Topical Wound management Flashcards
Transparent film: Protection
Description: adhesive
Indication: partial thickness, autolysis,
Composite: Protection
Description: Bacterial barrier, absorbant layer w. adhesive
Indication: min to mod exudate, infected wound
Advantage: easy, change 3x/week
Wound filler: Absorbant
Description: Absorbant powder, paste, bead, pad
Indication: shallow wound, min exudate
Foams: Absorbant
Description: Hydrophillic, comfortable
Indication: min - heavy exudate, infected, NOT for dry wound
Advantage: comfortable, nonadhesive, can be used under compression
Hydrocolloid: Absorbant
Description: Adhesive, moderate absorption, thin
Indication: min - moderate exudate, granular/necrotic wound, NOT for tunnels
Advantage: Adhesive, absorptive, comfortable
Alginate: Absorbant
Description: loose or compressed seaweed, pad, rope
Indication: mod - heavy exudate, infection, slough or granular, NOT for dry or w/ hydrogel
Advantages: Highly absorbant, autolytic debridement
Hydrofiber: Absorbant
Description: Non-woven fibers that gel
Indication: Similar to alginates (mod - heavy exudate, infected, slough or granular, NOT in dry wounds)
Advantages: Absorb 33% more than alginates
Hydropolymers: Absorbant
Description: Looks like foam w/ adhesive border
Indication & advantages: similar to foam
Contact layers: Protection
Description: Non-adherent, woven net, covers wound base, exudate passes to 2nd dressing
Indication: Full thickness (donor sites), granular wound w/ exudate, NOT for dry wound or viscous
Advantage: Deliver antimicrobial, protect wound base during dressing change
Hydrogel: Hydration
Description: Sheet, amorphous & impregnated gauze
Indication: Dry - min exudate, eschar, slough, infection
Advantage: Donate moisture to dry wound, > autolytic debridement, maintains moisture
Impregnated gauze: Antimicrobial
Description: woven sponge, pad, wraps impregnated w/ antimicrobial
Indication: Highly colonized/infected
