wound care dressing Flashcards
1
Q
advantages/disadvantages of alginates
A
- advantages
- highly absorbent
- easy to use
- slows bleeding
- layered for more absorption
- used for more packing
- disadvantages
- none listed
2
Q
contraindications/indications for alginates
A
- contraindications
- dry eschar
- third-degree and full-thickness burns
- heavy bleeding
- minimal exudate or dry wounds
- indications
- moderate to heavy drainage
- infections
- slough or granulation
- partial- and full-thickness wounds with moderate to heavy exudates
- bleeding wounds
3
Q
advantages/disadvantages for antimicrobials
A
- advantages
- controls bacteria
- reduces or prevents infection
- disadvantages
- none listed
4
Q
contraindications/indications for antimicrobials
A
- contraindications
- known sensitivity
- silver can cause staining in wound/skin
- indications
- infected wounds
- wounds at risk for infection
5
Q
advantages/disadvantages for collagen
A
- advantages
- encourages deposition and organization of newly formed colalgen fibers and granulation tissue
- absorbant
- non-adherent
- conforms well to wounds
- helps maintain moisture
- disadvantages
- requires secondary dressing
6
Q
advantages/disadvantages of composites
A
- advantages
- includes non-adherent contact layer, middle absorptive layer, outer bacterial barrier
- disadvantages
- none listed
7
Q
advantages/disadvantages of contact layer
A
- advantages
- protects
- disadvantages
- none lsited
8
Q
advantages/disadvantages of enzymatic topical
A
- advantages
- breaks down proteins
- slow results
- disadvantages
- sensitivity to ingredients
- cannot be used with silver-based products
- expensive
9
Q
advantages/disadvantages of foam
A
- advantages
- absorbs moisture
- helps with maintaining moisture through insulation
- can be impregnated or layered with other materials
- non-adhesive (may be available with adhesive borders)
- can be used as a filler
- can help reduce granulation tissue
- can be used under compression
- disadvantages
- expensive for daily dressing changes
10
Q
advantages/disadvantages of gauze
A
- advantages
- highly permeable, non-occlusive
- inexpensive
- disadvantages
- none listed
11
Q
advantages/disadvantages of honey
A
- advantages
- hydrates wound bed
- decreases pH - helps with healing
- disadvantages
- slow results
12
Q
advantages/disadvantages of hydrocolloids
A
- advantages
- very adhesive
- also available in powders and pastes
- promotes autolytic debridement
- can be used under compression
- good for contoured areas
- can be cut to fit
- helps to maintain moisture and thermal insulation
- disadvantages
- may encourage hypertrophic granulation
- may cause maceration
- may increase risk for anaerobic infection
13
Q
advantages/disadvantages of hydrogel
A
- advantages
- cooling effect
- promotes autolytic debridement
- hydrates wound bed
- absorbs minimal fluid
- may help decrease wound pain
- non-adhesive
- good filler material
- disadvantages
- less effective bacterial barrier
- may cause maceration
- may require daily dressing change
- requires secondary dressing
14
Q
advantages and disadvantages of hydrofiber and alginate
A
- advantages
- absorbs moisture
- used for packing
- disadvantages
- none listed
15
Q
advantages and disadvantages of impregnated gauze
A
- advantages
- highly comfortable
- non-adherent
- maintains moisture
- disadvantages
- none listed
16
Q
advantages and disadvantages of silicone gel sheets
A
- advantages
- soft cover
- disadvantages
- may require secondary dressing
- may cause maceration or rash
17
Q
advantages/disadvantages of transparent films
A
- advantages
- hydrates wound bed
- sticks to dry skin but doesn’t adhere to moist surface
- highly elastic
- impermeable to liquid and bacteria, but permeable to vapor/gases
- promotes autolytic debridement
- prevents/reduces friction
- disadvantages
- may cause maceration
18
Q
advantages and disadvantages of wound fillers
A
- advantages
- available in many forms
- often include a time-release antimicrobial
- helps maintain a moist environment and manage exudate
- disadvantages
- requires secondary dressing
19
Q
(contra)indications of collagen
A
- contraindications
- wounds with heavy eschar
- third degree burns
- sensitivity to bovine products
- indications
- chronic non-healing wounds
- partial and full thickness wounds
- granulating or necrotic wounds
- infected and non-infected wounds
- tunneling wounds
- wound with minimal to heavy exudate
20
Q
contra/indications for enzymatic topical
A
- contraindications
- not recommended for heavily infected wounds
- indications
- eschar
21
Q
contra/indications for foam
