Exam 4: Management of Wounds with Dressings Flashcards

1
Q

gauze is an ____ dressing and contains fibrous material that sheds and can _____ a wound

A

inert; contaminate

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2
Q

Is gauze good at absorbing fluid?

A

yes it is very absorbent

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3
Q

Gauze is (permeable/impermeable) to bacteria

A

permeable

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4
Q

Can you gauze on an infected wound

A

yes

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5
Q

What are the six types of interactive wound dressings

A
film
foam
hydrogel
hydrocolloid
alginate
hydroactive
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6
Q

do you need a secondary dressing with a moisture retentive dressing

A

no

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7
Q

Which type of dressing is thin, flexible, moisture vapor permeable, oxygen permeable, transparent

A

film

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8
Q

what are the indications of using film dressings

A

minor burns/injuries
post op
protect IVs
primary or secondary dressing

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9
Q

are film dressings absorbive

A

not really

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10
Q

what are indications to stop using a film dressing

A

too much exudate or infection

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11
Q

if a foam dressing is a primary dressing, is a secondary dressing required

A

yes, if it is not adhesive

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12
Q

can you use film dressings on infected wounds

A

no

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13
Q

which type of dressing absorbs exudate, raises core temp of wound, maintains moist environment, and protects skin from maceration

A

foams

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14
Q

What are the effects of using a foam dressing

A

moist environment, high absorbency, cushions, non-adherent

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15
Q

should you use a foam dressing on an infected wound

A

no unless you can change it every day

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16
Q

What are the indications for foam dressings

A

major and minor wounds, superficial and cavity

skin grafts, donor sites, burns

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17
Q

When would you use a foam dressing as a secondary dressing

A

over amorphous hydrogels

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18
Q

What are the indications of when to stop using a foam dressing

A

when exudate cannot be absorbed in less than a 24 hour period

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19
Q

what are the precautions of using a foam dressing

A

dry wounds or wound with eschar or with amorphous hydrogel in a dry cavity

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20
Q

hydrogel dressings are ___% to __% water/glycerin based

A

30 to 90

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21
Q

hydrogel dressings are 30% to 90% _____/____ based

A

water/glycerin

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22
Q

hydrogels can either be sheets or ____

A

gels

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23
Q

hydrogels can either be ___ or gels

A

sheets

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24
Q

hydrogel dressings are great for (slough/eschar) filled wound beds

A

eschar

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25
Q

can you use sheet hydrogel on an infected wound

A

no

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26
Q

can you use gel hydrogel dressings on an infected wound

A

yes

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27
Q

what are the effects of hydrogel dressings

A

moist environment, autolytic debridement, relieve pain, absorbs mild to moderate moisture

28
Q

what are the indications for using amorphous hydrogel dressings

A

dry wounds or wounds with eschar

chicken pox and shingles

29
Q

what are the indications for using sheet hydrogel dressings on wounds

A

prevent dryness of tissues such as tendons

they can carry topical drugs to wounds

30
Q

What are the indications for stopping the use of amorphous hydrogel

A

if wound exudate is excessive

31
Q

what are the indications for stopping the use of sheet hydrogel dressing

A

if the wound becomes infected

32
Q

how long can hydrogel dressings stay on

A

about three days

33
Q

True or False:

sheet hydrogels should not be use in small cavity wounds

A

true

34
Q

amorphous hydrogels should not be used on patients who have a sensitivity to ____ ___

A

propylene glycol`

35
Q

does a sheet hydrogel dressing require a secondary dressing

A

yes

36
Q

does a hydrocolloid dressing require a secondary dressing

A

no

37
Q

which type of dressing has gelatin particles suspended on a backing and is available in granules, powder, or paste

A

hydrocolloids

38
Q

hydrocolloid dressings may leave residue or an ____ in the wound

A

odor

39
Q

what are the effects of using a hydrocolloid dressing

A

moist wound environment
autolytic debridement
waterproof
protect from microbial contamination

40
Q

does a sheet alginate dressing require a secondary dressing

A

yes

41
Q

what are the indications of using hydrocolloids

A
superficial leg ulcers
burns
donor sites
pressure ulcers
over sutures
42
Q

what are the indications for stopping hydrocolloid dressings

A

surface or hyper granulation

43
Q

would you use a hydrocolloid dressing on an infected wound

A

no

44
Q

which type of dressing is highly absorbent and has calcium and/or sodium salt

A

alginates

45
Q

alginate dressings form a ____ yet keep their basic structure

A

gel

46
Q

what are the effects of alginate dressings

A
moist wound environment
highly absorbent
conforms to body
protects microbial contamination
provide hemostasis
47
Q

what are the indications for using an alginate dressing

A

lots of exudate
leg ulcers
cavities
pressure wounds

48
Q

can you use a alginate dressing on an infected wound

A

yes

49
Q

what are the indications for stopping alginate dressing

A

insufficient exudate

50
Q

does a rope alginate require a secondary dressing

A

yes

51
Q

what type of dressings are similar to hydrocolloids but are not gel forming and swell as they absorb exudate

A

hydroactive

52
Q

what are the effects of the hydroactive dressings

A
high absorption
waterproof surface
autolysis
no residue
semipermeable to moisture vapor
53
Q

what are the indications of using hydroactive dressings

A
exuding wounds
leg ulcers
pressure wounds
minor burns
wounds over joints
54
Q

do you use hydroactive dressings over an infected wound

A

no

55
Q

what are indications to stop using hydroactive dressings

A

not enough exudate (light exudate

56
Q

where does a matrix dressing come from

A

a porcupines small intestine

57
Q

when should you use a collagen dressing

A

when you need to promote fibroblasts

58
Q

when should you use hypertonic saline

A

to manage hypergranulation

59
Q

when should you use proteolytic enzymes

A

when you use enzymatic debridement

60
Q

what are two topical antimicrobials used with dressings

A

silver and iodine

61
Q

when are silver topical antimicrobial dressings used

A

for reduction of bioburden or burns and to reduce risk of infection

62
Q

is silver dressings long term or short term

A

short term

63
Q

when are iodine topical antimicrobials dressings used

A

to fight against bacteria, mycobacteria, fungi, protozo and viruses
also is usually used as a skin prep

64
Q

What type of acute wounds can be treated with an antibiotic

A

traumatic wounds and major burns

65
Q

infected wounds need a (local/systemic) antibiotic

A

systemic

66
Q

Topical antibiotics (are/are not) generally recommended for infected chronic wounds, but the exception is for surface anaerobic contamination

A

are not

67
Q

List all of the dressings from most absorbent to least absorbent

A
alginate
foam
gauze
hydrocolloid
hydrogel
film