Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Wound Care Exam 2 > Dressings > Flashcards

Dressings Flashcards

1
Q

What are ideal topical treatment/dressing characteristics? (5)

A
  1. moist environment
  2. thermal insulation
  3. removal w/o trauma
  4. removes drainage/debris
  5. maintain clean environment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does “TIME” stand for?

A 
T = tissue non viable or deficient
I = infection or inflammation
M = moisture imbalance
E = epidermal margin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the progression of the “T”

A

defective matrix/cellular debris – debridement – restore wound base and ECM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the progression of “I”

A

high bacterial counts or prolonged inflammation – antimicrobials – low bacterial counts and controlled inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the progression of “M”

A

desiccation or excess fluid – dressings compression – restore cell migration, maceration avoided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the progression of “E”

A

impairment of epidermal migration and ECM – biological agents cell therapy – stimulate keratinocyte migration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the functions of the wound dressings?

A
  1. primary (direct contact)

2. secondary (over primary - increase protection, cushioning, absorption or occlusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When choosing a dressing, what are some things you should consider?

A

anatomical site, drainage, bacterial load, periwound integrity, depth, edema, aggressive vs. conservative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the advantages of gauze?

A

various shapes/sizes, used for packing, impregnated, nonadherent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What can gauze be used for?

A

primary or secondary, and nonselective debridement (wet to dry)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the disadvantages of gauze?

A

painful with removal, harm healthy tissue, dessicate wound bed, little absorption, no barrier to bacteria, frequent changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What type of dressing is “contact layer”

A

gauze

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what does “contact layer” do

A

provides wound bed protection with fluid flow-through

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

is “contact layer” absorptive?

A

no, usually non-absorptive and requires secondary dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

can “contact layer” be impregnated?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the advantages of Transparent films?

A

wound visible, stays for 3-5 days, promotes autolytic debridement (semi-occlusive), waterproof

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what can transparent film be used for?

A

primary or secondary dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the disadvantages of transparent film?

A

minimal absorptive capacity, maceration, promote skin irritation, traumatic on removal,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

when should transparent film not be used?

A

infected wounds (its trapping everything in)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is another term for hydrocolloid?

A

duoderm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what does a hydrocolloid do?

A

interacts with wound fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are the advantages to a hydrocolloid

A

occlusive dressing - autolytic debridement, absorptive capacity, stays for 5-7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what amount of absorptive capacity does a hydrocolloid have?

A

minimal to moderate absorbent capacity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what can a hydrocolloid be used for?

A

primary or secondary dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what are the disadvantages of a hydrocolloid?

A

wound odor (interact with infection), hypergranulation, macerate periwound, skin irritation, edges may roll,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

when should a hydrocolloid not be used?

A

infected wounds and wounds with undermining or tunneling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what is a hydrogel?

A

water based gel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what are the advantages for hydrogel?

A

moist environment, assists with pain management, autolytic debridement,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

when kind of tissue can a hydrogel be used on?

A

viable and nonviable tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is hydrogel used for?

A

primary dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what kind of wounds are hydrogels “soothing” for?

A

dry wounds - arterial ulcers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

what are the disadvantages of hydrogel?

A

cause maceration, NOT for heavily draining wounds, requires secondary dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what are “alginates”

A

seaweed derived dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what are the advantages of alginates?

A

assist with debridement, used with compression, infected wounds and packing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what type of wounds are alginates normally used on?

A

moderate to heavy draining wounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what type of tissue can alginates be used on?

A

viable or nonviable tissue

37
Q

alginates help stop _____.

A

bleeding

38
Q

what are the disadvantages to alginates?

A

dessicate the wound (similar to wet to dry), and cause alginate scab

39
Q

what type of wounds are foams used for? (drainage?)

A

moderate to heavily draining wounds

40
Q

what are foams good for?

A

wounds over bony prominences

41
Q

what are some advantages for foams?

A

semi-occlusive, longer wear time, wick away moisture, protects wound, insulator, retard hypergranulation, used with compression

42
Q

what kind of environment do foams promote?

A

warm, moist environment

43
Q

what are disadvantages of foam?

A

maceration, dessicate wound bed, secondary dressing

44
Q

what type of wounds is collagen used for? (drainage)

A

moderate to heavy draining wounds

45
Q

what are the advantages of collagen?

A

reduce MMPs which may attract components for healing

46
Q

what is collagen designed to do?

A

absorbed into the wound and “jump start” a stalled out wound

47
Q

what is the disadvantage of collagen?

