wound care

  • related: MSK
  • tags: #note

Ulcers

  • Stage 1 (no skin tear) and 2 (skin tear):
    • Mepilex and zinc
    • Use xeroform or wet to dry if dry skin
  • Stage 3: can see fat or muscle
    • yellow/black tissue = dead tissue
      • use Dakins BID: bleach that breaks down dead tissues
    • red tissues = alive tissues
      • if dry: use wet to dry or xeroform
      • if wet/oozing/secretions: use aquacel AG or mepilex AG to soak up moisture. Can leave on 3 days at a time
  • Stage 4: muscle, bone, tendons
    • same as above mostly
    • if eschars: can use knife or Santyl cream for enzymatic debridement
  • Deep tissue injury: skin intact but dead tissues underneath