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Wound Dressings And Debridement: Questions & Correct Answers
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Wound Dressings And Debridement: Questions &Correct Answers
What are 5 things you need to document after debridement? Right Ans - 1.
necrotic %
2. eschar
3. slough
4. granulation tissue
5. epithealization
WHEN do you debride? Right Ans - 1. NECROTIC DEAD TISSUE
a. it's avascular
b. no sensation
c. odor
d. dead fat, fascia - brown-gray to black
e. dead muscle - red-brown to gray
DO NOT DEBRIDE WHAT? Right Ans - 1. living tissue!!!!
What are indications for debridement? Right Ans - 1. presense of deep
eschar
2. gross puruluence
3. large quantity of dead tissue
4. as an adjunct for other methods
What shouldn't you use to cleanse the wound? Right Ans - no cytotoxic
substances ! betadine, hydrogen peroxide!
You can use saline for cleansing and cleaning the wound
What psi do you use for cleaning? Right Ans - 4 - 15 psi
What does selective debridement entail? Right Ans - 1. controlled removal
of necrotic tissue
2. sharp/surgical
3. enzymatic (MOST SELECTIVE)
4. autolytic (heals itself)
, What is the most selective debridement? Right Ans - enzymatic
What types of non-selective debridement are there? Right Ans - 1. wet to
dry dressings
2. whirl pool
3. Dakin's solution (bleach and water)
4. hydrogen peroxide
What kinds of mechanical debridement are there? Right Ans - 1. whirlpool
2. gauze
3. pulse lavage - 4 - 15 psi incr for slough decr if there is granulation
What kinds of enzymatic debridement are there? Right Ans - 1. collagenase
2. Papain
3. panafil
4. polymem
not a quick fix... slowww
What kind of autolytic are there? Right Ans - 1. occlusive dressings (films,
hydrocolloids, hydrogels, foams, alginates)
2. body heals itself
What are precautions for sharp debridement? Right Ans - 1. ischemic
ulcers
2. bleeding
3. KNOW ANATOMY!
List the debridement technique Right Ans - PREPARATION
1. assemble everything
2. have assistance
3 good lighting
4. body mech
5. aseptic working area
6. appropriate disposal equipment
7. lift necrotic tissue with forceps
8. cut tissue with scissors or scalpel
9. remove tissue in thin layers
10. stop if PAINFUL or bleeding
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