dressings and documentation Flashcards
gauze
-non occlusive
-permeable, can absorb liquids
-can make a dry wound too dry
films
-transparent
-sticks well to dry skin
-lets gases and fumes escape
-helps with autolytic debridement
-can use alone or with something else
-impermeable to liquid and bacteria
what are films indicated for
-wounds with little or no exudate
-wounds with necrosis
-cover donor sites, lacerations, abrasions
-protect intact blisters
what are films contraindicated for
-wounds with moderate to heavy exudate
-not ideal of infected wounds
-full thickness burns
hydrogels
-contribute a lot of moisture to wound bed
-can be cooling to skin and help w pain
-permaeable to gas and water, not a great bacterial barrrier
-need adhesive over wound
hydrogel indications
-partial or full thickness wounds that are dry or moist
-granulating wounds
-wounds with necrosis
-minor burns, skin tears, donor sites
-infected wounds
hydrogel contraindications
-wounds with mod to heavy exudate
-full thickness burns
foams
great for absorbing but expensive
-can last couple days to weeks
foam indications
-partial and full thickness wounds
-minimal to heavy exudative wounds
-softened necrotic tissue
-can fill dead space or under compression
-reduction of hypergranulation tissue
foam contraindications
-dry wounds
-third degree or full thickness burns
-sinus tracts
alginates
-can turn into gel to provide moisutre
-can act as a neat to prevent bacteria
-very permeable
-have to have secondary dressing
-change every couple days
alginates indication
-partial and full thickness wounds with mod to heavy exudates
-bleeding wounds
alginates contraindications
-third degree or full thickness burns
-eschar covered wound
-minimal exudate or dry wounds
composites
glorified bandaids
-can help with maceration
hydrocolloids
-entire back is adhesive
-gelatin, peptin, cellulose
-can proomote autolytics
-turns white when picks up moisutre
-impermeable to gas, liqiuid , bacteria
-one of the best protections
