Wound Care ATI (Wound Dressings & Wound Drains Summary)

Question 1

These generally work well for wounds with small amounts of exudate, but they can stick to the wound bed of heavily exudate wounds or expose the wound to the outside environment =

Answer 1

Dry Dressings

Question 2

What should you do for dressing that is stuck to a wound bed?

Answer 2

Pour some 0.9% sodium chloride over the area to moisten the dressing for easier removal

Question 3

These are used for pt’s who are prone to skin breakdown from pressure, friction, or moisture, including incontinence and wound drainage =

Answer 3

Barrier Creams

Question 4

Never use a wet-to-dry wound dressing for-

Answer 4

Clean wounds with granulation

Question 5

What are Wet-To-Dry wound dressings used for?

Answer 5

To remove exudate from wounds (Debridement), though they are much less used now because there are better options (These are painful when removed)

Question 6

What are Chemical-Impregnated Wound Dressings?

Answer 6

Goofy name aside, these are impregnated with chemicals or agents to speed up the healing process

Question 7

These are absorbent and provide a moist healing environment while protecting wounds. These are also beneficial for bony prominences because of the padding that these offer =

Answer 7

Foam Dressings

Question 8

These promote Hemostasis and are helpful for treating wounds with large amounts of exudate and can be used as packing for deeper wounds =

Answer 8

Alginate Dressings

Question 9

These are like Alginate Dressings but they don’t mess with Hemostasis. These are used for wounds with necrosis, infection, and a need for a moist healing environment =

Answer 9

Hydrogel Dressings

Question 10

These provide a moist healing environment, help soften necrotic tissue to speed up debridement. These are helpful for deep wound with exudate and are less helpful for dry wounds =

Answer 10

Wound Fillers

Question 11

This wound dressing provides no absorption but creates a barrier to the environment. These allow for oxygen exchange and a moist environment to promote healing and Autolytic Debridement. Commonly used for necrotic tissue or for superficial tears =

Answer 11

Transparent Film Dressings

Question 12

These are used for Autolytic Debridement. They have absorptive capabilities while still maintaining a moist environment. Not helpful for infected wounds, helpful for wounds vulnerable to infection. Difficult to assess without removal =

Answer 12

Hydrocolloid Dressings

Question 13

Penrose Drains are used as-

Answer 13

Open Drainage Systems

Question 14

What are the drawbacks of open drainage systems?

Answer 14

Difficult to assess the amount of drainage + Difficult to control the transmission of microbes from both the outside environment and the wound itself

Question 15

These use compression and suction to remove drainage and collect it in a reservoir =

Answer 15

Closed Drainage Systems

Question 16

An absorbent dressing is applied to an area to collect drainage, protect surrounding skin, and prevent wound contamination. This is an example of-

Answer 16

Open Drainage Systems

Question 17

The self-contained drainage system is a-

Answer 17

Closed Drainage System

Question 18

Closed drainage systems are helpful because-

Answer 18

They reduce the risk of infection + Allow a more accurate documentation of drainage

Question 19

What’s a Portable Wound Suction Device?

Answer 19

A closed drainage system

Question 20

What’s the difference between the Self-Contained Drainage System and the Portable Wound Suction Device?

Answer 20

Self-Contained Drainage System = Has a small bulb on the end of a plastic tube that allows for the removal of drainage.

Portable Wound Suction Device = Has a pouring spout for emptying the collection reservoir.