Wound dressing
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Wound dressing

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Wound dressing Wound dressing Presentation Transcript

  • WOUND DRESSING
  • Wound
    It is a break in the continuity of the skin, mucous membranes, bone, or any body organ
  • TYPES OF WOUNDS
  • INCISION
    It is cause by sharp
    instrument. Ex knife or
    scalpel.
  • CONTUSION
    Cause by blow
    From a blunt
    Object.
    Closed wound
    Skin appears
    ecchymotic
  • ABRASION
    Surface scrape, either
    Unintentional or
    Intentional.
    It is an open wound
    Involving the skin,
    Painful.
  • PUNCTURE
    Penetration of the
    Skin and often, the
    Underlying tissues
    From a sharp
    Instrument.
  • LACERATION
    Tissues torn apart,
    Often from
    accidents.
  • PENETRATING WOUND
    Penetration of the
    Skin and the
    Underlying tissues.
  • KINDS OF WOUNDS DRAINAGE
    Exudate - is material, such as fluid and cells, that has escaped from blood vessel during the inflammatory process and is deposited in tissue or on tissue surfaces.
  • Serous exudate
    - consist chiefly of serum or the clear portion of the blood derived from the blood and serious membranes.
    2. Purulent Exudate
    - It is thicker than serous exudate due to presence of pus.
  • 3. Sanguineous exudate
    - Consist of large amounts of red blood cells, indicating damage to capillaries that is severe enough to allow the escape or red blood cells.
  • THE RYB COLOR CODE
    This concept is based on the color of an open wound - Red, Yellow, Black.
  • Red wound - are usually in the late regeneration phase of tissue repair and are clean and uniformly pink in appearance
    this type of wound needs to be protected.
  • Protect the Red wound
    a. gentle cleansing
    b. avoiding the use of dry gauze or wet to dry saline dressings.
    c. applying a topical antimicrobial agent.
    d. changing the dressing as infrequent as possible.
  • YELLOW WOUNDS
    - Characterized by primarily by liquid to semiliquid “slough” that is often accompanied by purulent discharges.
  • CLEANSETHE YELLOWWOUNDS
    Yellow wounds should be Cleanse to absorb drainage and remove nonviable tissue.
    Apply wet to wet dressing.
    Hydrogel dressings
    Exudate absorbent dressings
  • BLACK WOUNDS
    This type of wound is covered with necrotic tissue.
    BLACK WOUNDS requires debridement
    ( removal of infected and necrotic material)
  • GUIDELINES IN WOUND CLEANING
    • Use Isotonic saline or lactated ringers solution to clean or irrigate the wound.
    • Warm the solution to body temperature before use.
    • If wound is grossly contaminated by foreign material, bacteria, or necrotic tissue, clean the wound at every dressing change.
    • If wound is clean, has little exudate, and reveals healthy tissue avoid repeated cleaning.
    • Use gauze squares. Avoid using cotton balls and other products that shed fibers onto the wound surface. The fibers become embedded in the granulation tissue and act as a foci for infection
    • Consider cleaning superficial noninfected wounds by irrigating them rather than by mechanical means.
  • Purpose of wound Dressings
    • To protect the wound from mechanical injury
    • To protect the wound from microbial contamination
    • To provide or maintain high humidity of the wound
    • To provide thermal insulation
    • To absorb drainage or debride the wound
    • To prevent haemorrhage
    • To splint or immobilize the wound site and prevent further injury