Page 61 - Wound Care at End of Life Content: A Guide for Hospice Professionals - DEMO

Recipes for Wound Care Preparations

Comments Dispose of any unused solution within 24 hours  Use only unscented, regular strength bleach (Clorox®)  Dakin’s solution is a commercially available wound cleansing  product with published stability information; however, the stability and sterility of compounded hypochlorite solution cannot be guaranteed. Short term use only (less than 14 days).  Dispose of any unused solution within 24 hours  Acetic acid irrigation solution is a commerc

5.25%) desired strength solution. Stir to dissolve and transfer for injection (10mg/mL): 10mg (1mL) for injection (10mg/mL): 20mg (2mL) Alternate formulation: Morphine 4%+Lidocaine 4% (Flagyl®) tablet (500mg): 1000mg Crush tablets and dissolve in 100mL of normal saline *Boil tap water 20 minutes and cool to room temperature. Prepare clean containers by boiling or sanitizing in dishwasher. Follow your organizations’ 47

Components* Household bleach (sodium hypochlorite ½ strength: 25mL (1T+2 tsp)  ¼ strength: 12.5mL (2 ½ tsp)  Baking soda: ½ tsp 32 oz boiled tap water, cooled 32 oz container, sterile Directions: Boil tap water, cool. Add ½ tsp baking soda (buffering agent) and amount of bleach for to sterile container. Distilled white vinegar 0.25%: 50mL (3T + 1 tsp)  32 oz boiled tap water, cooled 32 oz container, sterile Directions: Boil tap water, cool. Add

Wound Prep Diluted hypochlorite solution (Dakin’s®) 3 ¼ strength (0.125%) ½ strength (0.25%) Acetic acid irrigation solution 3,4 0.25% Morphine in hydrogel 5 Morphine topical solution 7 Metronidazole topical solution 8 policy for clean vs sterile preparation. 3