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MCA-L Pg 22-26
Simple and Complex Dressing
| Question | Answer |
|---|---|
| Assessment of wound. | location, (L , W, Depth), incision approx or not, appearance, drainage, precautions if contaminated, wound cultuure, ,if pressure ulcer, stage, granulation, document |
| wound demonstrates proper healing | granulation |
| protects surgical insicions and collects drainage. Whold not be use for open wound unless moistened | dry guaze dressing |
| dry dressing | sterile gloves, wooven gauze, if drain present (4x4 g around drain), addtl gauze, ticker woven pad. |
| skin protection such as skin tear, or prevents weak skin from tearing, | transparent dressing |
| often used in conjunction with gauze for surgical incisions and it is impermeable to water. | transparent dressing |
| silky smooth side place over the wound to decrease adherence to the wound in the presence of drainage | telfa dressing |
| can be use for both simplex or complex wounds | hydrocolloids |
| prevents areas of redness and prevent further breakdown | hydrocolloids |
| what kind of dressing is dry guaze? | simple dressing |
| what kind of dressing is transparent ? | simple dressing |
| what kind of dressing is telfa ? | simple dressing |
| what kind of dressing is hydrocolloids? | simple and complex dressing |
| dressing that uses duoderms | hydrocolloids |
| used to debride wound and promote moisture to the tissue. | wet to dry dressing |
| How to apply wet to dry dressing? | dry dressing placed over the wet one to prevent drying. Needs to be change freq than dry dressing. |
| What should be done to provide basedline for monitoring wound headling | cleanse area with moist 4x4 gauze pads, pat dry with 4x4 sterile gauze , then inspect the wound type ,color, odor, and drainage; measure if indicated. |
| debrides, provides moisture for healing, protect from friction, protects from contamination , andprovides absorption | hydrocolloid dressing |
| composed of elastometric , adhesive and gelling agents | hydrocolloid dressing |
| dressing that are glycerin or h2O based designed to hydrate the wound. | Hydrogel dressings |
| designed to absorb exudate or dainage, protect skin, provide debridement, pad bony areas, andpromote moisture and insulation t othe wound bed. | foam dressings |
| negative pressure theraphy | wound vac (negative pressure therapy) |
| speeds wound healing by drawing the wound edges together through negative pressure and accelerates tissue granulation. | wound vac (negative pressure therapy) |
| dresing used to tend to delayed healing and deep wounds | wound vac (negative pressure therapy) |
| used for wounds need high frequency of changing to avoid skin irritation and breakdown. | montgomery straps |
| applied so the dressing can be held in place with ties to avoid the removal and application of tape. | montgomery straps |
| used to provide support to large incisions and underlying muscles | abdominal binder |
| help splint the abdominal wound to aid the patient's comfort and mobility. | abdominal binder |
| black tissue | necrosis |
| beefy red tissue | granulation |
| supports underlying muscles | abdominal binder |
| gelling agent applied to prevent breakdown | duoderm |
| measurement of wound | centimeters |
| bloody drainage | sanguineous |
| clear straw yellow drainage | serous |
| clear H2O dressing | tegaderm |
| uses negative pressure | wound vac |
| saline soaked gauze | wet dressing |
| primarily protects surgical insicions | tegaderm |
| very absorbent dressings | foam dressing |
| silky non-adherent dressing | telfa |
| used for deep wounds for debridement | wet dressing |
| used this to prevent wound dehiscence | abdominal binder |
| thin drainage containg pus | purulent |
| simple gauze dressing | dry dressing |
| used for delayed wound healing | wound vac |
| signs of a healing wound | granulation |
| an unstageable wound | necrosis |