Wound Management: Topical Cleaning, Dressings and Debridement, Exams of Nursing

Download Wound Management: Topical Cleaning, Dressings and Debridement and more Exams Nursing in PDF only on Docsity! WCEI WCC Key Topics (Section 7: Topical Wound Management) Questions And Answers. Purpose of Wound Cleansing - \Remove bacteria and surface contaminants with as little force as possible Protect the wound Optimize visualization of the wound bed Healing Wound Cleanser? - \Utilize NS or potable water (suitable for drinking water) Commercial Wound Cleanser? - \More debris Confirmed infection Suspected infection High levels of bacteria in the wound Skin Cleansers - \NEVER SHOULD BE USED ON AN OPEN WOUND Alginate Dressing *Frequent Changes?* - \If you are changing more than 2x/daily, reassess appropriateness of your dressing choice. Alginate Dressing Indications - \GREAT for absorption of moderate--> high exudate #2 best absorber Bleeding wounds Collagen Dressing Indications - \HEALING GREAT for stalled wound beds. These work as a scaffold to help the body build granulation tissue The MMPs will bind to the collagen dressings and stay away from the wound Composite Dressing - \Designed to COVER Combination of 2 or more distinct products designed as a single product Allow fro vapor exchange Contact Layer - \Protection of the wound bed MOISTURE NEUTRAL AVOIDING PAIN @ DRESSING CHANGE Does not need to be removed with every dressing change FOAM DRESSING - \Absorb & Hold (#3 most absorptive) Most insular of the external dressing choices, best temp. regulation Permeable to water vapor Impermeable to bacteria and contaminates Waterproof Foam Dressing is helpful for hyper granulation tissue - \Provide light topical pressure especially when used with compression dressings. Act to inhibit the overgrowth of granulation tissue. Gauze Dressings-Woven - \Used for wet-->dry dressings Should not be cut due to foreign bodies Gauze Dressings-Non-Woven - \"Upgraded Version" Wound Bed Temp w/Gauze Dressing - \77-80* C is wound bed temp, increases infection risk 2/2 vasoconstriction Wet-->Dry Dressing OUCH *Mechanical Debridement* - \Disperses significant amounts of bacteria into the air. SUBSTANDARD FOR OPTIMAL WOUNC CARE Hydrocolloid Dressing - \Non-absoprtive, occlusive NOTHING IN AND NOTHING OUT Moist wound healing with autolytic debridement! "Wound Soup" NO INFECTED WOUND WITH SCANT--> MODERATE DRESSING Hydrocolloid EXTREME CAUTION - \DO NOT USE ON DIABETIC. ODOR - \Odor can be from anaerobes. The more occlusive the dressing, the more risk of smell Hydrogel Pain Control? - \High water content causes a "sensation of cooling" that gives an analgesic affect that can last for up to 6 hours! They also do not adhere to the wound surface.