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PT 854 Integument > Wound Dressings > Flashcards

Wound Dressings Flashcards

1
Q

What is foam made from

A

hydrophilic polyurethane foam

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2
Q

What are the functions of foam?

A
  • Protect pressure from pressure ulcer

- absorbs and protects

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3
Q

What specific type of wound would you use foam for?

A

Venous leg ulcer

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4
Q

how much drainage can foam handle?

A

heavy

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5
Q

T/F foam can be used for packing deep cavity wounds?

A

TRUE

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6
Q

how often should you change foam dressings?

A

every 2-7 days

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7
Q

When would you use thin foams for?

A

skin tears, stage II ulcer or a wound that is epithelizing

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8
Q

What are Alginates made from?

A

soft non-woven fibers derived from brown seaweed

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9
Q

What are hydrofibers made from

A

non-woven pad or ribbon dressing composed of hyrocolloid fibers (sodium carboxymethylcellulose)

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10
Q

how much drainage can alginates/hydrofibers handle?

A

moderate to heavy drainage

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11
Q

T/F alginates/hydrofibers can help stop bleeding

A

Partially true… alginates stop the bleeding

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12
Q

what thickness of wounds are alginates/hydrofibers best for?

A

Partial thickness and full thickness wounds

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13
Q

T/F alginates/hydrofibers do not need cover dressings

A

FALSE you do need cover dressings

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14
Q

how often do you change alginates/hydrofibers?

A

2-3x/week

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15
Q

how do alginates/hydrofibers work?

A

Absorb drainage and convert to a hydrophilic gel

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16
Q

can you presoak alginates/hydrofibers? and how does it work

A

yes, can soak to bring moisture into the wound soak the dry wound as the body absorbs the dressing starts to dry back up and moisturize the tissue

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17
Q

What is Hydrocolloid dressing?

A

Occlusive adhesive dressing

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18
Q

How does Hydrocolloid dressing work?

A

Form a gel like covering to protect the wound

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19
Q

how much drainage can Hydrocolloids handle?

A

light to moderate drainage

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20
Q

how often do you change Hydrocolloid dressings?

A

3-5 days

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21
Q

T/F Hydrocolloid’s have an odor when it is removed

A

TRUE, have to clean the wound before assessing it for odor

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22
Q

T/F hydrocolloids can work as friction protection

A

TRUE

23
Q

What is the mechanism of hydrogels?

A

preloaded with moisture to maintain moist wound environment

24
Q

how much drainage can hydrogels handle?

A

minimal drainage

25
Q

What type of wounds can you use hydrogels with?

A
  • Re-epithelizing partial thickness wound

- Abrasions, minor burns and other minor wound

26
Q

T/F hydrogels need cover dressings

A

TRUE

27
Q

how much drainage can transparent films handle?

A

minimal drainage

28
Q

What is the function of transparent films

A

maintain moist wound environment

29
Q

what depth of wounds should you use transparent films for?

A

superficial wounds

30
Q

What is another function of transparent films

A

shear protection (elbows, heels, flat surface)

31
Q

how do transparent films work?

A

water proof, but allow for transfer of O2 and water vapor

32
Q

How do antimicrobial dressings work?

A

Provide antimicrobial barrier to the wound

33
Q

what type of wounds do you use antimicrobial dressing for?

A

For all types of ulcers/wounds

34
Q

What characteristics cause the antimicrobial-ness (some examples)

A

Iodine, Silver, Gold, honey

35
Q

What does antimicrobial dressings control

A

bioburden

36
Q

What are 5 things that you can use to Fill a deep and wet wound?

A
  • Calcium alginate
  • Hydrofiber dressing
  • Cavity foam
  • Specialty gauze
  • NPWT (negative pressure wound therapy)
37
Q

What are 3 things you can use to Cover and deep and wet wound?

A
  • Gauze
  • ABD (Army battle dressing)
  • Foams
38
Q

What are 3 things that you can use to Fill a deep and dry wound?

A
  • Calcium alginate (moistened)
  • Hydrofiber (moistened)
  • Wound gels
39
Q

What are 4 things you can use to Cover and deep and dry wound?

A
  • Gauze, ABD, etc.
  • Non-adherent (telfa)
  • Thin foams
  • Transparent film dressing
40
Q

What are 4 things that you can use to Fill a shallow and wet wound?

A
  • Foam
  • Calcium alginate
  • Hydrofiber
  • Absorptive gels
41
Q

What are 3 things you can use to Cover and shallow and wet wound?

A
  • Gauze
  • ABD
  • Foams
42
Q

What are 4 things that you can use to Fill a shallow and dry wound?

A
  • Hydrogels
  • Hydrocolloids
  • Thin foams
  • Non-adherent dressing
43
Q

What are 4 things you can use to Cover and shallow and dry wound?

A
  • Hydrogels
  • Hydrocolloids
  • Thin foams
  • Non-adherent dressing
44
Q

what 2 types of wounds do you need to support autolysis of necrotic tissue?

A

Deep and wet, and shallow and wet

45
Q

Name the best uses for Foams (5)

A 
Heavily draining wounds
Deep cavity wounds as packing
Venous Leg ulcers
Padding for foot ulcers
Can be used for friction protection
46
Q

What are the best uses for alginates/hydrofibers (5)?

A

Partial thickness and full thickness wounds
Wounds with moderate to heavy drainage
Can be used with dressing moistened or dry
Needs to have a cover dressing
Allow for less frequency of dressing changes

47
Q

What are the best uses for Hydrocolloid Dressings (4)?

A

Dressing of granulating and epithelializing partial thickness wounds
Wounds with low to moderate drainage
Can work as friction protection
Not a daily dressing (3-5 days)

48
Q

What are the best uses for hydrogels (3)?

A

Re-epithializing partial thickness wounds
Abrasions, minor burns and other minor wounds
Gels need cover dressing

49
Q

What are the best uses for transparent films (4)?

A

Superficial wounds
Wounds with minimal drainage
Protection for elbow, heels, flat surfaces
Covering blisters

50
Q

What are the best uses for antimicrobial dressings (2)?

A

For all types of ulcers/wounds

Provide antimicrobial barrier for patients at risk

51
Q

What are the 5 goals when it comes to picking a dressing for Deep and Wet wound?

A 
Fill dead space
Absorb exudate
Maintain Moist Environment
Support autolysis of necrotic tissue
Protect and insulate
52
Q

What are the goals for dressing selection of a deep and dry wound (3)?

A

Fill dead space
Maintain moist environment
Protect and insulate

53
Q

What are the goals for dressing selection of a shallow and wet wound (5)?

A 
Absorb Exudate
Maintain moist environment
Support autolysis of necrotic tissue
Protect and insulate
Protect surrounding skin
(need an absorptive cover)
54
Q

What are the goals to picking a dressing for a shallow and dry wound (2)?

A

Maintain and create moist surface

Protect and insulate

PT 854 Integument (11 decks)

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