Dressings - Class 3 Flashcards

1
Q

wound related factors

A

wound type

wound location

wound characteristics

bacterial load

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2
Q

wound type

A

superficial

full thickness

cavity

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3
Q

pt related factors

A

activity level

incontinence

mental status

dressing medication sensitivity

skin condition and integrity

compliance

caregiver competence

need to bathe/shower

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4
Q

product related factors

A

conformability

mass or volume

sensitization potential

odor absorbing properties

antibacterial activity

hemostatic properties

permeability to tissue fluid and microorganisms

ease of use

pain related factors

non toxic

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5
Q

cost factors

A

unit cost

total cost for wound closure

reimbursement

availability

application cost

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6
Q

ideal dressing keeps

A

wound bed moist

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7
Q

ideal dressing allows for

A

gaseous exchange

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8
Q

idea dressing is

A

thermally insulating

impermeable to microorganisms

non-adherent or non traumatic

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9
Q

idea dressing is free of

A

particles or toxic compounds

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10
Q

additional considerations

A

user friendly

easily applied and removed

minimized dressing change frequency

cost effective

minimal need for secondary dressing

can be combined w/ compressive therapy

can be used on infected wounds

WILL REMAIN IN PLACE

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11
Q

primary dressing

A

dress that is in direct contact with the wound

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12
Q

primary dressing maintains

A

the wound bed dressing interface moist

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13
Q

secondary dressing

A

placed on top of primary dressing to secure it in place

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14
Q

what does secondary dressing provide

A

further exudate absorption

moisture retention of primary dressing

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15
Q

permeability

A

non occlusive

semi occlusive

occlusive

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16
Q

non occlusive

A

non occlusive to air or wound drainage

allows wound drainage to evaporate

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17
Q

non occlusive can be used for

A

acute surgical wound incisions

as a primary dressing

infected wounds

highly draining wounds

18
Q

non occlusive poor for

A

clean granulating and epithelializing wounds

19
Q

non occlusive examples

A

gause

hydrofiber

alignates

20
Q

semi occlusive/semi permeable

A

allows gaseous and water vapor exchange

moisture retentive

21
Q

semi occlusive/semi permeable can be used for

A

autolytic debridement

scant to moderately draining wounds

as a primary and secondary dressing

painful wounds as a nonadherent dressing

22
Q

semi occlusive/semi permeable as a primary dressing

A

for scant to moderately draining wounds

23
Q

semi occlusive/semi permeable as a secondary dressing

A

for moderate-highly draining wounds

24
Q

semi occlusive/semi permeable are poor for

A

infected wounds

highly draining wounds

25
Q

semi occlusive/semi permeable examples

A

transparent films

foams

impregnated gauze

26
Q

occlusive

A

totally occlusive to air, water vapor and outside elements

keeps everything in and out

27
Q

occlusive can be used for

A

autolytic debridement

minimally draining wounds

perineal/pelvic wounds

primary and secondary dressings

second skin for protection from frequent dressing changes

28
Q

occlusive as a primary dressing

A

shallow, minimally draining wound

29
Q

occlusive as a secondary dressing

A

for deep cavity wound

30
Q

occlusive is poor for

A

infected wounds

highly draining wounds as a primary

thin fragile skin

31
Q

occlusive examples

A

some foams

hydrocolloids

biological dressings

32
Q

passive moisture management

A

moderately-highly absorbent

low-no absorbency

hydrating

misc

33
Q

moderately-highly absorbent

A

gauze

alginates

hydrofiber

foams

wound fillers

34
Q

low-no absorbency

A

hydrocolloids

transparent films

impregnated gauze

35
Q

hydrating

A

hydrogel

36
Q

misc

A

composites

contact layers

negative pressure wound therapy

37
Q

interactive dressing

A

antimicrobial

enzymatic debriders

wound stimulating

38
Q

antimicrobial

A

silver based

iodine based

honey based

topical antibacterial

39
Q

enzymatic debriders

A

“collagenase santyl”

40
Q

wound stimulating

A

collagens

growth factors

biologicals

hypertonic saline

41
Q
A