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Skin and Wound Care Products
Exam 1
43
Medical
Graduate
06/28/2012

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Cards

Term
Name some wound and skin related factors that help determine what kind of product to choose
Definition
Severity
Environment
Location
Size
Exudate
Infection
Term
What patient factors should you consider to help decide what type of product to use?
Definition
Nutrition
Medical status
Odor
Cost-Benefit Ratio
Term
What dressing factors help you determine what product to use
Definition
Availability
Durability
Adaptability
Term
The largest organ. Weighs 6-7 lbs, slightly acidic surface. Serves to protect, absorb, secrete, and tactile communication
Definition
Skin
Term
What can you not use around a stoma site because of possible aspiration
Definition
Powder
Term
Nystatin powder
Clotrimazole cream
Elta silver gel
Definition
Antifungal/Antimicrobial
Term
3M Cavilon - No sting barrier spray, Smith Nephew barrier spray, Sureprep by Medline
Definition
Liquid skin protectants
Term
A water based adhesive
Definition
Mepore
Term
an acryllic based adhesive; some ppl may have a sensitivity to this
Definition
Integuderm
Term
Common ingredients to these include dimethicone, petrolatum, and zinc oxide. These products may occur in combination
Definition
Moisture barriers
Term
Removes bacteria and/or feces while maintaining the skin barrier functiona nd providing comfort to your patient. Convatec, Smith & Nephew, Medline have full lines
Definition
Skin Cleaners
Term
These products assist with maintaining moisture and skin hydration, and replace skin lipids. Coloplast, Smith & Nephew, Medline, Carrington Labs, Convatec, Elta.
Definition
Therapeutic Moisturizers
Term
Derived from seaweed. Absorb 20X its own weight. Fill in the dead space. Facilitate autolytic debridement and turn into gel. For mod to heavy draining sites. Perk - easy to work with and come impregnated with silver. Cons - may dry out bed, secondary dressing needed, may macerate surrounding skin. Change every 1-3 days
Definition
Alginates
Term
Derived from silver, iodine, etc. Can be integrated into other dressings. Can be used on draining, non-draining sites. Left in place multiple days. Used in all types of wounds. Check for silver sensitivity
Definition
Antimicrobials
Term
These products stimulate granulation tissue formation, tissue development, and creating an environment to heal. Used for partial to full thickness wounds. EX: Promogram matrix, Stimulen, Oasis.
Definition
Collagens
Term
What are some PROS to collagens?
Definition
Absorbent, maintain a moist wound environment, nonadherent, easy to use
Term
What are some CONS to collagens?
Definition
Require a secondary dressing, not for use on black eschar or 3rd degree burns.
Term
Dressings that combine 2 or more physically distinct products into one single dressing. Features may include a physical barrier, absorptive layer, foam hydrocolloid, adhesive borders, hydrogel, etc.
Definition
Composites
Term
What are some PROS to composites?
Definition
Allow moisture vapor, mold well, facilitate debridement, easy to use, include an adhesive border
Term
What some CONS to composites?
Definition
Have to have good skin to secure dressing
Term
Alldress, Convaderm, Opsite Telfa, Tegaderm
Definition
Composites
Term
Single layers of some woven material or another product like silicone which has low adherence. Product is meant to be left in place to reduce wound trauma. Dermanet, Mepitel, Profore, Adaptic, Xeroform
Definition
Contact Layers
Term
What are some PROS to Contact Layers?
Definition
Protect the wound, allow drainage to pas thru, used with topical medications or fillers
Term
What are some CONS to contact layers?
Definition
Req a secondary dressing, will not handle much drainage
Term
These dressings are absorbent and nonlinting. Come in pads, sheets, or pillows. Provide absorption an insulation. Mepilex, Allevyn, Hydroferra Blue, PolyMem
Definition
Foams
Term
What are some PROS to foams?
Definition
Nonadherent, repel contaminants, absorb mod to light exudate, can be used under compression.
Term
What are some CONS to foams?
Definition
Require a secondary dressing, may macerate periwound skin, won't work on dry eschar.
Term
Semiocclusive dressings composed of such materials as gelatin, pectin, and other products. Maintain moist environment and help granulate or debride a wound. Duoderm, Combiderm, PrimaCol, Restore, Ultec
Definition
Hydrocolloids
Term
Name some PROS to hydrocolloids.
Definition
Can handle light to mod drainage, minimize skin trauma, impermeable to bacteria, mold well to site.
Term
Name some CONS to hydrocolloids
Definition
Not for infections, or fragile periwound skin, may curl at the edges has occlusive property, can't see under
Term
Water or glycerin based amorphous gels, impregnated gauzes or sheets. Help maintain a moist environment, and facilitate autolytic debridement. Aquaflo, Aquasorb, Curagel, Curasol gel, Hyper gel, Saf-gel
Definition
Hydrogels
Term
What are some PROS to hydrogels?
Definition
Soothing and reduce pain, fill in dead space, absorb min to mod drainage, easy to apply and remove
Term
What are some CONS to hydrogels?
Definition
Not for heavy drainage, dehydrate if not covered. May be difficult to secure, may cause maceration
Term
Adhesive, semipermeable, polyurethane membrane. Water proof and impermeable to bacteria, but allow water vapor to pass. Promote a moist environment. Do not use on infected wounds because you want the infection to get out not be barricaded in.
Definition
Transparent Films
Term
What are some PROS to transparent films?
Definition
Allow wound observation, don't require a secondary dressing, retain moisture
Term
What are some CONS to transparent films?
Definition
May not be for infected wounds, don't absorb, not for frail skin, difficult to handle, dislodge with friction
Term
Come as paste, granules, powders, beads, and gels. Provide a moist environment, absorb exudate, debride and soften eschar. Not very common anymore. May be seen in -ostomy care.
Definition
Wound Fillers
Term
What are some PROS to wound fillers?
Definition
Fill the dead space, may absorb, easy to use, use with other products
Term
What are some CONS to wound fillers?
Definition
Not for dry wounds, need secondary dressing.
Term
Generally attack a specific protein in collagen to denature. Will have to get from the pharmacy and require a DR order
Definition
Enzymatic Debriders
Term
Collagenase - Santyl ointment, Hyper gel, BensalHP, Gladase Papain - Urea Debriding Ointment, Panafil, Regranex
Definition
Common Drugs
Term
this type of medication is for diabetic ulcers
Definition
Regrainex
Term
this type of drug is to be put on eschar
Definition
Collagenase - Santyl
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