Irrigation Flashcards
Irrigation
use of fluid to remove loosely adherent cellular debris, surface bacteria, wound exudate, dressing, residue, and residual topical agents
Facilitate debridement
Maintain moist wound environment
Enhance wound healing
indications for irrigation
All types of wounds, but a few exceptions
Perfect treatment for healing a granular wound
Contraindications for irrigation
do not immerse or soak
Recent skin graphs
Recent surgical incision sites
Diabetic feet
Active profuse, bleeding wounds
dry gangrene
irrigation solutions
Normal saline
Sterile water
Tapwater
wound Cleansers
antiseptics
acetic acid
dakin Solution
chloramine-T
hydrogen peroxide
Povidone iodine
Chlorhexidine gluconate
choramine-T
Heavily colonized or infected wounds
hydrogen peroxide
Cleanse around pin sites and sutures
povidone iodine
Surgical scrub very short term, acute
aka- betadine
chlorhexidine gluconate
Intact skin surgical scrub
acetic acid
vinegar
standard of care for treating wounds
psuedomonas
dakins solution
bleach
Diluted to 0.125%
shortterm use
safe effective PSI
4-15
Low pressure capsules
PSI 4 to 8 max 10
low pressure lavage
irrigation without suction
jetox-
4-12 psi
uses a wall oxygen unit for pressure
Jetstream tip
positives for whirlpool
Cleanses
Agitation
Additives
Temperature range
Treatment for large areas
Exercise
negatives for whirlpool
risk for infection
Risk of tissue injury
Additives
Expense
Contraindications for whirlpool
clean and granulating wounds
edematous, draining macerated ulcers
Active bleeding
Venus insufficiency
Multi ones same area
Uncontrolled seizures
Bowel and bladder issues
pulsed lavage with suction
irrigation with suction
Pulsed jets of irrigation with suction
Creates a negative pressure
positives for PLWS
cleaning
Known PSI
Sterile no additives
Temperature range
Site specific
Portable
Disposable
Few contra indications
negatives for PLWS
expense
Aerosolization risk
Confined space
Cover horizontal surfaces
PLWS contraindications
exposed tissues
body cavities
Facial wounds
Recent graphs or surgical procedures
Actively bleeding
positives for ultrasonic mist
Bactericidal
Cleanses the wound
Stimulates tissue healing
Less aerosilzation risk
known PSI
Sterile no additives
site Specific
Portable
negatives for ultrasonic mist
Expense
