There are several types of wounds including incisions, contusions, abrasions, punctures, and lacerations. Wound drainage can include serous, purulent, or sanguineous exudate. The RYB color code categorizes wounds as red, yellow, or black based on their appearance and healing phase. Red wounds are usually healing and require protection. Yellow wounds contain slough or pus and should be cleansed. Black wounds have necrotic tissue that requires debridement. Wound cleaning involves using isotonic saline to clean or irrigate wounds as needed based on the amount of exudate or foreign material present.

1. WOUND DRESSING

2. Wound It is a break in the continuity of the skin, mucous membranes, bone, or any body organ

3. TYPES OF WOUNDS

4. INCISION It is cause by sharp instrument. Ex knife or scalpel.

5. CONTUSIONCause by blowFrom a blunt Object. Closed woundSkin appears ecchymotic

6. ABRASION Surface scrape, eitherUnintentional orIntentional. It is an open wound Involving the skin, Painful.

7. PUNCTURE Penetration of theSkin and often, the Underlying tissuesFrom a sharp Instrument.

8. LACERATION Tissues torn apart,Often from accidents.

9. PENETRATING WOUNDPenetration of theSkin and the Underlying tissues.

10. KINDS OF WOUNDS DRAINAGEExudate - 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.

11. 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.

12. 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.

13. THE RYB COLOR CODEThis concept is based on the color of an open wound - Red, Yellow, Black.

14. 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.

16. Protect the Red wounda. gentle cleansingb. 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.

17. YELLOW WOUNDS- Characterized by primarily by liquid to semiliquid “slough” that is often accompanied by purulent discharges.

19. CLEANSETHE YELLOWWOUNDSYellow wounds should be Cleanse to absorb drainage and remove nonviable tissue.Apply wet to wet dressing.Hydrogel dressingsExudate absorbent dressings

20. BLACK WOUNDSThis type of wound is covered with necrotic tissue.BLACK WOUNDS requires debridement ( removal of infected and necrotic material)

22. GUIDELINES IN WOUND CLEANINGUse Isotonic saline or lactated ringers solution to clean or irrigate the wound.

23. 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.

24. 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 infectionConsider cleaning superficial noninfected wounds by irrigating them rather than by mechanical means.Purpose of wound DressingsTo protect the wound from mechanical injury

25. To protect the wound from microbial contamination

26. To provide or maintain high humidity of the woundTo provide thermal insulation

27. To absorb drainage or debride the wound