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Selected Topics > Wound care pt.2 > Flashcards

Wound care pt.2 Flashcards

1
Q

Uses:
- Waterproofing and protection
- Surface wounds w/ no to LOW drainage
- Stage 1 and 2 pressure ulcers
- IV sites and catheters
- Hold dressings in place
- promotes autolysis

A

transparent film

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2
Q

Uses:
- Non-adherent protection between dressing and wound bed
- Protect fragile tissue
- Minimize pain during dressing changes
- Prevent maceration
- Protect bone, tenson and muscle under NPWT

A

contact layer

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3
Q
  • Partial and full thickness wounds
  • Granulating wounds
  • Abrasions
  • Wounds with eschar
  • Promote autolytic debridement by providing hydration
  • promotes growth of granulating tissue and epithelialization
A

hydrogels

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4
Q

What dressing can evaporate if it is exposed to air?

A

hydrogels

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5
Q

(true/false) you can use a contact layer on a dehydrate wound or wound with eschar

A

false

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6
Q

Uses:
- Protect intact skin or newly healed wounds
- Non-infected wounds with scant to minimal drainage
- Partial and full thickness wounds
- Promotes autolytic debridement
- promotes moist wound healing

A

hydrocolloids

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7
Q

(true/false) hydrocolloids can be used with necrotic and granulation tissue.

A

true

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8
Q

What are cons of hydrocolloids?

A
  • Can cause maceration
  • Shearing, friction or exudate may cause dislodging of dressing
  • Odor while removing
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9
Q

Uses:
- Infected and non-infected wounds
- Wounds with minimal amount of drainage
- Collagen formation
- Growth of granulation
- Maintaining moist wound environment
- assists with collagen formation and organization/growth of granulation tissue

becomes part of the wound

A

collagen

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10
Q

(true/false) you can use collagen on necrotic wounds

A

false

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11
Q

Collagen must be used on wounds with < ___% necrotic tissue

A

< 10%

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12
Q

Collagens are usually derived from what?

A

cow hides

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13
Q

Calcium aginates are derived from what?

A

brown seaweed

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14
Q

Uses:
- PRIMARY dressing for partial and full thickness wounds
- Moist wounds
- Moderate to heavy draining wounds
- Infected and non-infected wounds
- Wounds with tunneling/undermining
- promotes moist wound environment
- can contain up to 20x its absorption

A

calcium aginates

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15
Q

(true/false) you need to moisten the area before applying calcium alginate

A

FALSE

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16
Q

What is a con of calcium alginate?

A

Can cause trauma to healthy tissue in wounds that are not moist enough

17
Q
  • PRIMARY dressing for partial and full thickness wounds
  • Moist wounds
  • Moderate to heavy draining wounds
  • Infected and non-infected wounds
  • Wounds with tunneling/undermining
  • fill dead space
A

calcium alginates

18
Q

What dressings become gel when coming in contact with exudate?

A

calcium alginates
gelling fiber dressing
super absorbent polymer dressings

19
Q

Uses:
- PRIMARY dressing on partial and full thickness wounds
- Can be moistened and used in dry wounds
- Infected and non-infected wounds
- Wounds with tunneling/undermining
- takes up dead space

A

gelling fiber dressings

20
Q

Uses:
- Primary or secondary dressing
- Partial or full thickness wounds
- Moderate to heavy draining wounds
- Bacterial barrier

A

foam

21
Q

(true/false) foam adheres to the wound.

A

false

22
Q

Uses:
- Keeps harmful wound fluid away from wound bed and periwound
- Prevents maceration
- Primary or secondary dressing

A

super absorbent polymer dressing

23
Q

definition: Stimulates growth factor and fibroblast activity (wound bed application w/ hydrogel)

  • Accelerates wound contraction
  • Improves nutrient and O2 delivery
  • Decreases edema
  • Periwound application Creates thermal effect for vasodilation and circulation
A

ultrasound

24
Q

What are contraindications for ultrasound?

A
  • Acute infection
  • Osteomyelitis
  • Active heavy bleeding
  • Severe arterial insufficiency
  • Acute DVT
  • Necrotic wound bed
25
Q
  • Vasodilation / increase circulation
  • Increase reabsorption of exudate
  • Increases granulation formation
  • Stimulates wound contracture, closing, and healing
A

pulsed short wave diathermy

26
Q

What are contraindications of pulsed short wave diathermy?

A
  • Demand pacemakers
  • Malignancy
  • Metal
  • Active heavy bleeding
  • Severe arterial insufficiency
  • Infection
  • Fever
  • Pregnancy/over a pregnant uterus
27
Q

What are contraindications for NPWT?

A
  • > 20% necrosis
  • Untreated osteomyelitis
  • Malignancy
  • Fistulas
  • Exposed blood vessels
  • Exposed organs
28
Q

Suction causes:
- mechanical stress
- evacuating wound drainage
- granulation tissue stimulation
- decrease bacteria
- maintain moist wound environment

A

NPWT

29
Q

What are indications for autolytic debridement?

A
  • any wound with minimal to moderate necrotic tissue
  • non-infected wounds/dry gangrene
30
Q

What are the indications for biological debridement?

A
  • > 70% necrotic tissue
  • Chronic wounds/non-healing
  • Infection
  • Patient unable to tolerate surgical debridement
31
Q

What are contraindications for biological debridement?

A
  • Fear of Maggots
  • Granulating wounds
  • Osteomyelitis
  • Deep
  • Tunneling/undermining
  • Bleeding abnormalities
  • Rapid progression of infection
32
Q

What are indications for selective mechanical debridement?

A
  • Locally infected wounds
  • Wound w/ decreased circulation
  • Necrotic tissue
33
Q

What are contraindications of selective mechanical debridement?

A
  • Untreated cellulitis
  • Metal
  • Pacemaker in field
  • Uncontrolled pain

Selected Topics (8 decks)

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