Wound Do s

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Wound Do's. Stage 0 1 2 3 4 S tasis Ischemic Calm weight x x x x x x X Maintain a strategic distance from friction x x x x x x X Review daily x x x x x x X 1 Hydrocolloid 2 x x x Sharp debridement 3 x x Substance debrider 4 x x x Damp bandage/gel packing x x x

Presentation Transcript

Slide 1

Wound Do's Stage 0 1 2 3 4 S tasis Ischemic Relieve weight x x x x x x X Avoid friction x x x x x x X Inspect daily x x x x x x X 1 Hydrocolloid 2 x x x Sharp debridement 3 x x Chemical debrider 4 x x x Moist bandage/gel packing x x x Absorbent dressings 5 x x "Wet-to-dry" 6 1. Unless 4-layer/Unna 3-5d 2. Occlusive, e.g. Duoderm 3. Crosshatch in place eschar, expel delicate necrotic flotsam and jetsam to draining tissue 4. e.g. collagenases Santyl, Accuzyme, Panafil 5. e.g. Ca.alginate, Aquacel 6. Contraindicated

Slide 2

Wound Don'ts Occlusive dressing (e.g. duoderm) on a 3, 4 or shut unstageable: makes anaerobic condition, anticipates assessment. Strongly debride hard, dry eschar OR shut, liquid filled rankle on a heel. Topical iodine, Dakin's, peroxide on any open injury. Silvadene or topical anti-toxins on a crushing injury. Send wound swab societies Systemic anti-microbials without confirmation of systemic disease (cellulitis, osteo, bacteremia)

Slide 3

Wound Consultation Skin/Ostomy RN St 0-2; 3-4 after sharp debridement. Favorable position: Will investigate twisted day by day. Slogan her requests. General surgery: Advantage: Debride expansive injuries Vascular surgery for ischemic injuries Advantage: Will take understanding for revascularization Ortho for wounds with unmistakable bone Advantage: Can get bone and profound tissue biopsy Plastics if a conceivable contender for fold or skin uniting Derm for incessant stasis dermatitis Advantage: Outpatient development if wandering PT for whirlpool, arrival of contractures, four layer & pressure dressing for stasis ulcers, some sharp debridement Dawn Piech 2-6891

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