Wound Dressings And Debridement Questions With Solutions
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Course
WOCN
Institution
WOCN
Wound Dressings And Debridement
Questions With Solutions
what are 5 things you need to document after debridement? 1. necrotic %
2. eschar
3. slough
4. granulation tissue
5. epithealization
WHEN do you debride? 1. NECROTIC DEAD TISSUE
a. it's avascular
b. no sensation
c. odor
d. dead fat...
Wound Dressings And Debridement
Questions With Solutions
what are 5 things you need to document after debridement? 1. necrotic %
2. eschar
3. slough
4. granulation tissue
5. epithealization
WHEN do you debride? 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? 1. living tissue!!!!
What are indications for debridement? 1. presense of deep eschar
, Wound Dressings And Debridement
Questions With Solutions
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? no cytotoxic substances ! betadine,
hydrogen peroxide!
you can use saline for cleansing and cleaning the wound
What psi do you use for cleaning? 4 - 15 psi
What does selective debridement entail? 1. controlled removal of necrotic tissue
2. sharp/surgical
3. enzymatic (MOST SELECTIVE)
4. autolytic (heals itself)
what is the most selective debridement? enzymatic
, Wound Dressings And Debridement
Questions With Solutions
What types of non-selective debridement are there? 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? 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? 1. collagenase
2. Papain
3. panafil
4. polymem
not a quick fix... slowww
What kind of autolytic are there? 1. occlusive dressings (films, hydrocolloids, hydrogels,
foams, alginates)
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