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Basic wound bandages
Notes from the wound care specialist.
35
Nursing
Undergraduate 3
10/03/2015

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Cards

Term
Used for moderate to copious drainage.  Change every 3 days.
Definition
Foam.  Allevyn and polymen foam.
Term
Concerns with foam dressings
Definition
Skin tears
Term
Wound type to use for foam?
Definition
Moderate to copious drainage.
Term
How long does it take for the wound edge to start to heal?
Definition
24 hours
Term
Secondary dressing for moderate to copious drainage
Definition
Calcium Alginate
Term
Benefit and contraindications of calcium alginate  (2 benefits, 1 negative)
Definition

Absorbs 20% more than its own weight.  

Should be covered with secondary dressing

Not for small amounts of drainage.

Term
Length of time to use a calcium alginate before changing it?
Definition
2-3 days
Term
Skin Barrier
Definition
Barrier cream, place around the area where the dressing will be placed.  Helps prevent maceration.
Term
Silicone, non-adherent primary dressing
Definition
Mepitel dressing
Term
Primary purpose of a silicone dressing?
Definition
Non-contact layer that protects the wound bed during dressing changes.  Needs a secondary dressing.
Term
How often is the Mepitel dressing changed?
Definition
4-7 days
Term
How is the Mepitel dressing applied to the wound bed?
Definition
Sticky side down, over the wound bed.
Term
Bandage type for minimal drainage wounds
Definition
Hydrocolloid
Term
Benefits of Hydrocolloid bandages?
Definition

Autolytic debridement of wound

Provides a bacterial barrier.

Term
When do you change a hydrocolloid bandage?
Definition
When drainage almost reaches the edge.
Term
Where do you use hydrocolloid bandages?
Definition

Venous wounds

Pressure ulcers I-III

Shallow wounds

Term
Item that helps reduce microbial burdens on the wound surface.
Definition
Silver
Term
Wounds where Silver is frequently used?
Definition

Venous and pressure ulcers

1st and second degree burns

Surgical and trama wounds

Donor sites

Term
How often is silver changed?
Definition
Every 3-5 days
Term
What action is contraindicated when using silver?
Definition
Washing a wound with normal saline
Term
Used mostly on skin tears and surgical wounds.
Definition
Steri strips
Term
Basic description of Steri Strip use
Definition

Approximate the wound edges and apply.  

Cover with foam for drainage and protection

Term
Short-term infection use only, for Pseudomonas
Definition

Bleach.  (Dakins, Hydrogen Peroxide and Acidic Acid)

1/4 strength

 

Term
Use on dry wound beds to promote autolytic deridement
Definition
Hydrogels
Term
When to use a Hydrogel vs. a Hydrocolloid?
Definition

Hydrogel:  To add moisture to a non-dry wound bed

Hydrocolloid:  On a dry wound bed.

Term
Clear, adherent and nonabsorbent secondary dressing
Definition
Transparent film dressing
Term
When do you use a transparent film dressing?
Definition
Partial thickness wounds with minimal exudate and eschar
Term
How long do you keep transparent film dressings on for?
Definition
3 days minimum
Term
Is a transparent film dressing primary or secondary?
Definition
Always only secondary bandage
Term
What are the reasons to use a transparent film dressing?
Definition

Semipermeable to oxygen and water vapor

Allows visual inspection of the wound environment

Promotes autolysis

Term
What kind of items are used for wet to dry dressing/ wet to moist dressing?
Definition
Bulky/fluffy guaze
Term
What is an ABD?
Definition
Large pad (Also you can use a Kotex pad)
Term
What do you use Zero Form guaze for?
Definition

Burns

Tears as a primary dressing

 

Term
How often do you change zero form gauze?
Definition
Every other day
Term
Telfu Guaze
Definition
Non-adhesive, primary guaze
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