Wounds:Topicals Flashcards

1
Q

Anti-Septic Topicals

A
  • Alcohols, Biguanides, Halogen Cmpds, Iodine, Organic Acid Acetic, Peroxides, Sulfa, Tinctures, Mercurochrome
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2
Q

Anti-Biotic Ointment

A
  • Petroleum Based Antibx
  • Rx Based Antibx
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3
Q

Topical Pain Agents

A

Lidocaine

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4
Q

Topical Debridement Agents

A

Enzymatic Debridement Agents

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5
Q

Anti-Septic Topicals:

Alcohols

A
  • Used as disinfectant on intact skin
  • Precautions:
    • Cytotoxic, may cause dryness and irritation on skin
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6
Q

Anti-Septic Topicals:

Biguanides

A
  • Highly effective as handwashing agent for surg. scrub
  • Precautions:
    • Toxicity
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7
Q

Anti-Septic Topicals:

Halogen Cmpds

A
  • Dakins Solution, Boric Acid, Bleach
  • Type of Wound:
    • Gram+ or Gram- bx infxs
    • Wounds w/ purulent exudate
  • Precautions:
    • Cytotoxic→ delays wound healing
  • Contraindications:
    • Noninfected wound

*Discontinue when wound clean

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8
Q

Anti-Septic Topicals:

Iodine

A
  • Antimicrobial
  • Ex. Betadine
  • Type of Wound: Staph Infx
  • Precuations:
    • Cytoxic (delays wound healing)
  • Pot. thyroid toxicity
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9
Q

Anti-Septic Topicals:

Organic Acid Acetic

A
  • Inhibit bacterial infx’s
  • Type of wound: Pseudomonas aeruginosa
  • Contraindications: NONinfx wound
  • Damages fibroblasts more than bacteria
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10
Q

Anti-Septic Topicals:

Peroxides

A
  • Used for nonselective debridement to loosen sm. debris in wound
  • Precautions: Cytotoxic unless diluted
  • Contraindications: Noninfx, Tunneling, Granulating wounds
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11
Q

Anti-Septic Topicals:

Sulfa

A
  • Antimicrobial
  • Ex’s: Silver Sulfadiazine, Silver Nitrate Solution
  • Type of Wound: Gram +/Gram- bacterial infx’s, yeast/fungal infx’s, thermal inj’s
  • Precautions: can cause severe neutro/leukopenia
  • Contraindications: Renal, Hepatic disorders, Pregnancy
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12
Q

Anti-Septic Topicals:

Tinctures

A
  • Very weak antiseptic, Kills gram+ organisms, some yeast
  • Precautions: Pot carcinogen, cytotoxic
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13
Q

Anti-Septic Topicals:

Mercurochrome

A
  • Mercury based w/ antiseptic props.
  • Type of Wound: Mercurochrome
  • Precautions: use sparingly since Mercury
  • Irritates open wounds*
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14
Q

Antibiotic Ointments

Petroleum-Based Antibx

A
  • Helps w/ moisture
  • Ex’s: Bacitracin, Neosporin
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15
Q

Antibiotic Ointments

Rx-Based Antibiotics

A
  • Ex. Bactroban
  • Type of Wounds: Staph, MRSA, Strep
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16
Q

Topical Pain Agents

Lidocaine

A
  • Control wound pain
  • May cause vasoconstrict.
17
Q

Topical Debridement Agents

Enzymatic Debridement Agents

A
  • Selectively debrides non-viable tissue
  • Ex. Santyl, Collagenase
  • Types of Wounds: wounds w/ necrotic tissue
  • *Only effective on moist wounds