Wound Dressings Flashcards
What is the Primary Dressing?
Dressing that is in direct contact with the wound
What is the secondary dressing?
Placed over the primary dressing, secures the primary dressing.
- for absorption or occlusion
What are Transparent Films?
Clear, adhesive semipermeable membrane dressings.
What are Transparent Films permeable to?
Permeable:
- Oxygen, moisture vapor
Impermeable:
- Water
- Bacteria
- Environmental contaminants
Indications of Transparent Films?
- Stage 1 and 2 pressure ulcers
- Secondary dressing
- Promoting autolytic debridement
Advantages of using Transparent Films?
- Allows visual inspection
- Promotes autolytic debridement
- Minimize friction
Disadvantages of using Transparent Films?
- Non Absorptive
- not great for infected wounds
- Wounds with fragile surrounding skin
Considerations when using Transparent Films?
- Allow 1-2 inch margin around bed
- Avoid in wounds with infection, copious drainage, or tracts
What are hydrocolloids?
Gel-forming hydrophilic polymers on a semi occlusive film.
- absorbs exudate slowly and swell to a gel-like mass, helps maintain and ideal moist environment
Indications for use of Hydrocolloids?
- Protection of Partial Thickness wounds
- Autolytic Debridement
- Mild Exudate
What are Hydrogels?
Water or glycerine based gels.
- Available in solid sheets, gels, or impregnated gauze
Indications for Hydrogels?
- Partial and full thickness wounds
- Presence of necrosis and slough
Advantages to using Hydrogels?
- rehydrates dry wound beds
- promotes autolytic debridement
- can be used when infection is present
Disadvantages to Hydrocolloids?
Not recommended for:
- wounds with heavy exudate
- Fragile surrounding skin
- wounds with infections/tracts
- exposed bones/tendons
Disadvantages to Hydrogels?
- May require secondary dressing
- not used for wounds with heavy exudate
- may macerate surrounding skin