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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 |