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Properties of topical agents and dressing materials (RCDR)

Total questions: 36

Worksheet time: 25mins

Name
Class
Date
1.

Properties of topical agents and dressing materials
Alginates/CMC (Actions)

a)

Absorb fluid

b)

Promote autolytic debridement

c)

Moisture control

d)

Conformability to wound bed

e)

Rehydrate wound bed

2.

Properties of topical agents and dressing materials
Polyurethane film - (Actions)

a)

Breathable bacterial barrier

b)

Promote autolytic debridement

c)

Moisture control

d)

Transparent (allow visualization of wound).

3.

Properties of topical agents and dressing materials
Silver - (Actions)

a)

Antimicrobial action

b)

Promote autolytic debridement

c)

Moisture control

d)

Conformability to wound bed

4.

Properties of topical agents and dressing material

Hydrogels (Actions)

a)

Absorb fluid

b)

Promote autolytic debridement

c)

Moisture control

d)

Cooling

e)

Rehydrate wound bed

5.

Properties of topical agents and dressing material

Low-adherent wound contact layer (Silicone) (Actions)

a)

Protect new tissue growth

b)

Promote autolytic debridement

c)

Atraumatic to periwound skin

d)

Conformable to body contours

6.

Properties of topical agents and dressing materials
Foams (Actions)

a)

Absorb fluid

b)

Promote autolytic debridement

c)

Moisture control

d)

Conformability to wound bed

7.

Properties of topical agents and dressing materials
Honey (Actions)

a)

Rehydrate wound bed

b)

Promote autolytic debridement

c)

Moisture control

d)

Antimicrobial action

8.

Properties of topical agents and dressing materials
Hydrocolloids (Actions)

a)

Promote autolytic debridement

b)

Absorb fluid

c)

Antimicrobial action

9.

Properties of topical agents and dressing materials
Iodine (Actions)

a)

Promote autolytic debridement

b)

Absorb fluid

c)

Antimicrobial action

10.

Properties of topical agents and dressing materials
PHMB (Actions)

a)

Promote autolytic debridement

b)

Conformable to body contours

c)

Antimicrobial action

11.

Properties of topical agents and dressing materials
Odor control (e.g. activated charcoal) - (Actions)

a)

Odor absorption

b)

Conformable to body contours

c)

Antimicrobial action

12.

Properties of topical agents and dressing materials
Protease modulating - (Actions)

a)

Active or passive control of wound protease levels

b)

Conformable to body contours

c)

Antimicrobial action

13.

Properties of topical agents and dressing materials
Silver - (Indications/use)

a)

Critically colonized wounds or clinical signs of infection

b)

Low to high exuding wounds

c)

Antimicrobial action

d)

Combined presentation with foam and alginates/CMC for increased absorbency. Also in paste form

14.

Properties of topical agents and dressing materials
Polyurethane film - (Indications/use)

a)

Primary dressing over superficial low exuding wounds

b)

econdary dressing over alginate or hydrogel for rehydration of wound bed

c)

Combined presentation with foam and alginates/CMC for increased absorbency. Also in paste form

15.

Properties of topical agents and dressing materials
Alginates/CMC - (Indications/use)

a)

Moderate to high exuding wounds

b)

Special cavity presentations in the form of rope or ribbon

c)

Combined presentation with silver for antimicrobial activity

d)

Low-adherent versions available for patients with fragile skin.

16.

Properties of topical agents and dressing materials
Protease modulating - (Indications/use)

a)

Clean wounds that are not progressing despite correction of underlying causes, exclusion of infection, and optimal wound care.

b)

Special cavity presentations in the form of rope or ribbon

c)

May require antimicrobial if due to increased bioburden.

d)

Low to high exuding wounds

17.

Properties of topical agents and dressing materials
Iodine - (Indications/use)

a)

Critically colonized wounds or clinical signs of infection.

b)

Special cavity presentations in the form of rope or ribbon

c)

Low to high exuding wounds

18.

Properties of topical agents and dressing materials
Foams - (Indications/use)

a)

Moderate to high exuding wounds

b)

Special cavity presentations in the form of strips or ribbon

c)

Combined presentation with silver for antimicrobial activity

d)

Low-adherent versions available for patients with fragile skin.

e)

Combined presentation with silver or PHMB for antimicrobial activity

19.

Properties of topical agents and dressing materials
PHMB - (Indications/use)

a)

Low to high exuding wounds

b)

Critically colonized wounds or clinical signs of infection

c)

May require secondary dressing

d)

Low-adherent versions available for patients with fragile skin.

