Wound dresssings
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each of the black spaces below before clicking
on it to display the answer.
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| Venous Insufficiency wound Draining pressure ulcer 1st and 2nd degree burns | Semipermeable foam (Allevyn)
P/C Nonadhesive foams should be used on patients with fragile skin; Use skin sealant to prevent maceration
CI: Dry or eschar-covered wounds; arterial ulcers; heel ulcers
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| CI/PC for Venous Insufficiency wound | Concomitant arterial disease
Allergic reactions and sensitization
Inappropriate whirlpool use
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| Rationsle for use of semipermeable foam dressing on draining wound | VI wound is draining and must absorb some of the drainage and maintain a warm moist environment. Too much drainage can result of periwound maceration and create a larger wound, so it needs to be controlled by using a semipermeable foam dressing.
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| CI/PC for pressure ulcer | Control pressure and sheer forces
Control moisture to prevent maceration
Make sure it is hydrated
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| Arterial Insufficiency Non-draining pressure ulcer | Hydrogel
P/C Use skin sealant to prevent maceration; time the sheet hydrogel to the size of the wound
CI: Do not use on heavily drainining wounds; bleeding wounds; sheet hydrogels on infected wounds;
Gauze (telfa)
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| Rationale for use of hydrogel | Hyrdogel provide a dry wound bed with moisture. Facilitates normal wound healing. Traps enzymes within the wound bed, facilitating autolytic debridement. Preserves growth factors, cytokines, promote cell growth, fibroblast prolif & collagen synthesis
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| CI/PC for arterial insufficiency ulcers | Avoid compression and compression dressings
Avoid sharp debridement of dry, eschar-covered, uninfected ulcers in patient with low ABIs
Grangrenous tissue must be removed surgically
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| Neuropathic Ulcer | Semipermeable foam (Allevyn)
P/C Nonadhesive foams should be used on patients with fragile skin; Use skin sealant to prevent maceration
CI: Dry or eschar-covered wounds; arterial ulcers; heel ulcers
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| Raationale for use of Allyvn on Neuropathic Ulcer | Maintain a moist environment to Facilitate normal wound healing. Traps enzymes within the wound bed, facilitating autolytic debridement. Preserves growth factors, cytokines, promote cell growth, fibroblast prolif & collagen synthesis
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| CI/PC for Neuropathic Ulcer | Monitor signs for hypoglycemia
Educate foot guidelines
proper foot wear
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| Burns CI/PC | Prevent complications
Contractions, infections, deconditioning, pulmonary dysfunction, pressure ulcers;
Do not allow burn surfaces to touch one another, protect from friction
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| Burns 3rd degree | Impregnated Gauze Dressing (Adaptic)
P/C Venous insufficiency ulcers
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| Rationale for adaptic on 3 degree burns | Help decrease trauma to wound bed during dressing changes, increase occlusiveness of gauze dressing
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| PC/CI telfa | Tefla used for superficial, non-draining wounds closed by primary or secondary intention, so do not use on more significant wounds may cause maceration and larger wound size
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