skin tear
4. blisters
5. Burns
6. Soften eschar
Pros:
-hydrates, autolytic, easily cleaned, reduce pain
Cons:
-maceration, minimal absorption, needs secondary, daily changes
Foam
Material: open cell sheets
Common Uses:
1. PU 2-4
2. Tunnels
3. Minor burns
4. skin grafts
5. ostomy
Pros:
-highly absorptive, infections, for tunneling, cushion
Cons:
-need tape, can macerate, no for dry eschar
Hydrogel Sheets
Material: polymers with water or glycerin with mesh
Common Uses:
1. Minimally draining wounds
2. PU 2-4
3. Abrasion/skin tear
4. blisters
5. Burns
6. Soften eschar
Pros:
-hydrates, autolytic, easily cleaned, reduce pain, stays in place
Cons:
-maceration, minimal absorption, needs secondary, only minimally fills
Hydrocolloid
Material: hydrocolloid foam
Common Uses:
1. Early or shallow PU
2. Burns
Pros:
-impermeable to bacteria, moist environment, mild absorption, autolytic, wear for a while
Cons:
-opeque, cannot hold a lot, infections, needs second product as primary
Alginates
Material: composite derived from seaweed
Common Uses:
1. High drainage wounds
2. ulcers
3. Tunnelling
4. Infected wounds
Pros:
-highly absorptive, non occlusive, infection, tunneling, autolytic
Cons:
-needs secondary, can macerate, can dry out and be painful
Antimicrobial Dressing
Material: Silver and cadexomer added to make them microbial
Common Uses:
1. Infected wounds
Pros:
-lower cost than meds, limited circulation
Cons:
-can interact, metal toxicity, more expensive
Honey-Impregnated Dressings
Material: dressing or topical
-manuka honey
Common Uses:
1. Ulcers
2. Burns
3. Donor Sites
4. Traumatic wounds
Pros:
-anti imfplammatory
-decrease pain and increase healing
-decrease odor
Cons:
-sticky and messy
-honey allergies
Collagen Dressings
Material: allow you to add collagen into wound
-1 week change
Common Uses:
1. Infected wound
2. Partial-full thickness wounds
Pros:
-Stimulates healing and scaffolding of healing
Cons:
-limited research
-costly
-allergies
Barriers and Sealants
Material:
Common Uses:
1. Excessive moisture
2. Topically agent
3. Macerated Wound
Pros:
-protect wound edges from maceration, dermitis, and adhesives
Cons:
-may buildup
Biological Skin Substitutes
Material: material with living cells
-dermagraft (full thickness ulcers with fibroblasts) and apligraf (venous ulcers with type 1 collagen): foreskin
Cons:
-multiple applications by physicians
-optimal wounds bed prep
