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Dressing quiz

Please read the information provided regarded the common dressings and products you are likely to of come across and complete the multiple choice questions which follow by selecting ALL correct responses. Enjoy and I hope you find this tool useful :)

1. The following multiple choice questions have multiple correct answers. Please select ALL that apply.
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2. This learning resource aims to provide nurses with the information needed to make informed decisions regarding wound dressing selection however it is not intended to replace clinical experience and expertise and these should not disregarded. Please also not that some patients may be allergic to certain dressings and it is important to regularly assess for signs of allergic reaction and alter the dressing if indicated.
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3. Gauze is manufactured as bandages, sponges, tubular bandages and stocking (Zahedi et al., 2010). Gauze can stick to the wounds and disrupt the wound bed when removed and is therefore only suitable for minor wounds with low exudate levels or as a secondary dressing (The Royal Children’s Hospital Melbourne, 2013; Zahedi et al., 2010). Gauze must frequently be combined with a secondary dressing and it is contraindicated in moderate to highly exudating wounds (The Royal Children’s Hospital Melbourne, 2013).
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4. Semipermeable transparent films such as Tegaderm and OpSite can be used for:
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5. Aquacel is a hydrofibre dressing which is a soft nonwoven pad or ribbon dressing made from sodium carboxymethyl cellulose fibres (The Royal Children’s Hospital Melbourne, 2013; Zahedi et al., 2010). Hydrofibres absorb exudate, interact with wound exudate to form a soft coherent gel and provide a moist environment in a deep wound that needs packing (Jones, Grey, %26 Harding, 2006; The Royal Children’s Hospital Melbourne, 2013). Hydrofibre dressing such as Aquacel are ideal for medium to high exudate wounds, cavity wounds, lesions, acute and chronic wounds and wounds healing by secondary intention (no surgical closure) (The Royal Children’s Hospital Melbourne, 2013; Zahedi et al., 2010). Hydrofibre dressings are contraindicated in dry and necrotic wounds (The Royal Children’s Hospital Melbourne, 2013; Zahedi et al., 2010).
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6. Intrasite is an example of a hydrogel which is a gel composed mainly of water in a complex network of fibres which keep the polymer gel intact (The Royal Children’s Hospital Melbourne, 2013). The high water content in hydrogels enables them to release water molecules to the wound surface to maintain a moist healing environment (Jones, Grey, %26 Harding, 2006; The Royal Children’s Hospital Melbourne, 2013). Hydrogels are used in pressure ulcers, skin tears, partial-thickness wounds and in the management of sloughy or necrotic wounds to rehydrate and remove dead tissue (Berman et al., 2009; Jones, Grey, %26 Harding, 2006; Zahedi et al., 2010). Hydrogels require a secondary occlusive dressing and are contraindicated in superficial wounds, moderate to heavily exudating wounds or where there is gangrenous tissue which should be kept dry to reduce the risk of infection (Berman et al., 2009; Jones, Grey, %26 Harding, 2006; The Royal Children’s Hospital Melbourne, 2013).
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8. Island dressings such as Primapore can be used for:
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9. Intrasite
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10. Hydrocolloid dressings such as Comfeel %26 Duoderm can be usef for:
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11. Primapore is an example of an island dressing which is slightly absorbent non-adherent pad with an adhesive cover (The Royal Children’s Hospital Melbourne, 2013). Primapore is a soft conformable dressing consisting of a Melolin type pad and a water resistant hypoallergenic backing which easily conforms for use on problematic anatomical areas (Kestrel Health Information, 2013g). Island dressings such as primapore are ideal for wounds healing by primary intention, low exudate wounds, surgical incision sites and simple cuts and lacerations (Kestrel Health Information, 2013g; The Royal Children’s Hospital Melbourne, 2013). Island dressing are contraindicated in moderate to highly exudating wounds (The Royal Children’s Hospital Melbourne, 2013).
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12. (Kestrel Health Information, 2013h)
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13.
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14. (Kestrel Health Information, 2013b)
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15. (Kestrel Health Information., 2013f)
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16. (Kestrel Health Information, 2013a)
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17.
