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Integ Midterm > Integument Dressings Study Guide > Flashcards

Integument Dressings Study Guide Flashcards

1
Q

Moderately- Highly Absorbent

A

Gauze (aka 4x4s)
Alginates
Hydrofiber
Foams
Wound fillers

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2
Q

Low-No Absorbency

A

Hydrocolloids
Transparent Films
Impregnated Gauze

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3
Q

Hydrating

A

Hydrogel

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4
Q

Misc.

A

Composites
Contact Layers (pain)
Negative pressure wound therapy

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5
Q

Antimicrobial

A

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

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6
Q

Enzymatic Debriders

A

Collagenase Santyl, Accuzyme, Panafil

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7
Q

Wound Stimulating

A

Collagens, Growth Factors, Biologicals, Hypertonic, Saline

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8
Q

Primary dressings :

A

directly in contact with wound; maintains wound moisture

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9
Q

Secondary dressings:

A

on top of primary dressing for retention; augments primary dressing’s function

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10
Q

Types of Tape Securement:

A

Paper= gentle to skin, comfortable, porous and highly breathable; holds well on damp skin

Soft cloth = soft and stretchy, comfortable, polyester fabric

Foam = comfortable, stretches for compression, secure adhesion for contoured sites

Transparent plastic = easy to tear, sticks well to self

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11
Q

Gauze
Alginates
Hydrofiber
Permeability:

A

Non-occlusive
*This permeability is good for primary dressings

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12
Q

Foams
Wound fillers
Permeability:

A

Semi-occlusive/
semi-permeable
(some are occlusive)

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13
Q

Gauze Special Characteristics:

A

Can be woven or non-woven
→ Non-woven = better absorbency Wrapping gauze

primary = absorbency
secondary = bulk cushioning

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14
Q

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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15
Q

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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16
Q

Alginates Special Characteristics:

A

Highly absorbent, conforms to body shape, doesn’t adhere to wound bed, hemostatic

Will need a secondary dressing

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17
Q

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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18
Q

Alginates Poor for:

A

Clean granulating and epithelializing wounds

Exposed bone, tendons, mesh, grafts

Third degree burns

Minimal exudate/dry wound

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19
Q

Hydrofiber Special Characteristics:

A

Same as alginates except it is NOT a hemostat

Will need a secondary dressing

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20
Q

Hydrofiber 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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21
Q

Hydrofiber Poor for:

A

Clean granulating and epithelializing wounds

Exposed bone, tendons, mesh, grafts

Third degree burns

Minimal exudate/dry wound

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22
Q

Foams Special Characteristics:

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

23
Q

Foams 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

24
Q

Foams Poor for:

A

Infected wounds

Highly draining wounds

Dry eschar

25
Q

Hydrocolloids Permeability:

A

Occlusive
*primary= shallow minimally draining wound

secondary= deep cavity wound

26
Q

Hydrocolloids Special Characteristics:

A

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

27
Q

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

28
Q

Hydrocolloids Poor for:

A

Infected wounds

Highly draining wounds as a primary

Thin fragile skin

Third degree burns

Exposed tendon/bone

29
Q

Transparent Films Permeability:

A

Semi-occlusive/
semi-permeable

30
Q

Transparent Films Special Characteristics:

A

Provides no absorbency; moisture vapor and O2 permeable

31
Q

Transparent Films Used for:

A

Maintains wound moisture

Aids in autolytic debridement

May function as a secondary dressing

32
Q

Transparent Films Poor for:

A

Infected wounds

Highly draining wounds

33
Q

Impregnated Gauze Permeability:

A

Semi-occlusive/
semi-permeable

34
Q

Impregnated Gauze Special Characteristics:

A

Primarily used as a contact layer

35
Q

Impregnated Gauze Used 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

36
Q

Impregnated Gauze Poor for:

A

Infected wounds

Highly draining wounds

37
Q

Hydrogel Permeability:

A

Semi-occlusive/
semi-permeable

38
Q

Hydrogel Special Characteristics:

A

Conforms to body shape; does not adhere to wound bed

39
Q

Hydrogel Used for:

A

Provides moisture to wound

Promotes granulation/epithelialization

Aids in autolytic debridement

Relieves pain

40
Q

Hydrogel Poor for:

A

Infected wounds

Highly draining wounds

Third degree burns

41
Q

Composites Used for:

A

Primary or secondary cover dressing

Provides autolytic debridement

Manages minimal to heavy exudates

42
Q

Contact Layers (pain) Permeability:

A

Semi-occlusive/
semi-permeable

43
Q

Contact Layers (pain) Special Characteristics:

A

Thin, non adherent dressings; porous to allow wound exudate to pass through

Requires secondary dressing

44
Q

Contact Layers (pain) Used for:

A

Primary dressing to protect wound bed from overlying secondary dressings

Allows wound exudate to pass through up to secondary dressings

45
Q

Contact Layers (pain) Poor for:

A

Shallow, dehydrated, or eschar
covered wounds or thick exudate

46
Q

Negative pressure wound therapy Special Characteristics:

A

Uses V.A.C. therapy to draw excess fluid from wound

47
Q

Negative pressure wound therapy Used for:

A

Non invasive treatment that aids and improves wound healing

Reduces wound healing time by stimulating more rapid cellular replication

48
Q

Negative pressure wound therapy Poor for:

A

Malignancy, ischemic wounds,
osteomyelitis, direct placement over arteries, veins, nerves, organs

49
Q

Antimicrobial: Silver-based, Iodine-based, Honey-based, Topical antibacterials Used for:

A

Against different bacteria

50
Q

Enzymatic Debriders: Collagenase Santyl, Accuzyme, Panafil Used for:

A

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

51
Q

Enzymatic Debriders: Collagenase Santyl, Accuzyme, Panafil Poor for:

A

Third degree burns

Sensitivity to specific debridger material

52
Q

Wound Stimulating: Collagens, Growth Factors, Biologicals, Hypertonic, Saline Special Characteristics:

A

They require a secondary dressing

53
Q

Wound Stimulating: Collagens, Growth Factors, Biologicals, Hypertonic, Saline Used for:

A

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

54
Q

Wound Stimulating: Collagens, Growth Factors, Biologicals, Hypertonic, Saline Poor for:

A

Not good for 3rd-degree burns

Integ Midterm (9 decks)

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