Wound Dressings

Front 1

very dry wounds

Back 1

Wound gel with secondary dressing (i.e. transparent dressing)

Hydrogel wafer (starts dry but they melt) with secondary dressing

Soft silicone contact layer with secondary dressing (add some wound gel)

Front 2

No exudate/Minimally Dry:

Back 2

Transparent dressing with wound gel or metahoney

Soft silicone contact layer with secondary dressing (add a little wound gel)

Hydrogel wafer (with secondary dressing if need be)

Front 3

None to slight exudate:

Back 3

Thin or regular hydrocolloid

Front 4

Dry, necrotic wound (>25% of wound):

Back 4

Autolytical debrider (by adding a wound gel with secondary dressing, hydrogel wafer, or hydrocolloid & letting the body heal itself)

Mechanical debriders

Enzymatic debriders (collagenase)

(These wounds may have to first resort to surgical intervention or sharps)

Front 5

Autolytical Debriding (least aggressive to most aggressive)

Back 5

Metahoney

Wound gel with secondary dressing / Hydrogel / Hydrocolloid

Hypergel (water-based hypertonic saline gel) with secondary dressing

Mesalt (heavy exudate, bacteria, and eschar) with secondary dressing (not for patients with heart complications!)

Front 6

Dry, intact rash due to continued exposure to feces, urine or both (incontinence) and/or diaper use:

Back 6

Protective Ointments

Extra protection barrier ointments (for those with severe incontinence, with weepy, macerated skin, making the wound wet)

Front 7

Dry, mild dermatitis:

Back 7

Protective Ointments

Front 8

Dry Tinea cruris

Back 8

(jock itch),

Front 9

Tinea corporis

Back 9

(ringworm)

Front 10

Tinea pedis

Back 10

(athlete’s foot): Antigfungal cream

Front 11

None to slight exudate:

Back 11

Thin hydrocolloid (to retain an optimal, moist wound environment)

Wound powers/particles (Multidex)

Front 12

Low to Moderate exudate:

Back 12

Thin (lite or regular) foam dressing

Transfer dressing (“Transfer Dressing” is a contact layer with a thin foam layer (dual dressing))

Composite dressings

Front 13

Moderate exudate:

Back 13

Thick hydrocolloid (absorbs puss but moistens as well)

Thick foam dressing

Front 14

Significant/Heavy exudate:

Back 14

Alginate (calcium or collagen)-alginates are also good for moist to wet wounds with undermining/tunneling)

Hydrofiber dressing with secondary dressing

Hydrogel wafers with alginate

Front 15

Shear/friction wound, skin tear, stage I pressure ulcer

Back 15

apply skin care products to lubricate or moisture-retentive dressings to reduce friction (thin hydrocolloids, transparent dressings with wound gel, or silicone contact layer—hold in just the right moisture to heal!)

Front 16

Excess moisture shear wounds

Back 16

apply protective ointment or moisture-retentive dressings

Front 17

Dry shear wounds

Back 17

apply moisturizing bathing soaps and skin conditioning products/ creams

Front 18

infected wound

Back 18

Never use a hydrocolloid!

Front 19

InterDry Ag

Back 19

(also treats intertrigo-inflammed rash; also good for under pannus: reduces skin-to-skin friction)

for wet wounds

Front 20

Wound powders/Particles for wet wounds; Prisma

Silver foams

Silver alginates

Back 20

use on wet infected wounds

Front 21

*Yeast infection:

Back 21

using a powder versus cream: When used ALONE, cream is best. When used with InterDry AG, powder is best!

Front 22

Wounds needing granulation or help with angiogenesis

Back 22

Hyaluronic acid on wound bed

Front 23

Wet Wounds secondary dressings

Back 23

* Foam dressings (thick or thin)

Front 24

Dry Wounds secondary dressings

Back 24

Transparent dressing (after first layer gel-infused gauze)

Hydrocolloid (if a meta-honey filled contact layer is first)

Front 25

Either Wet or Dry

Back 25

Gauze: woven, nonwoven, conforming, bordered (gauze with adhesive); Kerlix gauze (conforming, dense, and has stretch—can compress)

Wraps

Tapes or film (as adhesives)

Island Dressing

Carbon dressings (whisks away odor)—mostly used for cancer lesions

There are also silver secondary dressings for infected wounds

Front 26

All-in-One Dressing

Back 26

Composite dressing includes a contact layer, absorbent pad, film barrier, and border

Front 27

Foam

Back 27

-low to moderate exudating wounds

-use to transfer moisture away from the wound.

Front 28

alginate

Back 28

-heavily exudating wounds

-good for tunneling and undermining wounds w/ heavy exudates.

Front 29

Wound powders and particles

Back 29

-infected wounds and in order to maintain moist environment

(ex: powder to sprinkle in wound, but we also saw the hydrophilic cream with gritty stuff in it)

Front 30

Prisma

Back 30

-infected wounds.

Front 31

Mesalt

Back 31

-cleanse heavy drainage and absorb exudates, bacteria and necrotic material from wound.

Front 32

interDry AG

Back 32

-good to decrease skin friction

-also may treat interigo

-in creased areas (ex: behind knee?)

Front 33

hydrogel (i.e- medi-honey, duoderm paste, zinc-gelatin gauze.)

Back 33

-granulating and open wounds

-use to help maintain an optimal moist wound environment w/ autolytical debribridement

-wounds covered w/ dry fibrin

-good for preventing eschar formation and helping w/ debriding slough and necrotic tissue.

-can be used on undermining and tunneling

Front 34

Transparent dressing

Back 34

No exudate (abrasions, skin trears, etc)

Front 35

Thin hydrocolloid

Back 35

none to slight exudate

Front 36

Thick hydrocolloid

Back 36

-moderate exudate

-stays in the wound bed better

Front 37

Hydrocolloids in general

Back 37

-good for facilitating autolytical debridement of fibrin and necrotic tissue

-provides a microbial barrier

-use on Stage III pressure ulcers that are not infected and are dry

-do not use on Stage IV

Front 38

Foam dressing

Back 38

-used to maintain moist wound environment. Same principle as transparent dressing except this has the ability to absorb in the case that there becomes too much exudates.

Front 39

Transparent dressing

Back 39

-good for keeping what moisture is left in and protecting the wound from external infection.

-Good for stage I and II pressure ulcers. Not stage III or IV.

Front 40

Protective ointments

Back 40

-treat/prevent skin irritation/breakdown due to excessive exposure to moisture (i.e- urine, feces, sweat, etc.)

Front 41

Antifungal cream

Back 41

treat jock itch, ringworm, or athletes foot

Front 42

Silver dressings

Back 42

infected wounds

-use for 7 days

Front 43

Composite dressings

Back 43

-wet/dry wounds