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WorksheetsProperties of topical agents and dressing materials (RCDR)
Total questions: 36
Worksheet time: 25mins
Properties of topical agents and dressing materials
Alginates/CMC (Actions)
Absorb fluid
Promote autolytic debridement
Moisture control
Conformability to wound bed
Rehydrate wound bed
Properties of topical agents and dressing materials
Polyurethane film - (Actions)
Breathable bacterial barrier
Promote autolytic debridement
Moisture control
Transparent (allow visualization of wound).
Properties of topical agents and dressing materials
Silver - (Actions)
Antimicrobial action
Promote autolytic debridement
Moisture control
Conformability to wound bed
Properties of topical agents and dressing material
Hydrogels (Actions)
Absorb fluid
Promote autolytic debridement
Moisture control
Cooling
Rehydrate wound bed
Properties of topical agents and dressing material
Low-adherent wound contact layer (Silicone) (Actions)
Protect new tissue growth
Promote autolytic debridement
Atraumatic to periwound skin
Conformable to body contours
Properties of topical agents and dressing materials
Foams (Actions)
Absorb fluid
Promote autolytic debridement
Moisture control
Conformability to wound bed
Properties of topical agents and dressing materials
Honey (Actions)
Rehydrate wound bed
Promote autolytic debridement
Moisture control
Antimicrobial action
Properties of topical agents and dressing materials
Hydrocolloids (Actions)
Promote autolytic debridement
Absorb fluid
Antimicrobial action
Properties of topical agents and dressing materials
Iodine (Actions)
Promote autolytic debridement
Absorb fluid
Antimicrobial action
Properties of topical agents and dressing materials
PHMB (Actions)
Promote autolytic debridement
Conformable to body contours
Antimicrobial action
Properties of topical agents and dressing materials
Odor control (e.g. activated charcoal) - (Actions)
Odor absorption
Conformable to body contours
Antimicrobial action
Properties of topical agents and dressing materials
Protease modulating - (Actions)
Active or passive control of wound protease levels
Conformable to body contours
Antimicrobial action
Properties of topical agents and dressing materials
Silver - (Indications/use)
Critically colonized wounds or clinical signs of infection
Low to high exuding wounds
Antimicrobial action
Combined presentation with foam and alginates/CMC for increased absorbency. Also in paste form
Properties of topical agents and dressing materials
Polyurethane film - (Indications/use)
Primary dressing over superficial low exuding wounds
econdary dressing over alginate or hydrogel for rehydration of wound bed
Combined presentation with foam and alginates/CMC for increased absorbency. Also in paste form
Properties of topical agents and dressing materials
Alginates/CMC - (Indications/use)
Moderate to high exuding wounds
Special cavity presentations in the form of rope or ribbon
Combined presentation with silver for antimicrobial activity
Low-adherent versions available for patients with fragile skin.
Properties of topical agents and dressing materials
Protease modulating - (Indications/use)
Clean wounds that are not progressing despite correction of underlying causes, exclusion of infection, and optimal wound care.
Special cavity presentations in the form of rope or ribbon
May require antimicrobial if due to increased bioburden.
Low to high exuding wounds
Properties of topical agents and dressing materials
Iodine - (Indications/use)
Critically colonized wounds or clinical signs of infection.
Special cavity presentations in the form of rope or ribbon
Low to high exuding wounds
Properties of topical agents and dressing materials
Foams - (Indications/use)
Moderate to high exuding wounds
Special cavity presentations in the form of strips or ribbon
Combined presentation with silver for antimicrobial activity
Low-adherent versions available for patients with fragile skin.
Combined presentation with silver or PHMB for antimicrobial activity
Properties of topical agents and dressing materials
PHMB - (Indications/use)
Low to high exuding wounds
Critically colonized wounds or clinical signs of infection
May require secondary dressing
Low-adherent versions available for patients with fragile skin.
Properties of topical agents and dressing materials
Honey - (Indications/use)
Sloughy, low to moderate exuding wounds.
Special cavity presentations in the form of strips or ribbon
Critically colonized wounds or clinical signs of infection
Properties of topical agents and dressing materials
Low-adherent wound contact layer (silicone) - (Indications/use)
Sloughy, low to moderate exuding wounds.
Low to high exuding wounds
Use as contact layer on superficial low exuding wounds
Properties of topical agents and dressing materials
Odor control (e.g. activated charcoal) - (Indications/use)
Malodorous wounds (due to excess exudate)
May require antimicrobial if due to increased bioburden
Critically colonized wounds or clinical signs of infection
Properties of topical agents and dressing materials
Hydrogels - (Indications/use)
Moist, low to moderate exuding wounds
Dry/low to moderate exuding wounds
Combined presentation with silver for antimicrobial activity
Properties of topical agents and dressing materials
Hydrocolloids - (Indications/use)
Sloughy, low to moderate exuding wounds.
Clean, low to moderate exuding wounds
Combined presentation with silver for antimicrobial activity
Properties of topical agents and dressing materials
Alginates/CMC - (Precautions/contraindications)
Do not use on dry/necrotic wounds
Use with caution on friable tissue (may cause bleeding)
Do not pack cavity wounds tightly
May cause "drawing" pain (osmotic effect)
Properties of topical agents and dressing materials
Foams - (Precautions/contraindications)
Do not use on dry/necrotic wounds or those with minimal exudate
Use with caution on friable tissue (may cause bleeding)
Known sensitivity
May cause "drawing" pain (osmotic effect)
Properties of topical agents and dressing materials
Honey - (Precautions/contraindications)
Do not use on dry/necrotic wounds or those with minimal exudate
Known sensitivity
May cause "drawing" pain (osmotic effect)
Properties of topical agents and dressing materials
Hydrocolloids - (Precautions/contraindications)
Do not use on dry/necrotic wounds or high exuding wounds
May encourage over-granulation
May cause maceration
May cause "drawing" pain (osmotic effect)
Properties of topical agents and dressing materials
Hydrogels - (Precautions/contraindications)
Do not use on highly exuding wounds or where anaerobic infection is suspected
May encourage over-granulation
May cause maceration
Properties of topical agents and dressing materials
Iodine - (Precautions/contraindications)
Do not use on dry necrotic tissue
May encourage over-granulation
Known sensitivity to iodine
Short-term use recommended (risk of systemic absorption)
Properties of topical agents and dressing materials
Low-adherent wound contact layer (silicon) - (Precautions/contraindications)
May dry out if left in place for too long
Known sensitivity to silicone
Short-term use recommended (risk of systemic absorption)
Properties of topical agents and dressing materials
PHMB - (Precautions/contraindications)
Do not use on dry/necrotic wounds
Known sensitivity
May cause maceration
Properties of topical agents and dressing materials
Odor control (e.g. activated charcoal) - (Precautions/contraindications)
Do not use on dry wounds
Do not use on dry wounds or those with leathery eschar
Some may cause discoloration
Properties of topical agents and dressing materials
Protease modulating - (Precautions/contraindications)
Do not use on dry wounds
Do not use on dry wounds or those with leathery eschar
Some may cause discoloration
Properties of topical agents and dressing materials
Silver - (Precautions/contraindications)
Some may cause discoloration
Do not use on dry wounds or those with leathery eschar
Known sensitivity
Discontinue after 2 weeks if no improvement and reevaluate
Properties of topical agents and dressing materials
Polyurethane film - (Precautions/contraindications)
Do not use on patients with fragile/compromised periwound skin.
Do not use on dry wounds or those with leathery eschar
Do not use on moderate to high exuding wounds