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18. Foam dressings such as Mepilex %26 Allevyn can be used for:
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19. References: Berman, A., Snyder, S., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., ... Stanley, D. (2009). The nature of nursing: Values, ethics and advocacy. (Eds). Kozier and Erb’s Fundamentals of Nursing (pp. 87-99). Sydney: Pearson. Jones, V., Grey, J. E., %26 Harding, K. G. (2006). Wound dressings: Ninth in a series of 12 articles. British Medical Journal, 332(7544), 777-780. Kestrel Health Information. (2013a). AlgiSite M calcium alginate dressing. Retrieved from http://www.woundsource.com Kestrel Health Information. (2013b). Allevyn Ag adhesive dressing. Retrieved from http://www.woundsource.com Kestrel Health Information. (2013c). Aquacel Ag adhesive dressing. Retrieved from http://www.woundsource.com Kestrel Health Information. (2013d). Bulkee II gauze bandage. Retrieved from http://www.woundsource.com Kestrel Health Information. (2013e). Comfeel ulcer dressing. Retrieved from http://www.woundsource.com Kestrel Health Information. (2013f). Intrasite gel hydrogel wound dressing. Retrieved from http://www.woundsource.com Kestrel Health Information. (2013g). Primapore non-woven adhesive wound dressing. Retrieved from http://www.woundsource.com Kestrel Health Information. (2013h). 3M Tegaderm transparent film dressing. Retrieved from http://www.woundsource.com The Royal Children’s Hospital Melbourne. (2013). Clinical guidelines: Wound care. Retrieved from http://www.rch.org.au Smith %26 Nephew. (2013). Jelonet: Paraffin gauze dressing. Retrieved from http://www.smith-nephew.com Zahedi, P., Rezaeian, I., Ranaei-Siadat, S. O., Jafari, S. H., %26 Supaphol, P. (2010). A review on wound dressings with an emphasis on electrospun nanofibrous polymeric bandages. Polymers for Advanced Technology, 21(2), 77–95.
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20.
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21. Jelonet
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22. (Kestrel Health Information, 2013d)
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23. Gauze
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24. (Smith %26 Nephew, 2013)
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25. Comfeel and Duoderm are hydrocolloid dressings which contain colloidal particles such as elastomers, gelatin or pectin and adhesives (Jones, Grey, %26 Harding, 2006). Hydrocolloids consist of two layers the inner adhesive layer which absorbs exudate and forms a hydrated gel over the wound bed whilst the second layer provides and occlusive waterproof seal (Berman et al., 2009; Jones, Grey, %26 Harding, 2006; Zahedi et al., 2010). Hydrocolloids allow patients to bathe or shower without risking contamination of the wound and can be used can be used to rehydrate dry necrotic eschar and promote autolytic debridement as they are virtually impermeable to water vapour and air (Jones, Grey, %26 Harding, 2006). Comfeel %26 Duoderm are ideal for burns, minor abrasions, stage II-IV pressure ulcers and to promote autolytic (self-digesting) debridement of eschar (Berman et al., 2009; The Royal Children’s Hospital Melbourne, 2013). Hydrocolloids should not be used in wounds requiring frequent inspection or dressing changes and are contraindicated in high exudate wounds and dirty infected wounds as the gel may be mistaken for infection (The Royal Children’s Hospital Melbourne, 2013).
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26. Jelonet is an impregnated non-adherent moist dressing consisting of Tulle gauze and petroleum jelly (The Royal Children’s Hospital Melbourne, 2013; Zahedi et al., 2010). Impregnated non-adherent dressings reduce adherence to the wound bed and create a moist environment to aid healing (Berman et al., 2009; The Royal Children’s Hospital Melbourne, 2013). Jelonet is suitable for low exudate wounds including postoperative dressings over staple or sutures, superficial burns, lacerations, abrations and ulcers (Berman et al., 2009; Zahedi et al., 2010). Impregnated non-adherent dressings always require a secondary dressing and are contraindicated in moderate to high exudating wounds as they do not absorb exudate (The Royal Children’s Hospital Melbourne, 2013; Zahedi et al., 2010).
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27.
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28. Kaltostat %26 AlgiSite M
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29. Kaltostat and AlgiSite M are alginates which are a dressing product produced from the naturally occurring calcium and sodium salts of alginic acid found in a family of brown seaweed (Phaeophyceae) (Berman et al., 2009; Jones, Grey, %26 Harding, 2006). Alginates are suitable for high exudating wounds as they can absorb 15-20 times their weight in exudate and also support haemostasis (Berman et al., 2009; Jones, Grey, %26 Harding, 2006). Kaltostat %26 AlgiSite M are ideal for use in venous ulcers, wounds with tunneling, pressure ulcers, skin tears and surgical wounds (Berman et al., 2009; Jones, Grey, %26 Harding, 2006). Alginates always require a secondary dressing and must not be used on wounds with little or no exudate as they will adhere to the healing wound surface and cause pain and damage to healthy tissue on removal (Jones, Grey, %26 Harding, 2006).
