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Wound Care and Dressings
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Honey Dressing
A natural dressing containing medical-grade honey, known for its antimicrobial and healing properties. Nursing interventions include applying an appropriate secondary dressing and monitoring the wound and surrounding skin.
Thermal Burn
A burn caused by heat from a hot liquid, steam, fire, or a hot object. Nursing interventions include cooling the burn, pain management, and wound dressing.
Radiation Burn
Damage to the skin or other biological tissue caused by exposure to radiation. Nursing interventions include gentle cleaning, pain relief, and applying non-adhesive dressings.
Foam Dressing
A soft and absorbent dressing used on a variety of wound types, especially when there is moderate to heavy exudate. Nursing interventions include monitoring exudate levels and the skin around the wound for maceration.
Surgical Wound
A cut or incision in the skin made during a surgical procedure. Interventions include monitoring for infection, proper dressing changes, and following surgeon's instructions for care.
Biological Dressing
A temporary wound covering made from materials such as pigskin, amnion or synthetic analogues. Nursing interventions include monitoring for signs of rejection or infection and proper maintenance of the dressing.
Hemostatic Agent
An agent used to promote clotting and stop bleeding, such as digital pressure, cold application, or hemostatic dressings. Nursing interventions include proper application, monitoring for clot formation, and reassessment of bleeding.
Mechanical Debridement
Physical removal of dead tissue, such as wet-to-dry dressings, scrubbing, or irrigation. Nursing interventions include careful technique to minimize pain and trauma, and appropriate selection of debridement method.
Silicone Dressing
A non-adherent, soft silicone dressing used as a primary or secondary dressing to promote atraumatic dressing changes. Nursing interventions include gentle changes to prevent skin stripping and monitoring for sensitivities.
Hybrid Dressing
Combines two or more types of dressing materials to utilize the advantages of each. Nursing interventions include application according to the wound needs and assessing for the combined benefits in wound healing.
Wound Debridement
The removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue. Nursing interventions include monitoring for bleeding and pain, and providing proper wound care post-debridement.
Hydrofiber Dressing
A soft, sterile, non-woven pad or ribbon dressing composed of hydrocolloidal fibers. Highly absorbent and turns into a gel upon contact with wound fluid. Nursing interventions include maintaining a moist environment and preventing maceration.
Pressure Ulcer
Localized damage to the skin and underlying tissue resulting from prolonged pressure. Interventions include pressure relief, wound care, and nutritional support.
Chemical Burn
Tissue damage caused by chemicals like acids or bases. Interventions include removal of the chemical agent, flushing the area with water, and treating the burn.
Activated Charcoal Dressing
Dressing used to help remove toxins and odors from wounds. Interventions include monitoring for signs of wound infection and changing the dressing as needed.
Non-Adherent Dressing
A dressing designed not to stick to the wound bed, facilitating pain-free removal. Nursing interventions include frequent changes to assess wound healing and ensuring the dressing provides enough absorption.
Diabetic Ulcer
An open sore or wound that occurs in individuals with diabetes, usually on the bottom of the foot. Nursing interventions include blood sugar control, wound care, and preventing infection.
Electrical Burn
A burn caused by electric current passing through the body, potentially causing deep tissue damage. Interventions include cardiac monitoring, pain control, and preventing infection.
Antimicrobial Dressing
A dressing impregnated with an antimicrobial agent such as silver, iodine, or honey to reduce the microbial load. Nursing interventions include proper selection based on wound type and regular monitoring for sensitivity or allergic reaction.
Iodine Dressing
A dressing containing iodine which helps prevent bacterial growth. It is suitable for acute or chronic wounds. Nursing interventions include monitoring thyroid function in long-term use and careful use with thyroid patients.
Calcium Alginate Dressing
A type of alginate dressing that is particularly good at absorbing exudate and turning into a gel, which is conducive to healing. Nursing interventions include appropriate dressing change intervals and ensuring complete removal during changes.
Abrasion
A wound caused by superficial damage to the skin, no deeper than the epidermis. Nursing interventions include cleaning the wound, applying a protective dressing, and monitoring for signs of infection.
Friction Burn
A type of abrasion caused by the contact of the skin with a hard surface, resulting in the removal of several layers of skin. Nursing interventions include cleaning, analgesia, and protecting the wound with a sterile dressing.
