10. 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.
11. 1. 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 CODE
This 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.
15.
16. 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.
17. YELLOW WOUNDS
•- Characterized by
primarily by liquid to
semiliquid “slough” that
is often accompanied by
purulent discharges.
18.
19. CLEANSE THE YELLOW
WOUNDS
Yellow wounds should be
Cleanse to absorb drainage and
remove nonviable tissue.
1. Apply wet to wet dressing.
2. Hydrogel dressings
3. Exudate absorbent dressings
20. BLACK WOUNDS
This type of wound is covered
with necrotic tissue.
BLACK WOUNDS requires
debridement
( removal of infected and necrotic
material)
21.
22. 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.
23. 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.
24. 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
26. 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
27. 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
