wound care and oxygen Flashcards
after test 3
CCOAL
color
consistency
odor
amount
location
most surgical wounds cleansed with
non-cytotoxic solution
non-cytotoxic solutions
sodium chloride (NS)
chlorhexidine gluconate
types of chlorhexodine gluconate
hibiclens
chloraprep (CHG and rubbing alcohol)
*stay on the skin and KEEP providing protection
cytotoxic cleaning solutions
povidone-iodine (betadine)
hydrogen peroxide
dakins solution
dakins solution
sodium hypochlorite
know ordered concentration %
what to use for wound packing
iodoform strips
primary dressings
used alone
secondary dressings
used with another dressing on top
draining wound dressing
absorbent
dry wound dressing
moisture
infected wound dressing
antimicrobial
necrotic wound dressing
debridement
nonadherant gauze
telfa
ABD pad
army battle dressing
Kerlix
rolled gauze
tegaderm
transparent drsg, retain moisture but doesnt stick to moist skin and is non absorbent
hydrocolloid drsg
👍🏻: absorbent, occlusive, barrier
👎: cannot handle intense drainage
hydrogel drsg
👍🏻: increase moisture and reduce pain
👎: non-absorbent, req. second drsg, could cause maceration
foam drsg
poymem or mepilex
alginate drsg
- from brown seaweed
- creates gel when in contact w wound moisture
- antimicrobial
👍🏻: stops bleeding and keeps wound moist
👎: cant do heavy drain wounds
manuka honey drsg
87% sugar
👍🏻: good for infected wounds, autolytic debridement, increase moisture
👎: can sting, allergies
cloth silk tape
- STRONGEST
- most damaging to skin
- good for peds
transparent tape
- waterproof
paper tape
- good for elderly
medfix tape
- medipore
- hypafix
- perforated
- good for ortho drsg changes (hips, knees)
foam tape
seals off sanitizing devises
cushioning
montgomery tips
strings to untie that prevent skin trauma from repeated tape change
CLABSI
central line associated bloodstream infection
oxygen therapy purpuse
relieve tissue hypoxia
decrease cardiopulmonary workload
O2 toxicity
blindness if on 100% oxygen for greater than 24hrs
green flowmeter
oxygen
yellow flowmeter
air
keep o2 how far from open flames
10 ft
high flow NC
60LPM
requires oxygen blender
fast five for respiratory distress
- stay w pt
- have pt sit up and lean forward
- encourage deep breaths
- call for help
- check O2 sat and apply O2 if less than 93%
tracheostomy
artificial airway inserted into trachea
tracheotomy
surgical opening of trachea