Test 7 Surgical Dressings

Question 1

What are the Functions of surgical dressings?

Answer 1

-protect incision from contamination
-absorb drainage and secretions
-provide aesthetic appeal
-support incision
-provide pressure to eliminate dead space, prevent edema & hematoma formation
-assist in hemostasis
-moisture control
-preserve new epithelial tissue

Question 2

What are one-layer dressings and examples?

Answer 2

-usually on closed wounds with no drainage
-transparent with adhesive backing (op-site, dermabond, bio-occlusive)
-collodion (from when a kid)
-aerosol spray
-foams
-gels
skin prep agents (betadine, mastisol)

Question 3

Describe three-layer dressings.

Answer 3

“pressure dressing”
can cover closed or open wounds with drainage expected

Question 4

What are the 3 layers of a pressure dressing called?

Answer 4

contact layer
intermediate layer
outer layer

Question 5

What are the three types of contact layers?

Answer 5

occlusive
semi-occlusive
non-occlusive

Question 6

Describe the occlusive layer.

Answer 6

-non-permeable
airtight and watertight seal
gauze impregnated with ointment or emulsion
ex. Vaseline gauze, xeroform, providone-iodine gauze

Question 7

Describe the semi-occlusive layer.

Answer 7

semi-permeable
hydro active layer
used in wound debridement
foams/gels
ex hydrocolloid, hydrogel

Question 8

Describe the non-occlusive layer.

Answer 8

permeable
non-adherent material
allows passage of air and fluid
ex. Telfa, Adaptic

Question 9

Describe the Intermediate layer.

Answer 9

second layer (absorbent)
gauze sponges and combine pads
thicknesses vary
ex. gauze (Kerlix, 2x2, toppers) and ABD pad

Question 10

Describe the outer layer.

Answer 10

secures and holds all in place
ex. tapes and wraps

Question 11

What are rigid dressings?

Answer 11

Casts- covered area Webril or stockinette
splints- can inspect the affected area

Question 12

What is packing material used for?

Answer 12

hemostasis
provide pressure
support a wound
eliminate dead space
Used for 2nd and 3rd intention wounds
contaminated wounds
usually skin is left open
impregnated with iodine
ex. nasal and vaginal packing

Question 13

Name some specialty dressings

Answer 13

Tube gauze-plastic surgery
Montgomery straps
bulky
pressure
Bolster/stent
drain sponge
skin grafts (biological)
wet to wet
wet to dry
wound vac

Question 14

What is a perineal pad

Answer 14

absorbs vaginal drainage

Question 15

What is an eye pad and shield?

Answer 15

protects eye, collects drainage follwing eye procedures

Question 16

What is a Ostomy pouch?

Answer 16

collects colon contents, adheres to the skin

Question 17

What does a thyroid collar, post op bra, and scrotal support dressing do?

Answer 17

provides support to traumatized area, splinting
after surgery

Question 18

What is a tracheotomy dressing?

Answer 18

gauze to protect the skin, secures trach tube
after surgery

Question 19

What are skin adhesives?

Answer 19

liquid band aids

Question 20

What are some perioperative handling directions?

Answer 20

sterile technique
apply before drapes removed
keep area clean
make sure dressing issecured