Wound Dressings Flashcards
1
Q
ALLOW EXCHANGE OF OXYGEN BETWEEN WOUND AND ENVIRONMENT • ARE SELF-ADHESIVE • PROTECT AGAINST CONTAMINATION, WATERPROOF • PREVENT LOSS OF WOUND FLUID • MAINTAIN A MOIST WOUND ENVIRONMENT • FACILITATE AUTOLYTIC DEBRIDEMENT • NO ABSORPTION OF DRAINAGE • ALLOW VISUALIZATION OF WOUND
A
Transparent films
2
Q
WOUNDS THAT ARE SMALL; PARTIAL THICKNESS • MAY REMAIN IN PLACE FOR 4–7 DAYS, RESULTING IN LESS INTERFERENCE WITH HEALING • STAGE 1 PRESSURE INJURIES • WOUNDS WITH MINIMAL DRAINAGE • COVER DRESSINGS FOR GELS, FOAMS, AND GAUZE • SECURE INTRAVENOUS CATHETERS, NASAL CANNULAS, CHEST TUBE DRESSING, CENTRAL VENOUS ACCESS DEVICES
A
Transparent films
3
Q
• ARE OCCLUSIVE OR SEMIOCCLUSIVE, LIMITING EXCHANGE OF OXYGEN BETWEEN WOUND AND ENVIRONMENT • INNER LAYER IS SELF-ADHERENT, GEL FORMING, AND COMPOSED OF COLLOID PARTICLES • OUTER LAYER SEALS AND PROTECTS THE WOUND FROM CONTAMINATION MINIMAL TO MODERATE ABSORPTION OF DRAINAGE • MAINTAIN A MOIST WOUND ENVIRONMENT • THERMAL INSULATION • PROVIDE CUSHIONING • FACILITATE AUTOLYTIC DEBRIDEMENT • MAY REMAIN IN PLACE FOR 3–7 DAYS, DEPENDING ON EXUDATE
A
Hydrocolloid dressings
4
Q
PARTIAL- AND FULL-THICKNESS WOUNDS • STAGE 2 AND STAGE 3 PRESSURE INJURIES • PREVENTION AT HIGH-RISK FRICTION AREAS • WOUNDS WITH LIGHT TO MODERATE DRAINAGE • WOUNDS WITH NECROSIS OR SLOUGH FIRST- AND SECOND-DEGREE BURNS • NOT FOR USE WITH WOUNDS THAT ARE INFECTED
A
Hydrocolloid dressings
5
Q
POLYMER GELS COMPRISED OF AN 80–99% WATER BASE • AVAILABLE IN MANY SIZES AND FORMS (GELS, SHEETS, GAUZE, STRIPS) • MAINTAIN A MOIST WOUND ENVIRONMENT • MINIMAL ABSORPTION OF DRAINAGE • FACILITATE AUTOLYTIC DEBRIDEMENT • THERMAL INSULATION • DO NOT ADHERE TO WOUND • LESS EFFECTIVE BARRIER THAN OCCLUSIVE DRESSINGS • REDUCE PAIN • MOST REQUIRE A SECONDARY DRESSING TO SECURE • MAY REMAIN IN PLACE FOR 24–72 HOURS, DEPENDING ON THE GEL FORM
A
Hydrogels
6
Q
PARTIAL- AND FULL-THICKNESS WOUNDS • STAGES 2–4 PRESSURE INJURIES • NECROTIC WOUNDS • FIRST- AND SECOND-DEGREE BURNS • DRY WOUNDS • WOUNDS WITH MINIMAL EXUDATE • INFECTED WOUNDS • RADIATION TISSUE DAMAGE
A
Hydrogels
7
Q
CONTAIN ALGINIC ACID FROM BROWN SEAWEED; COVERED IN CALCIUM–SODIUM SALTS • ABSORB EXUDATE • MAINTAIN A MOIST WOUND ENVIRONMENT • FACILITATE AUTOLYTIC DEBRIDEMENT • REQUIRE SECONDARY DRESSING TO SECURE
