Page 167 - Clinical Managers Orientation Binder

4/11/2019

Necrotic Tissue:
Slough
Not healing- wound with slough Select Product Type to debride and maintain Objective:
Objective : debride and maintain moisture balance Debride
moisture balance Exudate
Not healing S M/L
o Wound with ≥ 25% avascular Hydrogel Wound Gel / Gauze <25%
Creates a moist environment, *
tissue (eschar and/or slough) OR facilitates autolytic debridement
o Signs/symptoms of infection Hydrocolloid Wafer <25%
OR Provides a moist environment to facilitate either *
granulation or autolytic debridement
o Clean but non-granulating Hydrocolloid/Hydrophilic paste *
[pink, &/or dull, dusky red] wound Fills depth & provides a moist environment to <25%
facilitate either granulation or autolytic
bed OR debridement
o Closed [not attached to wound Calcium Alginate or Hydrofiber *
base]/hyperkeratotic wound edges Absorbs exudate to maintain a moist not wet <25%
environment. Can be used to fill dead space
OR Available with antimicrobial Ag
o Persistent failure to improve Foam *
Absorbs exudate to maintain a moist not wet <25%
despite appropriate comprehensive environment. Available with antimicrobial Ag
wound management. Mesalt Hypertonic Saline Gauze *
Cleanses wound, debrides slough and absorbs
exudate
Negative Pressure Wound TX * *
<20% <20%
Enzymatic Debrider * *
Requires MD prescription
Not to be used with silver products

Not Healing
Necrotic Tissue: Eschar
Objective: Debride
Not healing Necrotic
o Wound with ≥ 25% avascular tissue (eschar Tissue:Eschar
and/or slough) OR Objective:
o Signs/symptoms of infection OR Debride
o Clean but non-granulating [pink, &/or dull, Product Type Exudate
dusky red] wound bed OR S M/L
o Closed [not attached to wound base]
/hyperkeratotic wound edges OR Hydrogel Wound Gel / Gauze <25
%
Creates a moist environment,
o Persistent failure to improve despite facilitates autolytic debridement *
appropriate comprehensive wound Hydrocolloid Wafer *
management. Provides a moist environment to
facilitate either granulation or
autolytic debridement
20% Hypertonic Gel * *
Softens dry black eschar to
promote debridement. Not to be
used on intact skin
Enzymatic Debrider * *
Requires MD prescription ♦ ♦
Not to be used with silver products

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