A
- contraindications
- dry wounds
- third degree or full thickness burns
- sinus tracts
- indications
- partial and full thickness wounds
- minimal to heavy exudate wounds
- softened necrotic tissue
- infected wounds
22
Q
contra/indications for gauze
A
- contraindications
- minimally draining/dry wounds
- indications
- none listed
23
Q
contra/indications for hydrocolloids
A
- contraindications
- burns or dry wounds
- wounds with heavy exudate
- tunneling wounds or sinus tracts
- infected wounds
- wounds with exposed tendon or bone
- wounds with fragile periwound skin
- indications
- partial and full thickness wounds with or without necrotic tissue
- skin tears
- lacerations
- dry, necrotic wounds
- minimal exudate
- clean granulating wounds
24
Q
contra/indications for hydrogel
A
- contraindications
- moderate to heavy exudate
- full thickness burns
- indications
- minimally draining
- dry wounds
- eschar
- partial and full thickness wounds that are dry or moist
- granulating wounds
- wounds with necrosis
- minor burns, skin tears, donor sites
- infected wounds
25
contra/indications for impregnated gauze
* **contraindications**
* heavy exudate
* indicates may vary depending on dressing
* **indications**
* painful wounds
* burns
* dry wounds
* minimal drainage
* alginates
26
contra/indications silicone gel sheets
* **contraindications**
* silicone allergy/sensitivity
* unhealed, open wounds
* **indications**
* prevention or improvement of appearance of old and new hypertrophic and keloid scars
27
contra/indications for transparent/films
* **contraindications**
* wounds with moderate to heavy exudate
* not ideal for infected wounds
* full thickness burns
* **indications**
* wounds with little/no exudate
* wounds with necrosis
* cover donor sites, lacerations, abrasions
* protect intact blisters
* partial thickness
28
contra/indications for wound fillers
* **contraindications**
* dry wounds
* **indications**
* partial and full thickness wounds
* infected wounds
* draining wounds
* deep wounds
29
cloth tapes
* soft surgical cloth
* no latex, hypoallergenic
* porous
* good for areas that stretch
* good for wear and tear, repeated re-dressing
30
silicone tape
* can be removed and re-applied with less pain or skin irritation
* breathable
* allergy concern with silicone
31
foam tape
* cushions
* flexes and stretches
* waterproof
* good for moisture control
32
silk tape
* most economical option
* high strength - careful on delicate skin
* high adhesive
* hypoallergenic
* great for bulky dressings and tubing
* breathable, conforming
* bi-directional tearing
33
paper tape
* good for repeated applications on sensitive skin and elderly patients
* allows for moisture evaporation
* breathable
* minimal adhesive residue left behind
34
clear plastic surgical tape
* latex-free
* hypoallergenic
* transparent
* perforated
* strong adhesive
* bi-directional tearing
* water resistant
35
labelling dressings
* date
* time
* initials - whoever put dressing in place
* number of pieces in wound (if applicable)
* info like removal direction (if applicable)
* limit time open to air between dressings
36
negative pressure wound therapy - wound vac
* promotes granulation tissue
* for large wounds - for pretty clean wounds
* special foam - can have silver, white foam good for extensions
37
PPE and other equipment
in the order of putting on:
1. gowns
2. mask - if any chance of splash/spray
3. goggles or face shield - if any chance of splash/spray
4. gloves - always
maybe headlamp or other light (don before gloves if used)
38
clean technique
* reduces overall number of microorganisms - prevent or reduce risk of microorganism transmission
* handwashing
* maintain clean field
* clean gloves, dressing
* sterile instruments
* prevention of direction contamination of materials and supplies
| research inconclusive on which technique is better
39
sterile technique
* reduces and maintains objects and areas as free from microorganisms as possible
* handwashing
* use of sterile field
* sterile gloves, dressings, and instruments
* avoid sterile materials touching any nonsterile surface/product
40
disposal of medical waste
* **sharps**
* needles/syringes
* scalpels, curettes
* pieces of bone, stables
* anything with a sharp edge/point
* **trash**
* contains blood or other biological waste - red bio bag
* no blood/bio - regular trash
41
patient-dedicated equipment
* tape, sprays, creams, and other wound care products
* open dressing containers must be resealed - some cannot be saved/reused
* store in clean area of room (acute care) - other areas may have assigned bins for each patient
