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Details

foot ulcers
ulcers
23
Medical
Professional
10/29/2008

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Cards

Term
when can a hydrocolloid not be used?
Definition
anaeorbic infection
Term
hydrocolloids are for what exudate amount
Definition
ligh to medium
Term
hwo foten do u change a hydrogel
Definition
evry 3 days
Term
hydrogels are used for how much exudate?
Definition
light to mod
Term
would a hydrogel be be good choice in the presence of pseudomonas aeurginosa
Definition
no
Term
how often to change an alignate?
Definition
every 2 days
Term
alginates have what level of absporbency
Definition
high levels of absorbency
Term
discus hydrophillic or hydrophobic nature of foams...
Definition
have a hydrophillic inner, and hydrophobic outer... so are absorbent
Term
what is a negtaive with charcoal dressing?
Definition
do not keep wound moist
Term
what is a positive of a charcoal?
Definition
deodourising
Term
what are chaacteristics of dressing needed for sloughy wounds
Definition
aids lysis, maintain high tissue temp, and low 02 tension. also absorb high levels of exudate
Term
what do epithelialising wounds require?
Definition
dressings that are gas permeable, non-insulating, non-adherent and protective
Term
Granulating wounds require what in a dressing?
Definition
nonadherent, absorb mod exudate, and mod insulating
Term
when conditions favour optimum epitheliasation?
Definition
37 degrees, acidic, high 02 tension
Term
what would be the aim of Rx of a ulcer filled with black, necrotic eschar and little exudate...
Definition
rehydrate, and encourage autolysis ( via occlusion)
Term
high 02 is used when
Definition
epitheliziation
Term
when are fibroblast most active
Definition
low O2 tension
Term
when are epithelial cells most active
Definition
high O2 tension
Term
discuss exudate in relation to dressings
Definition
scant - semi-permeable film, moderate - use foam, hydrocolloids, hydrogels and alginates can be used if considerable exudate but infection is not expected
Term
discuss rx of necrosis and eschar
Definition
surgical dissection, hydrogels or hydrocolloids for 48 hrs (if no infection) and then debridement
Term
when would a total contact cast not be indicated?
Definition
in ischaemic or nuero ischamic ulceratin
Term
a diabetic presents with a painful, deep ulcer, with minium exudate, and steep edges and no hyperkeratosis... a dry escahr has formed on the surface, DP PT are ++ what type of ulcer and cause?
Definition
ischaemic... this appears to be from microangiopathy of small vessels
Term
discuss 3 treatments for the cause of veous ulceration
Definition
compressions stockigs, raising legs when sleep, surgical stripping of varicose veins...
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