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Wound management and integ midterm > Dressings lecture chart > Flashcards

Dressings lecture chart Flashcards

1
Q

what are gause permeability?

A

non-occlusive

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1
Q

What are the 5 types of moderately-highly absorbent dressings?

A

gause
alginates
hydrofiber
foams

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2
Q

what special characteristics of gauze?

A

can be woven or non woven
non woven= better absorbency
wrapping gauze
primary= absorbency
Secondary= bulk Cushing

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3
Q

What is gauze used for?

A

● wet-to -dry dressings to pack
wound with undermining or
filling cavernous wounds
● Acute surgical wound incisions
● Highly draining wounds
● Infected wounds

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4
Q

what is gauze poor for?

A

● Clean
granulating and
epithelializing
wounds
● Exposed bone,
tendons, mesh,
grafts
● Third degree
burns
● Minimal
exudate/dry
wound

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5
Q

what type of permeability is alginates?

A

non-occlusive

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6
Q

what special characteristics of gauze?

A

Highly absorbent, conforms to body
shape, doesn’t adhere to wound
bed, hemostatic
Will need a secondary dressing

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7
Q

what are alginates used for?

A

● Maintains wound moisture
● Provides autolytic debridement
● Acute surgical wound incisions
● Highly draining wounds
● Infected wounds
Good for full or partial thickness
wounds with mod-heavy exudate and
bleeding wounds

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8
Q

what are alginates bad for?

A

● Clean
granulating and
epithelializing
wounds
● Exposed bone,
tendons, mesh,
grafts
● Third degree
burns
● Minimal
exudate/dry
wound

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9
Q

what type of permeability is hydro fiber?

A

non-occlusive

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10
Q

what are the special characteristics of hydro fiber?

A

Same as alginates except it is NOT
a hemostat
Will need a secondary dressing

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11
Q

what are hydro fiber used for?

A

● Maintains wound moisture
● Provides autolytic debridement
● Acute surgical wound incisions
● Highly draining wounds
● Infected wounds
Good for full or partial thickness
wounds with mod-heavy exudate and
bleeding wounds

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12
Q

what are hydrofibers poor for?

A

● Clean
granulating and
epithelializing
wounds
● Exposed bone,
tendons, mesh,
grafts
● Third degree
burns
● Minimal
exudate/dry
wound

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13
Q

what permeability is foam?

A

semi-occlusive/semi-permability

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14
Q

what are the special characteristics for foam?

A

Moderate-highly absorbent,
conforms to body shape, does not
adhere to wound bed, provides no
residue.
May or may not have an adhesive
border; if none, will need
securement

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15
Q

what is foam used for?

A

● Maintains wound moisture
● Wound insulator
● Aids in autolytic debridement
● Primary for scant to moderately
draining wounds
● Secondary for moderately-highly
draining wounds
● Painful wounds as non-adherent
dressing

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16
Q

what is foam bad for?

A

● Infected wounds
● Highly draining
wounds
● Dry eschar

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17
Q

what are the types of dressings that are low-no absorbency?

A

hydrocolloids
transparent films
impregnated gauze

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18
Q

what is the permeability of hydrocolloids?

A

Occlusive
*primary= shallow minimally draining wound
secondary= deep cavity wound

19
Q

what special characteristics are there for hydrocolloids?

A

Combo of gel-forming polymers
with adhesives into backing of film
or foam; conforms to body shape
Does not require a secondary
dressing

20
Q

what are hydrocolloids used for?

A

● Maintains wound moisture
● Aids in autolytic debridement
● Provides insulation
● Minimally draining wounds
● For perineal/pelvic wounds
● Second skin for protection from
frequent dressing changes
● Dry wound or necrotic/granular
wound

21
Q

what are hydrocolloids poor for?

A

● Infected wounds
● Highly draining wounds as a primary
● Thin fragile skin
● Third degree burns
● Exposed tendon/bone

22
Q

what type of permeability is a transparent films?

A

semi-occlusive/semi-permeability

23
Q

what are the special characteristics of transparent films?

A

Provides no absorbency; moisture
vapor and O2 permeable

24
Q

what are transparent films used for?

A

● Maintains wound moisture
● Aids in autolytic debridement
● May function as a secondary dressing

25
Q

what are transparent films poor for?

A

● Infected wounds
● Highly draining wounds

26
Q

What is the permeability of impregnated gauze?

A

semi-occlusive/ semi-permeability

27
Q

what are the special characteristics for impregnated gauze?

A

Primarily used as a contact layer

28
Q

what are impregnated gauze poor for?

A

● Aids in autolytic debridement
● Primary for scant to moderately draining wounds
● Secondary for moderately-highly
draining wounds
● Painful wounds as non-adherent
dressing

29
Q

what are impregnated gauze poor for?

A

Infected wounds
Highly draining wounds

30
Q

what are hydrating types of wound bandages?

A

hydrogel

31
Q

what permeability type is hydrogel

A

semi-permeable/semi-occlusive

32
Q

what special characteristics do hydrogel have?

A

Conforms to body shape; does not
adhere to wound bed

33
Q

what is hydrogel used for?

A

● Provides moisture to wound
● Promotes granulation/epithelialization
● Aids in autolytic debridement
● Relieves pain

34
Q

what is hydrogel poor for?

A

● Infected wounds
● Highly draining wounds
● Third degree burns

35
Q

what are the other misc types of wound dressings?

A

composites
contact layers
negative pressure wound therapy

36
Q

what are composites used for?

A

Primary or secondary cover dressing
Provides autolytic debridement
Manages minimal to heavy exudates

37
Q

what are antimicrobial wound dressings

A

Silver-based,
Iodine-based,
Honey-based,
Topical
antibacterials

38
Q

what are antimicrobials used for:

A

Against different bacteria

39
Q

what are enzymatic deriders?

A

Collagenase Santyl, Accuzyme, Panafil

40
Q

what are enzymatic deriders used for?

A

Stimulates new tissue development.
Good for chronic, non-healing granulated wounds and partialthickness, tunneling wounds with minimal to heavy exudate

41
Q

what are enzymatic deriders poor for?

A

● Third degree burns
● Sensitivity to specific debridger material

42
Q

what are wound stimulating materials

A

Collagens,
Growth
Factors,
Biologicals,
Hypertonic

43
Q

what are the special characteristics for wound stimulating materials?

A

they require a secondary dressing

44
Q

what are wound stimulating materials used for?

A

chronic non-healing granulated
wounds (Ex: skin graft, tunneling, minimal to heavy exudates)

45
Q

what are wound stimulating materials poor for?

A

Not good for 3rd-degree burns

46
Q
A

Wound management and integ midterm (16 decks)

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