A
Alginates
8
Q
PARTIAL- AND FULL-THICKNESS WOUNDS • MAY REMAIN IN PLACE FOR 1–3 DAYS • STAGE 3 AND STAGE 4 PRESSURE INJURIES • INFECTED AND NONINFECTED WOUNDS • WOUNDS WITH MODERATE TO HEAVY EXUDATE • TUNNELING WOUNDS; UNDERMINING • MOIST RED AND YELLOW WOUNDS • NOT FOR USE WITH WOUNDS WITH MINIMAL DRAINAGE OR DRY ESCHAR
A
Alginates
9
Q
FOAM COVERED BY HYDROPHILIC POLYURETHANE OR GEL • MAINTAIN A MOIST WOUND ENVIRONMENT • DO NOT ADHERE TO WOUND • INSULATE WOUND • HIGHLY ABSORBENT • MAY REQUIRE A SECONDARY DRESSING TO SECURE
A
Foams
10
Q
PARTIAL- AND FULL-THICKNESS WOUNDS • MAY REMAIN IN PLACE 3–5 DAYS (7 DAYS FOR FOAMS WITH SILVER), DEPENDING ON EXUDATE • STAGES 2–4 PRESSURE INJURIES • SURGICAL WOUNDS • ABSORB LIGHT TO HEAVY AMOUNTS OF DRAINAGE • USE AROUND TUBES AND DRAINS • NOT FOR USE WITH WOUNDS WITH DRY ESCHAR
A
Foams
11
Q
ANTIMICROBIAL OR ANTIBACTERIAL ACTION (REDUCE AND/OR PREVENT INFECTION) • DO NOT ADHERE TO WOUND • CAN BE HIGHLY ABSORBENT • MAY REQUIRE A SECONDARY DRESSING TO SECURE • ANTIMICROBIAL ACTION MAY LAST 7 DAYS
A
Antimicrobials
12
Q
PARTIAL- AND FULL-THICKNESS WOUNDS • STAGES 2–4 PRESSURE INJURIES • BURNS • PRIMARY DRESSING OVER SKIN GRAFT(S) AND DONOR SITES • DRAINING, EXUDING, AND NONHEALING WOUNDS OF ANY KIND (PRESSURE INJURY, VENOUS/ARTERIAL, DIABETIC, SURGICAL) • ACUTE AND CHRONIC WOUNDS
A
Antimicrobials
13
Q
PROTEIN (COLLAGEN DERIVED FROM BOVINE, PORCINE, OR AVIAN SOURCES) STIMULATES CELLULAR MIGRATION AND FOSTERS NEW TISSUE DEVELOPMENT • HIGHLY ABSORBENT • MAINTAIN A MOIST WOUND ENVIRONMENT • DO NOT ADHERE TO WOUND • COMPATIBLE WITH TOPICAL AGENTS • CONFORM WELL TO THE WOUND SURFACE • REQUIRE SECONDARY DRESSING TO SECURE • MAY REMAIN IN PLACE 3–5 DAYS (7 DAYS FOR FOAMS WITH SILVER), DEPENDING ON EXUDATE
A
Collagens
14
Q
PARTIAL- OR FULL-THICKNESS WOUNDS • STAGE 3 PRESSURE INJURIES • INFECTED AND NONINFECTED WOUNDS • PRIMARY DRESSING OVER SKIN GRAFT(S) AND DONOR SITES • TUNNELING WOUNDS • MOIST RED AND YELLOW WOUNDS
A
Collagens
15
Q
PLACED IN CONTACT WITH BASE OF WOUND, PROTECTING BASE FROM TRAUMA DURING DRESSING CHANGE • ALLOW EXUDATE TO PASS TO A SECONDARY DRESSING • NOT INTENDED TO BE CHANGED WITH EVERY DRESSING CHANGE • MAY BE USED WITH TOPICAL MEDICATION, WOUND FILLER, OR GAUZE DRESSINGS
A
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