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Wound dressings (Slough/ low-moderate exudate (Product options (Mesalt…
Wound dressings
Slough/ low-moderate exudate
Aim of products- Promote autolytic debridement, tissue viability, and a moist healing environment as well as moisture balance. Products should protect the periwound by absorbing exudate; preventing inflammation and infection.
Product options
Mesalt daily or every 2 days for 5 days
Iodosorb
solosite
Mepilex
If wound does not have the capacity to heal use a combine or Gamgee
If the wound has the capacity to heal use vacated and a non adherent dressing
Aim of tx- remove slough and provide a clean wound bed for granulation to take place
Clinically colonised and clinically infested wounds
Aim of tx- Remove microbial load and bacterial bioburden (the amount of bacteria on the skin, a high amount can lead to poor wound healing).
Aim of products- provide moisture balance as well as providing antimicrobial cover.
Product options
Mepilex ag
Aquacel ag (up to 2 weeks then review)
iodisorb
Malodorous/ fundating wound- high exudate
Aim of tx- Manage odour, absorb exudate that may cause the smell, provide comfort.
Aim of products- same as am of tx
Product options
For wounds that have the capacity to heal- mepilex ag with border, mesorb, mextra
For wounds that do not have the capacity to heal/ palliation- combine, Gamgee, use of odour diffusers and kitty litter, activated charcoal dressings
Dry/ fragile peri wound
Aim of tx- prevent tissue damage, restore skin integrity.
Aim of products- Rehydrate and sooth iritated skin and provide a protective barrier.
Product options
Soft dressings that minimise the risk of further irritation to the skin
Mepitel
Cavillon
Parrafin
Zinc oxide
silicone dressings
Painful wounds and tissue trauma at the time of tissue change
Aim of tx- reduce pain, reduce and treat the tissue trauma
Aim of products being used- moisturising irritated skin, adherence of product
Product options
Silicone atraumatic dressings
medicated gels such as morphine and lignocaine
soft silicone pads
mepital
intrasite
duorderm