Aline U. Telosa BSN IV- Group 12 I.WOUND CARE 1. What are the types of sutures and their uses?

Candelaria Municipal Hospital Mr. John Joseph Puri, RN

a. ABSORBABLE: Those that are absorbed or digested by the body cells and tissue fluids in which they are embedded during and after the healing processes. SURGICAL GUT: The most commonly used absorbable suture material. Derived from the small intestine of healthy sheep. Requires for epidermal use. DEXON (POLYGLYCOLIC ACID): Widespread absorbable suture material of a synthetic. Used in cataract and intraocular surgery. CHROMIC GUT: Chromic suture materials have undergone various intensities of tanning with the salt of chromic acid to delay the tissue absorption time. It is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures COLLAGEN SUTURES. These consist of pure collagen fibrils from cow flexor tendons. They have a smoother surface and are more homogeneous than catgut. They are absorbed by proteases and are used in ophthalmic surgery. b. NON-ABSORBABLE: Those suture materials that cannot be absorbed by the body cells or fluids.

NYLON (ETHILON): Of all the non-absorbable suture materials, monofilament nylon is the most commonly used in surface closures. It has a high tensile strength that ensures wound security. Used in: 1. Minimal tissue reaction causes less scarring 2 Closure of the abdominal muscles. 3 Ophthalmology and microsurgery PROLENE: Polymer polypropylene (Prolene) appears to be stronger then nylon and has better overall wound security. Prolene is popular for closure of the skin, particularly for subcuticular sutures. It is widely used in arterial surgery and some surgeons use it for large bowel anastomosis and bile-duct surgery. BRAIDED: These include cotton, silk, braided nylon and multifilament Dacron. It is the most workable and has excellent knot security. Disadvantages: high reactivity and infection due to the absorption of body fluids by the braided fibers. It is indicated for use in approximation and/or ligation of soft tissue, including the use in cardiovascular. 2. In pathophysiologic form, show povidone iodine and hydrogen peroxide acts and give benefits to the body?

Povidine Iodine

if ingested Toxicity

10% solution in water

External antiseptic with broad microbicidal spectrum against bacteria, fungi, viruses, protozoa, and yeasts

SIGNS: Skin rash Abdominal pain Nausea Vomiting weak pulse,

Minimal systemic absorption (topical)

Antidote: Sodium Thiosulfate

destroyed through oxidative interaction and direct iodination of biological macromolecules

Hydrogen Peroxide

releasing oxygen when it is applied to the affected area

causes foaming, which helps to remove mucus and clean the area. but also damages the healthy cells trying to heal the wound slows down healing process

loosening up dead materials

3.

What is your Nursing care in giving these drugs?

ANTISEPTIC DRUGS a. b. c. d. Avoid contact with eyes. Avoid ingestion of the topical antiseptic drugs. Use gloves in applying. Instruct patient that these drugs are for external use only.