Gauze Dressing
A thin, translucent fabric used for wound dressings, absorbent and commonly used for minor cuts and abrasions. Nursing interventions include regular changes to prevent infection and checking for signs of saturation.
Vacuum-Assisted Closure (VAC) Dressing
A system that uses suction to promote wound healing by removing excess exudate and promoting blood flow to the area. Nursing interventions include careful application, monitoring the equipment, and ensuring the seal is maintained.
Wet-to-Dry Dressing
A traditional method where gauze is moistened and applied to the wound, allowing it to dry and adhere before it is removed. Nursing interventions include careful removal to prevent new tissue damage and evaluating it for appropriateness.
Autolytic Debridement
A non-invasive debridement technique that uses the body's own enzymes to break down dead tissue. Nursing interventions include selecting an appropriate dressing to maintain a moist environment and regularly monitoring wound progress.
Puncture Wound
A small entry hole caused by a pointed object, such as a nail. Interventions include cleaning the wound, tetanus prophylaxis, and monitoring for signs of infection.
Arterial Ulcer
An open wound on the outer side of the ankle, feet, toes, or heels due to poor arterial blood flow. Interventions include improving circulation, protecting the wound, and regular monitoring for changes.
Enzymatic Debridement
The application of topical enzymatic agents to speed up the breakdown of necrotic tissue. Nursing interventions include careful application, protection of surrounding healthy skin, and assessment for effectiveness.
Laceration
A deep cut or tear in skin or flesh. Nursing interventions involve controlling bleeding, cleaning the wound, possibly suturing, and preventing infection.
Avulsion
An injury in which a body structure is forcibly detached. Interventions include controlling bleeding, protecting the wound, and seeking surgical attention.
Capillary Action Dressing
This uses layers to wick away exudate from the wound into an absorbent secondary dressing. Nursing interventions include ensuring proper layer application and monitoring the wound for healing progress.
Silver Dressing
A dressing infused with silver, which has antimicrobial properties. Used on infected wounds or those at high risk of infection. Nursing interventions include monitoring the wound for changes and dressing changes according to protocol.
Burn Care Dressing
Specialized dressings used to treat burn injuries, can include silver sulfadiazine cream, biological dressings, or hydrogel products. Nursing interventions include pain management, preventing infection, and regular monitoring of healing.
Wound VAC Dressing Change
The periodic replacement of the vacuum-assisted closure dressing to continue negative pressure therapy. Nursing interventions include maintaining sterility, ensuring proper seal, and monitoring for adverse reactions.
Venous Ulcer
A wound on the leg or ankle caused by abnormal or damaged veins. Nursing interventions include compression therapy, elevation of the limb, and wound care.
Collagen Dressing
A wound care dressing made from collagen derived from animal sources. It promotes natural healing by attracting new skin cells to the wound site. Nursing interventions include applying a secondary dressing and monitoring for signs of infection.
Moist Wound Healing
An approach to wound care that involves keeping the wound environment moist rather than allowing it to dry and scab. Nursing interventions include using the appropriate dressing and monitoring for excess moisture and maceration.
Surgical Debridement
The most efficient method of debridement involving the sharp removal of necrotic tissue. Nursing interventions include post-operative wound care, pain management, and monitoring for signs of infection.
Hydrogel Dressing
A dressing containing gel-forming agents, which provide moisture to the wound and can help with pain relief. Nursing interventions include preventing the drying out of the dressing and monitoring wound status.
Alginate Dressing
A biodegradable, non-woven dressing made from seaweed, highly absorptive, and used on exuding wounds. Nursing interventions involve keeping the dressing moist, changing it appropriately, and ensuring there is no residue on the wound.
Compression Dressing
Designed to apply pressure to minimize swelling and improve circulation, commonly used for venous ulcers or after some surgical procedures. Nursing interventions include proper application to ensure even pressure and frequent monitoring.
Hydrocolloid Dressing
An adhesive, waterproof dressing that promotes moist wound healing and autolytic debridement. Nursing interventions include monitoring for signs of infection and changing only when necessary.
Transparent Film Dressing
A thin, transparent, waterproof dressing that provides a moist environment and allows observation of the wound. Nursing interventions include regular assessment of the wound and periwound area for changes or infection.
Negative Pressure Wound Therapy (NPWT)
A therapeutic wound treatment using a vacuum dressing to promote healing in acute or chronic wounds and enhance the healing of burn and graft sites. Nursing interventions include regularly checking the wound and equipment functionality.
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