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The document defines various terms related to advanced sterile dressings: irrigation, wound culture, Montgomery straps, Penrose drain, Jackson-Pratt drain, Hemovac drain, and wound vacuum-assisted closure. It then provides a study guide question about nursing interventions to prevent pressure ulcers and complications related to advanced sterile dressings.

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32 views

Answers ASD

The document defines various terms related to advanced sterile dressings: irrigation, wound culture, Montgomery straps, Penrose drain, Jackson-Pratt drain, Hemovac drain, and wound vacuum-assisted closure. It then provides a study guide question about nursing interventions to prevent pressure ulcers and complications related to advanced sterile dressings.

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liptonacl
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Answers Advance SteriIe -VocabuIary words and Study Guide Questions

Irrigation: The cleansing of a canal or cavity by flushing with water or other fluids; washing of a wound. The
solutions used for cleansing should be sterile and, for comfort, have the temperature slightly warmer than
body temperature.
Wound cuIture: The propagation of microorganisms or of living tissue cells in special media that are
conducive to their growth.
Montgomery straps: Paired adhesive straps applied to either side of a wound (usually abdominal), the
central sections of which are folded back on themselves with several perforations at the leading edges.
This provides a method of securing a bandage and subsequently changing it without having to replace
the tape each time.
Penrose drain: A thin rubber tube, usually 0.5 to 1 inch in diameter by which a channel or open area may be
established for exit of fluids or purulent material from a cavity, wound, or infected area.
Jackson-pratt (JP) drain: A soft tube that is placed in an operative site to drain blood and inflammatory fluid
following surgery. The tube is connected to a compressed, small plastic bulb. The compression creates
a suction; the bulb expands as it fills. The collected liquid is emptied and measured when the bulb is
about 60% filled, and the bulb is compressed.
Hemovac drain: s a round drain that is compressed flat to provide suction to a draining wound. The drain
consist of perforated tubing connected to a portable mini vacuum unit. Suction is maintained by
compressing a spring like device in the collection unit. The capacity is larger than a JP drain.
Wound vacuum-assisted cIosure (VAC): s a therapy that assists in wound closure by applying localized
negative pressure to the wound bed. t is also known as topical negative pressure (TNP) or negative-
pressure wound therapy (NPWT). An open-cell foam dressing is applied in the wound. A fenestrated
tube is embedded in the foam, allowing the application of the negative pressure. The dressing and distal
tubing are covered by a transparent, occlusive, air-permeable dressing that provides a seal, allowing the
application of the negative pressure. Excess wound fluid is removed through the tubing, and it also acts
to pull the wound edges together. This wound treatment increases blood flow to the wound, promotes
granulation tissue formation, removes excess exudates, and reduces wound bacterial counts. Wound
VAC dressings are changed every 48-72 hours, depending on the manufacturer's specification and the
physician's order.


1. Describe the nursing interventions to prevent pressure ulcers?

-Assess the skin daily, pay attention particularly to bony prominences.
-Cleanse the skin routinely and wherever soiling occurs. Use mild cleansing agents and minimal
friction, and avoid hot water.
-Maintain higher humidity in the environment. Use skin moisturizers for dry skin.
-Avoid massage over bony prominences.
-Protect skin from moisture associated with incontinence or wound drainage.
-Minimize skin injury from friction and shearing forces by using proper positioning, turning, and
transfer techniques.
-Monitor dietary intake of protein and calories. Use nutritional supplements and appropriate
interventions to ensure adequate intake.
-nitiate interventions to improve mobility and activity.
-Document measures used to prevent pressure ulcers.

2. Describe complications related to advanced sterile dressings?

Wound infection (not utilizing sterile technique), dehiscence, and evisceration

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