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30.
IV and central line dressings, Highly exudative wounds, Pressure ulcers satge 1, Superficial wounds,
31. Tegaderm and OpSite are semipermeable transparent films which consist of a sterile plastic sheets of polyurethane coated with hypoallergenic acrylic adhesive (Berman et al., 2009; Jones, Grey, %26 Harding, 2006). These dressings create a moist environment for wound healing as they allow for the exchange of water vapour and oxygen between the atmosphere and wound yet prevent contamination as they remain impermeable to fluids and bacteria (Berman et al., 2009; Jones, Grey, %26 Harding, 2006). Films are very flexible making them suitable for problematic anatomical sites such as over joints. Semipermeable films adhere only to healthy skin, allow visual checks, may be left in place for several days and are useful as a secondary dressing (Jones, Grey, %26 Harding, 2006). Tegaderm and OpSite are suitable for suitable for flat, shallow wounds with low exudate and are commonly used for IV dressings, central line dressings, superficial wounds and stage I pressure ulcers (Berman et al., 2009; Jones, Grey, %26 Harding, 2006; The Royal Children’s Hospital Melbourne, 2013; Zahedi, Rezaeian, Ranaei-Siadat, Jafari, %26 Supaphol, 2010). Films do not provide cushioning and are contraindicated in both infected and heavily exudating wounds as this may cause maceration of the skin surrounding the wound bed (Jones, Grey, %26 Harding, 2006; The Royal Children’s Hospital Melbourne, 2013).
Skin tears, Surgical wounds, Pressure %26 venous ulcers online learning games , Dry or necrotic wounds,
32. Hydrofiber dressings such as Aquacel can be used for:
Minor abrasions, Stage II-IV pressure ulcers , High exudate wounds, Burns,
33. (Kestrel Health Information, 2013c)
Low exudate wounds, Wounds healing by secondary intention, Minor cuts and lacerations, Surgical incision sites,
34.
Wounds healing by secondary intention, Dry or necrotic wounds, Medium to high exudate wounds, Cavity wounds,
35. Mepilex and Allevyn are polyurethane foam dressings with an adhesive layer incorporated (Jones, Grey, %26 Harding, 2006). Polyurethane foam dressings consist of two or three layers which make them able to absorb high amounts of exudate whilst maintaining a moist environment for optimal wound healing (Berman et al., 2009; Jones, Grey, %26 Harding, 2006). These dressings are permeable to oxygen and water vapour and come in a variety shapes and sizes to suit various anatomical locations as listed on manufactures packaging (The Royal Children’s Hospital Melbourne, 2013). These dressings ensure uniform dispersion of exudate and have a semipermeable backing which prevents strike-through (exterior leakage) (Jones, Grey, %26 Harding, 2006). Mepilex and Allevyn are ideal for pressure ulcers, venous ulcers, skin tears, surgical wounds, light to high exudate wounds and wounds undergoing chemical debridement agents (Berman et al., 2009; Jones, Grey, %26 Harding, 2006; The Royal Children’s Hospital Melbourne, 2013). Polyurethane foam dressings are less likely to stick to delicate wound beds however they may require a secondary dressing to obtain an occlusive environment and surrounding skin should be appropriately protected to prevent maceration (Berman et al., 2009). These dressings cannot be used on dry wound, necrotic wounds or wounds with eschar (dry dark scab) (The Royal Children’s Hospital Melbourne, 2013).
Will not stick to the wound surface, Can only be used on minor wounds, May be used as a secondary dressing, Is indicated for high exudate wounds,
36. (Kestrel Health Information, 2013e)
Are highly absorbent, Do NOT require a secondary dressing, Are indicated for low exudate wounds, Are alginates which support haemostasis,
37.
Requires a secondary dressing, Indicated for moderate to high exudate wounds, Indicated for necrotic or sloughy wounds, Is a gel composed mainly of water,
38. (Kestrel Health Information, 2013g)
Does absorb exudate, Requires a secondary dressing, Is indicated in ulcers and superficial burns, Is indicated in moderate to high exudate wounds,
39. Other related products you are likely to come across include:
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