Nerissa C.

Llanza, RN
Diabetes Nurse Educator Institute for Studies on Diabetes Foundation, Inc.

Removes excess exudates Maintains a moist wound healing environment Provides thermal insulation of wound Provides barrier to pathogens Does not promote infection Does D not shed h d fib fibers or l leak k out toxic i substances b Does not cause a sensitivity or allergic reaction

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The Ideal Wound Dressing

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Moist M i t Wound W d Dressing

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The Ideal Wound Dressing

Protects against mechanical trauma, e.g. pressure Allows removal without traumatizing new tissue Is easy to apply Is comfortable to wear Is adaptable p to body yp parts Does not interfere with body function Is cost effective

WOUND HEALING

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Rapid & often dramatic pain relief reduced healing ti time better cosmetic result

Encourages scab formation delays healing increases pain often produces more scar tissue

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MoistWoundDressings
1.HYDROGEL
cross cross-linked linked polymers containing a large proportion of water or saline

MoistWoundDressings

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ApplicationTips: an adequate depth of gel needs to be applied e.g. 1 cm for necrotic tissue and 0.5 m for granulating wounds. A secondary dressing is required to maintain the gel in the wound. Dressing Frequency: daily for necrosis, sloughy or infection every 3 to 4 days in clean wounds

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promotion of granulation tissue can be used for almost all types of mild to moderately exudating wounds

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used for debridement and

Indications:

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MoistWoundDressings 2.HYDROCOLLOIDS adhesive, pliable, absorbent, waterproof wafers wafers. They contain hydrophilic colloidal particles in an hydrophobic polymer useful in a wide range of mild to moderate exudating or sloughy wounds. The wafer provide good protection in pressure areas by reducing shearing forces.

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ulcers resulting from tuberculosis, syphilis

Application Tips: must be large g enough g to extend at least 2 cm from the wound margin Dressing Frequency: wafers should be changed when the gel leaks from the wafer edge (usually 3 to 7 days)

and deep fungal infections active clinical infection third degree burns

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HYDROCOLLOIDS Contraindications:

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MoistWoundDressings

3.ALGINATES
wound exudate to form a gel gel. Some agents are also hemostatic.

Contraindications: deep narrow sinuses where it is not possible to ensure adequate removal.

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alginates l i t are applied li d dry d to t the th wound d

a secondary dressing must be applied

if clinical infection is present

daily d il dressing d i changes h are advisable. d i bl When strike through occurs. For non-infected wound, dressings must be done every 2 to 3 days.

Dressing Frequency:

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Indications: useful in moderate to heavily exudating clear, sloughy or infected wounds.

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made from seaweed, interact with

MoistWoundDressings

4.POLYURETHANEFOAM
which is highly absorbent and non adherent Indication: moderate to heavily exudating wounds and infected wounds can be used as a secondary dressings to provide additional absorption Contraindication: no absolute contraindications reported

POLYURETHANEFOAM Practicalissues: is not effective on necrotic, dry eschar, but is often used as a secondary dressing over hydrogels to facilitate debridement and healing Application Tips: apply the foam sheets at least 2 cm larger than the wound Dressing Frequency: dressings are changed when leakage or strike through occurs. If possible, they are left for 2 to 3 days, daily if the wound is infected.

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soft, open p cell polyurethane p y foam,

MoistWoundDressings 5.POLYURETHANEFILM an adhesive semi-permeable, waterproof polyurethane p y film that is available as Opsite Flexigrid

it is useful for mildly exudating wounds, including

superficial burns, lacerations, and over sutures, , venous catheter sites. arterial, It can minimize friction and therefore can be used for prevention of superficial pressure or skin breakdown useful secondary dressing over foams, alginates and hydrogels

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POLYURETHANEFILM Contraindication: infected wounds patients with fragile skin Application Tips: the film sheet needs to provide at least 3 to 4 cm margin around the wound. When applying over joints or the heel, ensure full flexion

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Dressing Frequency: variable, it depends on leakage of exudate and wrinkling of dressing.

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MoistWoundDressings
6. HYDROFIBER DRESSING

for use on moderate d t t to highly hi hl exuding di

chronic and acute wounds

Indication:

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MoistWoundDressings 6.HYDROFIBERDRESSING Application Tips: p wound edges g by y at least 1 cm onto Overlap surrounding skin In deep cavity wounds, leave at least 2.5 cm outside the wound for easy retrieval and fill up to 80% of the wound cover with secondary dressing Dressing Frequency: initial dressing: 3-5 days Follow up: Max of 7 days partial thickness Burns: up to 14 days, (one time dressing)

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is a soft, non woven pad or ribbon dressing that gels l up when h it absorbs b b exudates, d t can absorb up to 30 times its weight in fluid available as Aquacel

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 It is a versatile primary dressing indicated for

moderate to highly exuding chronic and acute wounds where there is an infection or an increased risk of infection

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MoistWoundDressings 7.HYDROFIBERDRESSING WITHIONICSILVER

Overlap wound edges by at least 1 cm

onto surrounding skin In deep cavity wounds, leave at least 2.5 cm outside the wound for easy retrieval and fill up to 80% of the wound cover with secondary dressing

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initial dressing: 3-5 days Follow up: Max of 7 days partial thickness Burns: up to 14 days, (one time dressing)

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D Dressing i F Frequency:

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MoistWoundDressings 7.HYDROFIBERDRESSING WITHIONICSILVER a soft, soft sterile sterile, microbicidal pad or ribbon dressing

MoistWoundDressings 8.Nanocrystalline SILVER unique q range g of antimicrobial barrier dressings g

Indication: for use over partial, full thickness and acute wounds Unique Patented Silver technology: SILCRYST Nanocrystalline Silver Antimicrobial protection

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