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WOUND DRESSING
Wound      It is a break in the continuity of the skin, mucous membranes, bone, or any body organ
TYPES OF WOUNDS
INCISION     It is cause by sharp   instrument. Ex knife or    scalpel.
CONTUSION Cause by blow From a blunt  Object.       Closed wound Skin appears  ecchymotic
ABRASION   Surface scrape, either Unintentional or Intentional.  It is an open wound  Involving the skin,  Painful.
PUNCTURE  Penetration of the Skin and often, the  Underlying tissues From a sharp  Instrument.
LACERATION    Tissues torn apart, Often from  accidents.
PENETRATING WOUND Penetration of the Skin and the  Underlying tissues.
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.
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.
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.
THE RYB COLOR CODE This concept is based on the color of an open wound    - Red, Yellow, Black.
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.
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.
YELLOW WOUNDS - Characterized by primarily by liquid to semiliquid “slough” that is often accompanied by purulent discharges.
CLEANSETHE YELLOWWOUNDS Yellow wounds should be Cleanse to absorb drainage and remove nonviable tissue. Apply wet to wet dressing. Hydrogel dressings Exudate absorbent dressings
BLACK WOUNDS This type of wound is covered with necrotic tissue. BLACK WOUNDS   requires debridement  ( removal of infected and necrotic material)
GUIDELINES IN WOUND CLEANING ,[object Object]
Warm the solution to body temperature before use.,[object Object]
If wound is clean, has little exudate, and reveals healthy tissue avoid repeated cleaning.,[object Object],[object Object],[object Object]
To protect the wound from microbial contamination
To provide or maintain high humidity of the wound,[object Object]
To absorb drainage or debride the wound

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Wound Dressing Types and Cleaning Guidelines

  • 2. Wound It is a break in the continuity of the skin, mucous membranes, bone, or any body organ
  • 4. INCISION It is cause by sharp instrument. Ex knife or scalpel.
  • 5. CONTUSION Cause by blow From a blunt Object. Closed wound Skin appears ecchymotic
  • 6. ABRASION Surface scrape, either Unintentional or Intentional. It is an open wound Involving the skin, Painful.
  • 7. PUNCTURE Penetration of the Skin and often, the Underlying tissues From a sharp Instrument.
  • 8. LACERATION Tissues torn apart, Often from accidents.
  • 9. PENETRATING WOUND Penetration of the Skin and the Underlying tissues.
  • 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. 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. CLEANSETHE YELLOWWOUNDS Yellow wounds should be Cleanse to absorb drainage and remove nonviable tissue. Apply wet to wet dressing. Hydrogel dressings 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.
  • 23.
  • 24.
  • 25. To protect the wound from microbial contamination
  • 26.
  • 27. To absorb drainage or debride the wound
  • 29. To splint or immobilize the wound site and prevent further injury