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Skin integrity
Nursing school Funds nur 310
| Question | Answer |
|---|---|
| Can be used as a primary or secondary dressing to manage drainage from partial- or full-thickness wounds | Absorbent |
| Absorbent size? | Moderate to large |
| Do not use if the wound is not draining. This can dry out the wound bed and damage tissue. | Absorbent |
| Alginates PROMOTES | ..moist environment |
| Very high absorbency (20 to 40 times their weight | alginates |
| Ideal for wounds that have depth, tracts, tunneling, or undermining. | alginates |
| Fibers derived from brown seaweed and kelp. | alginate |
| Made from highly absorptive layers of fibers such as cellulose, cotton, or rayon. | absorbent |
| Allergy to antibiotic components, or to seaweed or kelp. | alginate |
| When the a (blank) comes in contact with exudate, a nonadhesive gel is created. Must irrigate this gel from the wound before placing the next dressing. | alginate |
| Commonly contain silver and iodine. | Antimicrobial |
| Antimicrobial..be careful because a pt could be allergic to... | Allergy to iodine or silver. |
| Antimicrobial size | Large |
| Reduce exudate and prevent infection by reducing bacteria in the wound. | antimicrobial |
| Promote collagen deposition. | antimicrobial |
| Can be used on partial- or full-thickness wounds, malodorous wounds with little to large amounts of drainage, or highly contaminated or infected wounds. | antimicrobial |
| If using porcine dressings, check that your patient has no religious practices that would forbid this use. | Collagen |
| Alginate cover this size.. | Alginates |
| Made from bovine (cow) or porcine (pig) sources and made into sheets, pads, powders, and gels. | Collagens |
| Collagen absorbs | exudate |
| Collagen can promote a... | Promote a moist wound bed for healing. |
| Stimulate wounds to produce collagen fibers and granulation tissue in the wound bed. | collagen |
| Minimal to large | collagen |
| Does not stick to the wound bed and are easy to apply and remove. | collagen |
| Absorbent; for wounds with moderate to heavy exudates. | foams |
| foams | Thermal insulation. |
| foams promote a... | Promote a moist environment. |
| Does not stick to wound bed. | foams and collagen |
| Minimal to large | foams and collagen |
| Do not use with wounds that have tunneling or tracts. | foams |
| May macerate periwound skin, if dressing becomes oversaturated. | foams |
| Not recommended for dry, desiccated wounds. | foams |
| Can be shaped around body contours. | foams |
| Used for packing large wounds, cavities, or tracts, deep or dirty wounds, or heavily draining wounds. | gauze |
| Simplest and most widely used dressings. | gauze |
| Made of woven and nonwoven fibers of cotton, rayon, polyester, or a combination of these. | gauze |
| Does not ensure a moist wound environment, as they allow for fluid evaporation. | gauze |
| gauze cover the size... | large |
| Rehydrate the wound bed. | hydrogel |
| hydrogel covers the size.. | Minimal |
| Enhance epithelialization to promote a moist environment. | hydrogel |
| Soften slough or eschar in necrotic wounds. | hydrogel |
| Have limited absorptive capabilities (not practical for wounds with significant exudate). Require a secondary dressing. | Hydrocolloids |
| light to mod | Hydrocolloids |
| Not the dressing of choice for wounds that require frequent dressing changes. | hydrocolloids |
| Hydrophilic particles interact with water to form a gel that keeps the wound moist | hydrocolloids |
| Ideal for wounds with minimal exudates (e.g., partial thickness wounds, stage 2 pressure injury). | hydocolloids |
| Should not be used on wounds with tunneling or tracts because these wounds must be packed and allowed to drain. | hydrocolloid |
| Should not be used on infected wounds because they are impermeable to oxygen, moisture, and bacteria. | hydrocolloids |
| Not recommended for wounds surrounded by friable or sensitive skin (difficult to remove). | hydrocolloids |
| Opaque. Does not allow the wound to be visualized. | Hydrocolloids |
| May facilitate the growth of anaerobic bacteria. | hydrocolloids |
Created by:
thannon
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