20.

Properties of topical agents and dressing materials
Honey - (Indications/use)

a)

Sloughy, low to moderate exuding wounds.

b)

Special cavity presentations in the form of strips or ribbon

c)

Critically colonized wounds or clinical signs of infection

21.

Properties of topical agents and dressing materials
Low-adherent wound contact layer (silicone) - (Indications/use)

a)

Sloughy, low to moderate exuding wounds.

b)

Low to high exuding wounds

c)

Use as contact layer on superficial low exuding wounds

22.

Properties of topical agents and dressing materials
Odor control (e.g. activated charcoal) - (Indications/use)

a)

Malodorous wounds (due to excess exudate)

b)

May require antimicrobial if due to increased bioburden

c)

Critically colonized wounds or clinical signs of infection

23.

Properties of topical agents and dressing materials
Hydrogels - (Indications/use)

a)

Moist, low to moderate exuding wounds

b)

Dry/low to moderate exuding wounds

c)

Combined presentation with silver for antimicrobial activity

24.

Properties of topical agents and dressing materials
Hydrocolloids - (Indications/use)

a)

Sloughy, low to moderate exuding wounds.

b)

Clean, low to moderate exuding wounds

c)

Combined presentation with silver for antimicrobial activity

25.

Properties of topical agents and dressing materials
Alginates/CMC - (Precautions/contraindications)

a)

Do not use on dry/necrotic wounds

b)

Use with caution on friable tissue (may cause bleeding)

c)

Do not pack cavity wounds tightly

d)

May cause "drawing" pain (osmotic effect)

26.

Properties of topical agents and dressing materials
Foams - (Precautions/contraindications)

a)

Do not use on dry/necrotic wounds or those with minimal exudate

b)

Use with caution on friable tissue (may cause bleeding)

c)

Known sensitivity

d)

May cause "drawing" pain (osmotic effect)

27.

Properties of topical agents and dressing materials
Honey - (Precautions/contraindications)

a)

Do not use on dry/necrotic wounds or those with minimal exudate

b)

Known sensitivity

c)

May cause "drawing" pain (osmotic effect)

28.

Properties of topical agents and dressing materials
Hydrocolloids - (Precautions/contraindications)

a)

Do not use on dry/necrotic wounds or high exuding wounds

b)

May encourage over-granulation

c)

May cause maceration

d)

May cause "drawing" pain (osmotic effect)

29.

Properties of topical agents and dressing materials
Hydrogels - (Precautions/contraindications)

a)

Do not use on highly exuding wounds or where anaerobic infection is suspected

b)

May encourage over-granulation

c)

May cause maceration

30.

Properties of topical agents and dressing materials
Iodine - (Precautions/contraindications)

a)

Do not use on dry necrotic tissue

b)

May encourage over-granulation

c)

Known sensitivity to iodine

d)

Short-term use recommended (risk of systemic absorption)

31.

Properties of topical agents and dressing materials
Low-adherent wound contact layer (silicon) - (Precautions/contraindications)

a)

May dry out if left in place for too long

b)

Known sensitivity to silicone

c)

Short-term use recommended (risk of systemic absorption)

32.

Properties of topical agents and dressing materials
PHMB - (Precautions/contraindications)

a)

Do not use on dry/necrotic wounds

b)

Known sensitivity

c)

May cause maceration

33.

Properties of topical agents and dressing materials
Odor control (e.g. activated charcoal) - (Precautions/contraindications)

a)

Do not use on dry wounds

b)

Do not use on dry wounds or those with leathery eschar

c)

Some may cause discoloration

34.

Properties of topical agents and dressing materials
Protease modulating - (Precautions/contraindications)

a)

Do not use on dry wounds

b)

Do not use on dry wounds or those with leathery eschar

c)

Some may cause discoloration

35.

Properties of topical agents and dressing materials
Silver - (Precautions/contraindications)

a)

Some may cause discoloration

b)

Do not use on dry wounds or those with leathery eschar

c)

Known sensitivity

d)

Discontinue after 2 weeks if no improvement and reevaluate

36.

Properties of topical agents and dressing materials
Polyurethane film - (Precautions/contraindications)

a)

Do not use on patients with fragile/compromised periwound skin.

b)

Do not use on dry wounds or those with leathery eschar

c)

Do not use on moderate to high exuding wounds