By Joseph E. Grey, Keith G. Harding
This fresh name within the ABC sequence seems on the remedy and administration of wounds and therapeutic method - it is the excellent reduction for college kids, nursing employees, clinic medical professionals and GPs.
Covers the review, analysis and administration of all wounds - from worrying to continual. Giving useful suggestion on dressings and units utilized in the administration of wounds.
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Extra resources for ABC of Wound Healing
Conversely, use of a highly absorptive dressing on a dry wound may lead to disruption of healthy tissue on the wound surface and cause pain when removed. Allergic reactions are not uncommon: the dressing should be avoided, and the allergy may need to be treated with potent topical steroids. Tapes used to keep dressings in place are common causes of allergy. Many dressings require secondary dressings—for example, padding on highly exuding wounds—which may make them bulky. Secondary dressings should not be too tight, especially on patients with peripheral vascular disease.
Alginates are rich in either mannuronic acid or guluronic acid, the relative amount of each influencing the amount of exudate absorbed and the shape the dressing will retain. Alginates partly dissolve on contact with wound fluid to form a hydrophilic gel as a result of the exchange of sodium ions in wound fluid for calcium ions in the dressing. Those high in mannuronic acid (such as Kaltostat) can be washed off the wound easily with saline, but those high in guluronic acid (such as Sorbsan) tend to retain their basic structure and should be removed from the wound bed in one piece.
Subtle signs of local wound infection include unhealthy “foamy” granulation tissue, contact bleeding, tissue breakdown, and epithelial bridging. Infection is a major source of failed wound healing Management of bite wounds x x x x x Carry out meticulous surgical debridement and cleansing of wound Send deep tissue specimens for microbiology testing Consider empirical treatment with antibiotics Consider tetanus prophylaxis Seek microbiological advice if bite was by exotic animal Signs of wound infection x x x x x x x x x x x x Redness Heat Pain Swelling Exudate (purulent, serous, or serosanguinous) Odour Poor healing Contact bleeding Epithelial bridging Tissue breakdown Presence of unhealthy granulation tissue Systemic illness in the absence of other focus of infection Types of sample Superficial wound swabs—The ease of obtaining and processing superficial wound swabs, combined with their relatively low cost and non-invasive nature, make them in most instances the most appropriate method for wound sampling.
ABC of Wound Healing by Joseph E. Grey, Keith G. Harding