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Acute Care > Types of Dressings Pro/Con > Flashcards

Types of Dressings Pro/Con Flashcards

1
Q

how do you apply transparent film

A

remove bottom layer
place on pt’s skin
smooth from center out
remove top layer

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2
Q

how much larger should a transparent film be than the wound

A

1 inch

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3
Q

pro’s of a transparent film

A
  • less gauze
  • comfortable
  • water resistant
  • wound is visible
  • no additional dressing
  • facilitates autolytic debridement
  • retains moisture
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4
Q

con’s of transparent film

A
  • may dislodge in high friction
  • difficult to apply
  • must have a border of intact skin
  • maceration
  • minimal exudate management
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5
Q

which wounds use hydrogels

A

dry arterial ulcers/wounds

painful, non-exudate wounds

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6
Q

pro’s of hydrogels

A
  • min to mod absorption
  • facilitate autolytic debridement
  • fills in dead space
  • easy to apply and remove
  • can be used in children
  • cost efficient
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7
Q

cons of hydrogels

A
  • some require secondary dressing
  • dehydrates easily if not covered
  • can be difficult to secure
  • might cause maceration
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8
Q

pro’s of foam

A
  • provides warm, moist environment
  • works good on bony prominences
  • serves as cushion
  • barrier against bacteria
  • compression therapy
  • suitable for wounds with hypergranulation
  • prevention of hospital acquired pressure injuries
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9
Q

con’s of foam

A
  • wound may dry out
  • maceration
  • not suitable for 3 degree burns, sinus tracts or wounds with dry eschar
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10
Q

pro’s of calcium alginates

A
  • absorbs 20x body weight
  • helps regulate wound bed and blood flow
  • few individuals are allergic to alginates
  • promotes quicker and efficient healing
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11
Q

what wounds would u use calcium alginates

A

exudative wounds
deep pressure ulcers
diabetic ulcers
venous ulcers

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12
Q

cons of calcium alginates

A

should not use on dry wounds and wounds that bleed heavily

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13
Q

what are hydrocolloids best for

A

non-infected wounds with low exudate

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14
Q

pro of hydrocolloids

A

impermeable to bacteria
only adheres to surrounding skin
minimal healing disruption bc only needs change every couple days

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15
Q

cons of hydrocolloids

A
  • can dislodge if heavy exudate
  • surrounding skin may macerate
  • can curl up at edges
  • may cause hypergranulation
  • gel that forms is thick/yellow
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16
Q

pro’s of hydrofibers

A
  • very absorptive
  • maintain moist environment while encouraging autolytic debridement
  • good for deep wounds
  • dressing last up to 3 days
17
Q

cons of hydrofibers

A
  • expensive
  • can expand and overfill wound
  • requires a secondary dressing
  • can’t use on pt’s sensitive to silver
18
Q

when can you use medical grade honey

A

wounds, sores, ulcers, or partial/full thickness burns

wounds with mod to heavy exudate

19
Q

pros of medical grade honey

A
  • rapidly cleanse slough and eschar
  • promotes fast healing
  • reduces odor
  • reduces edema
  • lowers wound pH
  • beneficial for multidrug resistant bacteria
20
Q

cons for medical grade honey

A
  • batch to batch varies
  • unknown floral and bee components
  • bee pollen allergy
  • diabetic pt monitor sugar
21
Q

collagenase (Santyl) is used for what

A

burns/dermal ulcers

22
Q

pros of collagenase (Santyl)

A
  • change once a day
  • no known contraindications
  • not harmful to healthy tissues
23
Q

cons of collagenase (Santyl)

A
  • cost
  • slow
  • requires MD Rx
24
Q

pros of silver sulfadiazene (Silvadene)

A
  • help decrease risk of sepsis
  • inhibits bacterial growth
  • bactericidal against gram -/+ and yeast
25
Q

cons of silver sulfadiazene (Silvadene)

A
  • leukopenia
  • necrosis
  • screening for kidney/liver problems
  • interstitial nephritis
  • pain, burning, itching
  • sulfa allergies
26
Q

pros silver dressings

A
  • great for short term wounds and ulcers
  • reduces fq of dressing change
  • less likely to develop bacterial resistance
  • superficially infected wounds
  • comfortable and easy to use
27
Q

cons silver dressings

A
  • long term data is insufficient for healing
  • not good for deep wounds
  • silver allergies
  • MRI
28
Q

pros of skin substitutes

A
  • permanent or temporary
  • replace skin defects
  • can be used in chronic conditions
29
Q

cons for skin subtitutes

A
  • more expensive, more prep
  • complex storage
  • more associated w infxn
  • autografts –> scarring
  • increased risk for future malignancies and physiological differences during wound healing or skin aging

Acute Care (20 decks)

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