Wound Care Products
This dressing can create a negative pressure of 70 mm Hg
What is hydrofera blue
Exudate is vacuumed into Hydrofera Blue™ and away from the wound bed through negative pressure caused by capillary flow action.
https://hydrofera.com/app/themes/bonsai/resources/assets/pdf/Negative5.pdf
These two types of compression can be initiated by a CHN without an order as long as pedal pulses are palpable
What is edema wear and double layer tubigrip
This dressing is both the most absorbent and cost effective cover dressing in community
What is a super soaker
A full pixalere assessment should be completed this often for a healable wound
What is one week
Bonus: 1 month for non-healable or maintenance wounds
This intervention can be applied for treating all stages of pressure injuries
What is off loading
This dressing would need to be removed prior to medical imaging or radiation therapy
What is silver based dressings
This medical condition can increase the risk of lower extremity arterial disease two fold
What is diabetes
Diabetes accelerates the natural course and distribution of atherosclerosis
This dressing can fully conform to a wound depth of up to 2 cm due to it's 3D technology
What is Biatain
These are the most common causes of hypergranulation tissue (4)
Excess Moisture:
o Use of an occlusive (non-breathable) dressing.
o Use of a dressing that is not absorbent enough to manage the exudate.
o Not changing the dressings frequently enough.
o Site is in contact with urine, stool, weeping edema, excessive sweating or in a skin fold.
Friction/Pressure:
o Improper securement of dressing; either too loose causing friction with the movement of the
dressing; or too tight causing pressure.
Prolonged Inflammation:
o Dressing fibers/material, (e.g., lint, NPWT foam), retained sutures or staples/clips and/or
foreign material, (e.g., retained hair and/or adhesive material).
Colonization or infection, either bacterial or fungal.
This skin condition can occur in moist warm environments and tends to present as a diffuse rash that may cause areas of erosion or ulceration
What is a fungal infection
These two types of dressings are indicated for stalled healable wounds with less than 40% devitalized tissue
What is endoform and promogran (note: requires the direction of a NSWOC)
An ABI between 0.91 and 1.30
This dressing can sometimes cause some transitional stinging due to it's low pH
What is medihoney
These are some common signs of localized wound infection (7)
Increase pain?
Increase redness > 2 cm?
Poor healing?
Increase exudate?
Foul odour?
Increase wound size?
Warmth?
When assessing a wound, this clinical finding is moderately predictive of osteomyelitis
What is probing to bone/exposed bone
This class of wound care products is both pro-inflammatory and anti-microbial and is best used in what type of wounds?
What is iodine and chronic wounds
These two conditions are an absolute contraindication for Coban 2 and Coban 2 light
What is uncontrolled heart failure and untreated wound infection
Contraindications to this class of wound care products include; dry necrotic wounds, pregnant or breast feeding individuals and should be used cautiously for clients with thyroid or renal disorders
Cadexomer iodine
Note: cadexomer iodine actually describes a delivery system rather than an antimicrobial agent. The iodine is contained within a cadexomer starch bead
This is the key intervention in treating a diabetic foot ulcer
What is off loading
Non-blanchable erythema is a finding in which two pressure injury stages
What is stage 1 and DTI
This class of dressing is “Neutral” in terms of pro/anti-inflammatory and ionically attracts bacteria into the dressing to then make the kill
What is PHMB
Based on VCH policy, a comprehensive lower limb assessment (including ABIs) should be completed how often?
Every 6 months for clients with a healable lower leg or foot wound.
Every 6 months for clients receiving compression therapy.
AND When either of the following occur:
1. Increasing lower leg or foot pain unrelated to infection.
2. Increasing signs of arterial insufficiency, such as delayed capillary refill, cold skin temperature and
3. absent or diminished peripheral pulses.
This acrylic dressing is indicated for wound with a small amount of exudate and can be left in place for up to 4 weeks
What is tegaderm absorbent
Eschar is generally observed in this pressure injury stage
What is unstageable
This rare inflammatory skin condition often presents as an ulcer with a raised dusty red or purplish border and can be acutely painful. It can co-occur for people who have ulcerative colitis or rheumatoid arthritis
What is pyoderma gangrenosum