Pharmacologic Interventions for Anorexia/Cachexia Class of drug Examples Comments Gastrokinetic agents Metoclopramide (Reglan) Useful w/ c/o nausea + early satiety (“I feel full”) Corticosteroids Dexamethasone (Decadron) Effective in short-term (w/side effects) Progesterone Analogs (hormonal treatment) Megestrol acetate (Megace) Somewhat effective for some pts. (expensive) Cannabinoids Dronabinol (Marinol) Effective in low doses Alcohol Beer or sherry May improve appetite + morale in some pts. Vitamins Multivits., Vit. C Anecdotal evidence for improved appetite (placebo?)
Undermining/tunneling (tissue loss under intact surface)
Necrotic tissue (type?)
Surrounding tissue (induration, edema?)
Unstageable wound— cannot see base of wound – Black eschar in wound bed-needs debriding Dry, Black eschar on heel—do not remove Do not “reverse stage”—As a wound heals, it remains the same stage—a stage 3 is “a healing stage 3”, not a stage 2 .