A

sensitivities for bovine material

48
Q

What are advantages of composites? (foam that has adhesive around it)

A

multiple function in one dressing, easy to use, various forms and sizes

49
Q

what are advantages of combinations? (dressing plus antimicrobial)

A

provides multiple functions

50
Q

what is an example of a “combination?”

A

silver (antimicrobial) and alginate or foam

51
Q

when are silicone gel sheets used?

A

maturation phase

52
Q

what are advantages of silicone gel sheets?

A

scar management, increase scar mobility/elasticity to reduce contractures

53
Q

when should you use antimicrobial dressings?

A

wound that is infected (systemic) or critically colonized (local)

54
Q

what type of debridement is antimicrobial dressings?

A

enzymatic debridement

55
Q

what are some examples of antibiotic ointments?

A

TAO (triple antibiotic ointment), bacitracin, bactroban, polysporin, and neosporin

56
Q

what is bacitracin?

A

water based - used for hands and face

57
Q

what is bactroban effective against?

A

MRSA

58
Q

what are the primary ingredients in silvadene?

A

sulfa an silver

59
Q

why can silvadene look purulent when ready to remove?

A

reacts with drainage (serous drainage has absorbed into white cream)

60
Q

what kind of dressing cancels out silver?

A

collagenase (enzymatic debridement)

61
Q

what are silver dressings effective against?

A

psudomonus, MRSA, staph, strep, enterococcus

62
Q

What is hydrofera blue effective against?

A

MRSA, VRE, staph, seratia, e-coli, etc.

63
Q

what does hydrofera blue require daily?

A

rehydration - and moisture for removal

64
Q

hydrofera blue is the only antimicrobial dressing that?

A

can be used in conjunction with enzymatic debriding ointment

65
Q

what is cadexamer iodine?

A

time released iodine so not cytotoxic but antimicrobial

66
Q

what kind of wounds is cadexamer iodine used for? (drainage)

A

moderate to heavy draining wounds (iodine is a drying agent)

67
Q

can cadexamer iodine assist with debridement?

A

yes

68
Q

what is the use of cadexamer iodine indicated?

A

> 50% slough, draining wounds

69
Q

what does honey promote?

A

moist wound environment, highly absorptive

70
Q

Due to its high osmolarity, honey _______ and ________ the wound

A

cleanses and debrides

71
Q

what does honey do the wound pH?

A

lowers it for optimal environment

72
Q

what are the indications for honey?

A

DFU, VLU, arterial leg ulcers, pressure ulcers, burns, mixed, donor sits, traumatic/surgical wounds

73
Q

regranex is an example of?

A

topical growth factors

74
Q

what is regranex indicated for?

A

LE diabetic neuropathic ulcers

75
Q

what is Oasis an example of?

A

biological or biosynthetics

76
Q

what is oasis derived from?

A

small intestinal submucosa (SIS)

77
Q

what kind of wounds is oasis indicated for?

A

partial or full thickness loss, pressure, vascular, diabetic, thermal, or surgical origins

78
Q

what can you pack wounds with?

A

calcium alginate, collage alginate, cadexamer iodine, gauze, foam, packing strips

79
Q

what are skin sealants used for?

A

additional protection for periwound

80
Q

what is an example of barrier ointments?

A

vaseline

81
Q

what are some periwound considersations?

A

maceration vs. dryness, irritation, incontinence, trauma, dermatitis, skin prep, moisturizer, antibiotic ointment, moisture barriers, protective dressings and steroid ointments

82
Q

what are tricks for the finger?

A

each digit wrapped individually, keep bandaging to minimum, “tubular dressings”

83
Q

what are tricks for the hand?

A

occlusive dressing for small wounds, figure 8 for large wounds to minimize bandage for use of extremity

84
Q

what are tricks for arms/legs?

A

occlusive dressing for uninfected wounds, nonadherent dressings

85
Q

what are tricks for the trunk?

A

short-stretch wraps applied with caution to allow respiratory capacity, “burn vest”

86
Q

what are the tricks for the abdomen?

A

Montgomery straps

87
Q

what are the tricks for ankle/foot

A

bandaged like hand wound (Figure 8), more absorptive dressings, thick gauze on plantar surface,

88
Q

when should you change treatment course?

A

no change in 2-4 weeks, wound getting worse, necrosis debrided with viable tissue present, new odor, new redness/pain, bleeding present, too dry/moist

89
Q

when should you terminate treatment?

A

osteomyelitis, recurrent erythema, persistent drainage, necrosis with muscle/tendon/bone involvement, unexplained pain, new ulcers

Wound Care Exam 2 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions