Drains and Dressing

Question 1

Drains

Answer 1

• Collection of wound drainage, sutured to drain excessive fluid
• Stop infection, excudate, skin protection, mointor drainage
• Security of drain, character, amount, blockages in suction, drain placement/leaks

Question 2

Complications

Answer 2

Hemorrhage- uncontrolled bleeding, immediate intervention, blood loss
Infection- red, swelling, tender require contro;
Dehiensece- forced incison , wall sepreation - complete sepreation of opening- wound care
Eviseration- organ potrrsuion through opening, require sugery
Firstual- abnormal drainage connection

Question 3

Purpose for dressings

Answer 3

• Protection, spliting incision, promote healing, thermal insulation, moist environment, vasular supply
• May not be required when drainage stops, healing occurs, staples secured
• Contact layer protect, absorbant layer to collect saturation and protective layer to splint wound.
• Saline to incision
• Homeostasis, debridment of wound, protect client, allow granulation tissue and epithelial cells

Question 4

Principles of wound management

Answer 4

• Debridment to allow helaing, moisture balance, infection and wound protection
• Absorbant, moisture, breathable, protective dressing barrier

Question 5

Wound dressing

Answer 5

Wet-dry and wet-moist
Hydrogel, contact layers
Moist ( less infection, quick healing)
Dry ( scab, delay healing, scaring)

Question 6

Dressing aspesis

Answer 6

Sterile object remains sterile when touched by another sterile –> sterile object in field, broken, moisture, air, gravity, 1 inch margins contamintion of field.
- Date written on package
- Sterile always above wasit level
- In sight always- never turn back on field
- Doubt sterility
- Check breaks, moisture, expiration dates
- Sterile only with sterile and attendened
- Prolonged air ( unsterile) and wet become contaminated.
- Do not reach across, foreps down, avoid droplet over wound, avoid opening across wound, limit air movement and objects passing wound.

Question 7

7 Surgical Aspeptic principles

Answer 7

1. Sterile to Sterile ( become contaminated if sterile–> non sterile)
2. Sterile fields- drape moist/broken
3. Above waist- is sterile
4. In sight - must be in sight , never turn back
5. 1 inch field- around field unsterile
6. Gravity-flow- fluids contact , instruments held down
7. Doubt=dirty

Question 8

Wound sterility

Answer 8

• Clean from least to most contaminated–> clean to dirty
• Incison line ( least to most, incison line to surrounding skin)
• Drains ( cleaned afterwards, outward cicles–> clean to irty, least to most contaminated– new gauez)
• Outward circular motion for drains
• New gauze to wet and dry incison
• Avoid bottle , package opening across wound ( Date and time opened) sterile 24hrs
• Package integrity, intact, breaks/moisture, date, keep within field.