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Patient Information
Wound Care Products
Goals in using wound care products:
- Prevention of infection
- Debridement
- surgical
- chemical
- autolytic
- enzymatic
- Grafting
- Tissue engineered skin
- Absorption of excess drainage
- Maintain moist environment of wound
- Provide compassion
- Control edema
- compression dressings
- medical hosiery/stockings
- mechanical pumping device
Total medical management of patient
- Nutrition
- Control blood sugar
- Anticoagulants- aspirin, pentoxifylin
- To improve capillary flow lower blood viscosity
- Prevent shear, friction
- Anti-inflammatory creams to surrounding skin
Compression therapy is often successful in preventing
- Medical hosiery – convenient
- Gauze roller bandage
- poor elastic properties require frequent reapplication to maintain pressure.
- Elastic roller bandage
- comparatively good pressure maintenance
- Knitted roller bandage
- Containing polyamide and polyurethane considerably more elastic and more comfortable
Lightweight conforming stretch bandages
- Simple dressing retention function
Light support bandages
- used to prevent edema, support mild sprains, sometimes used for treatment of venons ulcers
Light compression bandages – 20mmttg
- Management of early or superficial varices on limbs of average size.
Moderate Compression bandages – 30mmttg
- Treatment of varicosities in pregnancy, varices of moderate severity, prevention and treatment of ulcers and control of mild edema on limbs of ulcers and control mild edema on limbs of average size
High Compression bandages – 40mmttg
- Treatment of gross varices, post thrombolytic venous insufficiency, management of leg ulcers and gross edema on limbs of average size.
Extrattic performance compression bandages – 50mmttg
- For limbs of large size or very edematous
Cleansing of venous ulcers
- Saline and tap water
- For irrigation using clean technique
Debridement
- Avoid
- Providone iodine
- Hydrogen pyroxide
- Acetic acid
- Hypochlorite
- Second generation debriding agents
- May facilitate healing better than saline or antiseptic soaked gauze
- Dextoranoma
- Cadexomen iodine
- Maggots – controlled trials have not been done to support use
- Autolytic debridement can be facilitated with moist non-adherent dressing under a compression bandage
Dressings
- Transparent dressing
- Clear film
- Change every 5-7 days.
- Support stocking over dressing
- Hydrocolloid dressing
- Debrides
- maintains moist environment
- change every 1-7 days
Growth factors
- Investigational medications applied to wound to promote growth of new tissue
Avoid lanoline and topical antibiotics
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