Dressings

Question 1

When should you re-eval dressing?

Answer 1

EVERY VISIT

Question 2

Gauze

Answer 2

Telfa: non-adherent, little absorption

Changed daily as primary dressing

Cautions: Drying, can absorp topicals quickly, fibers, roll gauze applied at an angle

Question 3

Impregnated Gauze

Answer 3

Can be primary or secondary, can be left for several days

Typically on wounds w/o a lot of depth

Cautions: masceration, adherent if allowed to dry

Question 4

Semipermiable Film

Answer 4

Barrier to outside of the wound, can stay in place up to 7 days

For more superficial wounds

Highly Comfortable

Cautions: limit wrings, applied w/o tension, difficult to apply, not water proof, specfic removal technique, damnage skin with removal

Question 5

Hydrogels

Answer 5

Donate moisture

• can absorb small amounts of drainage
• Decrease pain
• Promote autolutic debridement

Can be combined with other dressings

CAUTIONS: Masceration, sheets not used on infected wounds

Question 6

Foam

Answer 6

Absorptive

Flexible, non-adherent, thick and thin

Insulating - promote autolytic debridement

• can be left for 7 days

CAUTIONSL Masceration, cann roll with friction

Question 7

Hydrocolliods

Answer 7

Highly occlusive

Highly Adhesive

Sheets: Various sizes, cut to fit, thick and thin

Paste: can be used for deper wounds

Primary or secondary dressing

Cautions: Maceration, skin damange with removal, linked with hypergranulation

Question 8

Alginate

Answer 8

Highly aborptive, hold drain in dressing,

non-occulsive

Contours easily to wound surface

CONTRAINDICATIONS: not to be used over bone or tendon

Cautions: maceration if placed outside of wound margins, for highly draining wounds, wound dessication, look bad when wet

Question 9

Hydrofiber

Answer 9

Highly Absorptive (more than alginate)

vertically

Question 10

Antimicrobials

Answer 10

Used during:

• critical colonization, active infection, high risk of infection

Discontinued:

• clean wound, epithelization, risk is removed, short term dressings

Question 11

Cadexomer Iodine

Answer 11

Broad spetrum Antimicrobial

Absorptive

Contraindications: Thyroid disease, deep cavity wounds

Cautions: Allergy to iodine/shellfish, pregnancy, breast feedings, <6 months old

Question 12

Silver

Answer 12

Broad Spectrum

• 7 times a day
• Cannot combine with collagenase

Cautions: toxicity risk with proloned use, allergy, irrigate, w/ sterile water on newborns/infants/young children