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Advanced Wound Care > Dressings > Flashcards

Dressings Flashcards

0
Q

What would you put on a dry wound?

A

Hydrogels to hydrate
Sheets, impregnated in gauze, gels.
Autolytic debridement

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1
Q

What are examples of antiseptic dressings?

A

Wound honey, hypertonic saline, Cadexomer iodine

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2
Q

What are examples of low exudate dressings?

A

Semi permeable films
Non adherent dry
Island dressings

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3
Q

What are examples of low to moderate exudate absorbent dressings?

A

Calcium alginate , hydro colloids

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4
Q

What are examples of very high exudate draining dressings?

A

Negative pressure therapy, ostomy/ wound appliances

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5
Q

What are advantages of draining wound appliances?

A

Contain exudate, protect surrounding skin, contain odour, accurate fluid balance record , reduce dressing changes, cost effective, client comfort

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12
Q

When would you use standard ANTT

A

Simple, short duration , small key sites and parts, non sterile gloves , general aseptic technique

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13
Q

When would you use a surgical ANTT

A

Complex, long, large sites/ numerous sites, sterile gloves, full barrier precautions

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14
Q

What does T.I.M.E stand for in relation to wound bed preparation

A 
T= tissue non-viable or deficient
I= infection or inflammation
M= moisture imbalance
E= epidermal margin - non advancing or undermined
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15
Q

How would you maintain moisture on a dry wound

A

Hydro colloids, hydro gels, interactive wet dressings

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16
Q

What would you put on a wound with minimal moisture

A

Caclium alginates, hydro colloids or semi permeable films

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17
Q

What dressings would you put on a wound with a moderate moisture level

A

Calcium alginate, hydrofibre , foams, hydro colloid

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18
Q

What would you put on a wound with a high level of exudate

A

Hydrofibre, foam sheet, extra absorbent dressings, negative pressure therapy, extra absorbent dry dressings

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19
Q

What do you consider for primary dressings?

A

Infected or not infected

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20
Q

What are secondary dressings applied for

A

Low - high exudate

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21
Q

What are tertiary dressings?

A

Tapes, retention bandages, compression

22
Q

What dressings would you put on an infected wound ?

A

Silver, iodine, honey , hypertonic saline, PHMB

23
Q

What dressings would you apply as a primary for non-infected

A

Calcium alginate, tulle, hydrofibre, hydro colloid

24
Q

Describe features of calcium alginate dressings

A 
Promotes haemostasis in bleeding wounds
Moistens wounds
Low-moderate exudate 
Requires secondary 
Can be used to pack
25
Q

Describe features of povidine iodine

A

Betadine
Broad spectrum anti microbial
Impregnated in tulle

26
Q

Describe features of Cadexomer iodine

A 
Broad spectrum anti microbial 
Curry paste 
Facilitates debridement 
Moistens wound
Tissue friendly
Decreases PH of skin
27
Q

Describe features of silver nitrate

A

Broad spectrum anti microbial
Extended wear time (does NOT Debride)
Foams, calcium alginate , hydrofibre impregnated

28
Q

Describe features of wound honey

A 
Antibacterial 
Debridement
Moistens
Anti inflammatory 
Deodorises
Increased exudate = good secondary required 
Sheets, gel, impregnated tulle
29
Q

Describe hypertonic saline

A 
Promotes autolytic debridement 
Moistens
Decreases odema
Impregnated gel, wet or dry gauze
Do NOT put on bleeding wounds
30
Q

Describe PHMB

A 
Broad spectrum antimicrobial
Breaks down biofilm
Debridement
Soak and leave for 15. Mins
Impregnated foam, gauze or as liquid
31
Q

Describe features of tulle dressings

A 
Promotes moist wound enviro 
Facilitates epithelialisation 
Non stick
Does NOT absorb exudate
E.g jelonet, atrauman
32
Q

Describe features of a hydrofibre dressing

A

Moistens - turns fibre into gel, vertical and lateral wicking
Mod -heavy exudate
Requires secondary
Can be used on infected

33
Q

Describe features of hydrogel

A 
Hydration of Eschar
Promotes autolytic debridement 
Absorbs exudate
Can cause maceration 
Gel sheets, impregnated gauze
Conforms to dead space in wound
34
Q

Describe features of a hydro colloid

A 
Debrides by auto lysis
Low-mod exudate
5-7 days insitu
Waterproof
Pastes/powders fills cavities
Gels moisten 
Do NOT use on infection

Advanced Wound Care (5 decks)

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