Wound Dressings Flashcards
Gauze is best for….
wounds which require packing, wounds that are draining, wounds requiring very frequent dressing changes. (infection)
________ dressings allow oxygen to penetrate through the dressing to the wound, while simultaneously allowing moisture vapor to be released. These dressings are generally composed of a polyurethane material.
BEST FOR: Partial-thickness wounds, abrasions, minor burns, stage I and stage II pressure ulcers.
Transparent Film dressings
? won’t adhere to the wound bed, and highly absorbent; cannot be used on wounds with eschar or wounds that are not draining. Not all types appropriate for infection or tunneling.
describes what type of dressing?
Foams
encourage autolytic debridement; provide insulation to the wound bed; waterproof and impermeable to bacteria, urine or stool; provide moderate absorption of exudate; contain colloidal particles that swell into a gel-like mass when they come in contact with exudate
should NOT be used on wounds that are infected!
What dressing type?
Hydrocolloids
contain salts ; woven or nonwoven; form a hydrophilic gel when they come in contact with exudate
BEST for Use on: venous ulcers, wounds with tunneling, wounds with heavy exudate.
Pros: highly absorbent; may be used on wounds that have infection present; are non-adherent; encourage autolytic debridement.
Cons: always require a secondary dressing, may cause desiccation of the wound bed, as well as drying exposed tendon, capsule or bone (should not be used in these cases).
WHAT TYPE OF DRESSING?
Alginates
Wagner grades for diabetic ulcers (0-5)
Wagner Grade 0: preulcerative lesion — may have a deformity or
cellulitis
Wagner Grade 1: Partial- or full-thickness ulcer (superficial)
Wagner Grade 2: Deep ulcer extended to ligament, tendon, joint capsule, bone, or deep fascia without abscess or osteomyelitis (OM)
Wagner Grade 3: Deep abscess, OM, or joint sepsis
Wagner Grade 4: Partial-foot gangrene
Wagner Grade 5: Whole-foot gangrene
