Dressings Flashcards
What would you put on a dry wound?
Hydrogels to hydrate
Sheets, impregnated in gauze, gels.
Autolytic debridement
What are examples of antiseptic dressings?
Wound honey, hypertonic saline, Cadexomer iodine
What are examples of low exudate dressings?
Semi permeable films
Non adherent dry
Island dressings
What are examples of low to moderate exudate absorbent dressings?
Calcium alginate , hydro colloids
What are examples of very high exudate draining dressings?
Negative pressure therapy, ostomy/ wound appliances
What are advantages of draining wound appliances?
Contain exudate, protect surrounding skin, contain odour, accurate fluid balance record , reduce dressing changes, cost effective, client comfort
When would you use standard ANTT
Simple, short duration , small key sites and parts, non sterile gloves , general aseptic technique
When would you use a surgical ANTT
Complex, long, large sites/ numerous sites, sterile gloves, full barrier precautions
What does T.I.M.E stand for in relation to wound bed preparation
T= tissue non-viable or deficient I= infection or inflammation M= moisture imbalance E= epidermal margin - non advancing or undermined
How would you maintain moisture on a dry wound
Hydro colloids, hydro gels, interactive wet dressings
What would you put on a wound with minimal moisture
Caclium alginates, hydro colloids or semi permeable films
What dressings would you put on a wound with a moderate moisture level
Calcium alginate, hydrofibre , foams, hydro colloid
What would you put on a wound with a high level of exudate
Hydrofibre, foam sheet, extra absorbent dressings, negative pressure therapy, extra absorbent dry dressings
What do you consider for primary dressings?
Infected or not infected
What are secondary dressings applied for
Low - high exudate
What are tertiary dressings?
Tapes, retention bandages, compression
What dressings would you put on an infected wound ?
Silver, iodine, honey , hypertonic saline, PHMB
What dressings would you apply as a primary for non-infected
Calcium alginate, tulle, hydrofibre, hydro colloid
Describe features of calcium alginate dressings
Promotes haemostasis in bleeding wounds Moistens wounds Low-moderate exudate Requires secondary Can be used to pack
Describe features of povidine iodine
Betadine
Broad spectrum anti microbial
Impregnated in tulle
Describe features of Cadexomer iodine
Broad spectrum anti microbial Curry paste Facilitates debridement Moistens wound Tissue friendly Decreases PH of skin
Describe features of silver nitrate
Broad spectrum anti microbial
Extended wear time (does NOT Debride)
Foams, calcium alginate , hydrofibre impregnated
Describe features of wound honey
Antibacterial Debridement Moistens Anti inflammatory Deodorises Increased exudate = good secondary required Sheets, gel, impregnated tulle
Describe hypertonic saline
Promotes autolytic debridement Moistens Decreases odema Impregnated gel, wet or dry gauze Do NOT put on bleeding wounds
Describe PHMB
Broad spectrum antimicrobial Breaks down biofilm Debridement Soak and leave for 15. Mins Impregnated foam, gauze or as liquid
Describe features of tulle dressings
Promotes moist wound enviro Facilitates epithelialisation Non stick Does NOT absorb exudate E.g jelonet, atrauman
Describe features of a hydrofibre dressing
Moistens - turns fibre into gel, vertical and lateral wicking
Mod -heavy exudate
Requires secondary
Can be used on infected
Describe features of hydrogel
Hydration of Eschar Promotes autolytic debridement Absorbs exudate Can cause maceration Gel sheets, impregnated gauze Conforms to dead space in wound
Describe features of a hydro colloid
Debrides by auto lysis Low-mod exudate 5-7 days insitu Waterproof Pastes/powders fills cavities Gels moisten Do NOT use on infection
