Surgical Wound Care
Surgical Wound Care
Types of Wounds * According to how they are acquired * Abrasion, laceration, cut/incision, trauma * According to the degree of wound contamination * Dependent for how the is the wound, if there is any antibiotic, other treatments * According to depth * Dermis, epidermis, subcutaneous, muscle
Purpose
* Promote wound healing * To promote optimal condition
Factors affecting wound healing * Developmental considerations * Nutrition * Lifestyle * Medications * Infections
Complications of Wound Care Healing * Hemorrhage * Hypovolemic Shock * Hematoma * Infection * Dehiscence with possible evisceration
Types of Dressing * Gauze * Synthetic Dressings * Hydrocolloids * Foams * Alginates * Hydrogels
Modes of Applying the Drainage * Dry to dry * Use clean gauze * Pat dry inner to outer * Wet to dry * Use the sterile bowl * Place sterile gauze * Put NSS to the gauze at the sterile bowl * Prepare another sterile gauze. Maintain it dry. * Use 2 forceps. Grab the end of the gauze with forcep A, then another end with forcep B * Pigain ng hindi gumagamit ng kamay. Only rolling the forceps * Place the wet gauze at the wound site * Then cover the wet gauze with a dry gauze. * Wet to damp * Wet to wet
Kinds of Wound Drainage * Serous exudate * Clear in color * Purulent exudate * Yellowish * Might need the swab * You do not need to clean the area when you are going to get a sample / culture * Sanguineous exudate
Wound Drains * To excrete excess fluids and promote healing * Jackson Pratts * Do not kink when draining * Penrose drain * To drain excess fluids * Pin – to hold in place * Serve a stopper * T-Tube * Hemovac * Gomco Suction Device
Types of Wounds * According to how they are acquired * Abrasion, laceration, cut/incision, trauma * According to the degree of wound contamination * Dependent for how the is the wound, if there is any antibiotic, other treatments * According to depth * Dermis, epidermis, subcutaneous, muscle
Purpose
* Promote wound healing * To promote optimal condition
Factors affecting wound healing * Developmental considerations * Nutrition * Lifestyle * Medications * Infections
Complications of Wound Care Healing * Hemorrhage * Hypovolemic Shock * Hematoma * Infection * Dehiscence with possible evisceration
Types of Dressing * Gauze * Synthetic Dressings * Hydrocolloids * Foams * Alginates * Hydrogels
Modes of Applying the Drainage * Dry to dry * Use clean gauze * Pat dry inner to outer * Wet to dry * Use the sterile bowl * Place sterile gauze * Put NSS to the gauze at the sterile bowl * Prepare another sterile gauze. Maintain it dry. * Use 2 forceps. Grab the end of the gauze with forcep A, then another end with forcep B * Pigain ng hindi gumagamit ng kamay. Only rolling the forceps * Place the wet gauze at the wound site * Then cover the wet gauze with a dry gauze. * Wet to damp * Wet to wet
Kinds of Wound Drainage * Serous exudate * Clear in color * Purulent exudate * Yellowish * Might need the swab * You do not need to clean the area when you are going to get a sample / culture * Sanguineous exudate
Wound Drains * To excrete excess fluids and promote healing * Jackson Pratts * Do not kink when draining * Penrose drain * To drain excess fluids * Pin – to hold in place * Serve a stopper * T-Tube * Hemovac * Gomco Suction Device