NWPT Flashcards
What does NPWT stand for?
Negative pressure wound thearpy
How does NPWT work
-Removes excess interstitial fluid
-Decreases edema
-Increases localized blood flow
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Contraindications for NPWT
- Exposed vital organs
- Inadequate debridment
- Untreated osteomylitits or sepsis
- Untreated coagulopathy
- Necrotic tissue with eschar
- Malignancy
What is NWPT
The application of vacuum to a wound through suction to draw edges together, while providing a moist environment to promote healing
Maximum Biological effect is?
-80mmHg
What rate provides improve granulation tissue and micro vascular improvement
-125mmhg
What happens to the wound with NPWT
Removes exudate
Contracts the wound bed
Prepares a wound for closure
Helps form granulation tissue
How is the NPWT applied
With sterile technique
What type of wounds would benefit from NPWT
Dehisced wound Diabetic foot ulcer Vascular ulcer Burn wounds Surgical Wounds
What are some Advantages to NPWT
Improves patient comfort Reduces frequency of dressing changes Reduce infection risk Reduce treatment cost Rapid wound granulation and Epithelization
What are some things you should be aware of when caring for a patient with NPWT
Use caution when turning or positioning the patient
Report and document any changes in the dressing
Report and document any change in the patient temp and comfort
What is a key thing to remember when dealing with NPWT
Keep in mind, once negative pressure wound therapy is initiated, it must be maintained, and the wound must stay sealed to avoid wound desiccation
What are some unexpected outcomes of NPWT
Wound appears tender and swollen
Increase in drainage
Foul odor is present
What are some nursing interventions/medical interventions you can for unexpected outcomes
Obtain wound culture notify Dr. Pain assessment Consult with wound therapy nurse ?Change pressure setting, move from intermittent to continuous suction
