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SWM Module 11: Wound Care - Topical Options

front 1

Avoid using hydrocolloids for the following:

back 1

  • Heavy exudating, tunneling, and/or undermining wounds
  • Full-thickness burns
  • Wounds with high exudate
  • Clinically infected wounds
  • Fragile peri-wound skin
  • Exposed bone or tendons
  • Lesions caused by herpes or fungi

front 2

Hydrogels consist of hydrophilic polymers w/high water content. Some other contain other materials like ___, depending on the manufacturer.

back 2

Silver

front 3

Hydrogels are available in three forms (Jimenez, 2021):

back 3

Primary Dressing:

* Amorphous Hydrogel & Impregnated Hydrogel Gauze.

Can be used as a primary or secondary dressing:

* Sheet Hydrogel

front 4

Hydrogels are most suitable when managing wounds that have ____ to _____ exudate.

back 4

minor ; moderate

front 5

Hydrogels are most suitable when managing wounds that have minor to moderate exudate. These may include full or partial-thickness wounds and assist with (Song et al., 2024):

back 5

  • Hydrating dry or slightly moist wound beds
  • Softening eschar and autolytic debridement
  • Pain relief for minor burns, radiation skin damage
  • Autolytic debridement
  • Filling in dead space

front 6

Common hydrogels include:

AMORPHOUS

back 6

Soloste

Regenacare

SilvaSorb gel

front 7

Common hydrogels include:

IMPREGNATED GAUZE

back 7

Medline Skintegrity

front 8

Common hydrogels include:

SHEET

back 8

Mckesson Hydrogel Wound Dressing

front 9

Frequency of dressing changes will vary according to the __ and wound __.

back 9

product type ; drainage

front 10

Typically, plain hydrogels can remain in place for __.

back 10

1 to 4 days

front 11

When applying a fresh amorphous gel or impregnated gauze dressing:

back 11

  1. Cleanse or irrigate the wound and pat dry.
  2. Apply skin protectant to the periwound and allow to dry.
  3. Cover the wound bed with gel about 5 mm thick.
    • Fill in undermining and tunnels with the gel, and cover with a secondary dressing that will help maintain moisture balance.

front 12

Hydrogels should be ____ or ____in color.

back 12

clear or translucen

front 13

___ can dehydrate easily if not covered appropriately; choose a secondary dressing that will maintain the hydrating properties of the hydrogel.

back 13

Hydrogels

front 14

If ___ is unavailable, substitute by impregnating plain non-woven gauze with amorphous hydrogel

back 14

hydrogel impregnated gauze

front 15

Do not use hydrogels for a wound that is overly exudative as it can lead to ___.

back 15

periwound maceration

front 16

True or False:

Alginates, foams, and hydrogel fiber dressings are not suitable secondary dressings, as their absorptive properties conflict with the hydrating nature of hydrogels.

back 16

True

front 17

Contraindications to using hydrogel include:

back 17

  • Heavy draining wounds
  • Sensitivity or allergy to any ingredients
  • Deep partial-thickness burns

front 18

____ are a primary dressing for treating partial and full-thickness wounds with light to moderate exudate.

back 18

Collagens

front 19

Collagen dressings can stimulate stalled wounds into the ___ phase

back 19

proliferative

front 20

Why is Collagen a favored material for wound care?

back 20

For its biocompatibility, low antigenicity, and ability to promote cellular proliferation and adhesion

front 21

Collagen dressings are typically sourced from __, __, and __.

back 21

cows, pigs, and sheep

front 22

The following are an example of ___

  • Biostep®
  • Endoform™ Natural
  • FIBRACOL™ Plus (90% collagen and 10% calcium alginate)
  • Promogran
  • Promogran Prisma™ (has silver)

back 22

Common collagen dressings

front 23

Do you remember the NORMAL function of MMPs in a wound?

back 23

You have an excellent memory if you remember that the MMPs are involved in debridement and play a key role in the proliferative and maturation phases of wound healing

front 24

Use particles, powders, pads, and products formulated with calcium alginate for

back 24

Highly exudative wounds

front 25

Use sheets or collagen gels for

back 25

Low to moderate exudate

front 26

Use a collagen product with ORC or calcium alginate to promote hemostasis for

back 26

Freshly debrided wound

front 27

AVOID using collagen dressings in the following situations

back 27

  • Deep partial-thickness burns
  • Dry necrotic wounds
  • Known sensitivity to any of the product components

front 28

By design, ___ promote moist wound healing while creating a barrier against bacteria or water entry.

back 28

transparent dressings

front 29

Common transparent dressing brands and products include:

back 29

  • BIOCLUSIVE®
  • Opsite®
  • Tegaderm®

front 30

Do not use transparent dressings with:

back 30

  • Infected wounds
  • Full-thickness burns
  • Deep partial-thickness burns
  • Thin skin or fragile peri-wound skin
  • Wounds that have moderate to heavy exudate
  • A suspected infection or active herpes lesions

front 31

Wound Fillers

These dressings are primary and require a secondary dressing to hold them in place. Wounds appropriate to use them for include:

back 31

  • Partial and full-thickness wounds
  • Wounds with minimal to moderate exudate
  • Wounds that require packing
  • Depending on the dressing material, infected or noninfected wounds

front 32

In general, wound fillers are contraindicated for:

back 32

  • Dry wounds
  • Deep partial-thickness burns
  • Wounds with tunnels or sinus tracts
  • Known hypersensitivity to product components

front 33

Which dressing is best choice to promote hemostasis?

back 33

Callcium Alginate

* When applied with gentle pressure, calcium ions in alginate dressings promote hemostasis in mildly bleeding wounds. There are no hemostatic properties in hydrogel dressings.

front 34

Your patient with diabetes has a stable dry eschar to their left heel, what is the best dressing choice?

back 34

Dry gauze

A stable eschar on the heel of a diabetic should not be disturbed. Offloading, applying a dry gauze dressing, and monitoring it daily for drainage is the best course of treatment.

front 35

COMING SOON

back 35

COMING SOON

front 36

COMING SOON

back 36

COMING SOON