wound care

• related: MSK
• tags: #note

Ulcers

• Stage 1 (no skin tear) and 2 (skin tear):
  • Mepilex and zinc
  • Use xeroform or wet to dry if dry skin
• Stage 3: can see fat or muscle
  • yellow/black tissue = dead tissue
    • use Dakins BID: bleach that breaks down dead tissues
  • red tissues = alive tissues
    • if dry: use wet to dry or xeroform
    • if wet/oozing/secretions: use aquacel AG or mepilex AG to soak up moisture. Can leave on 3 days at a time
• Stage 4: muscle, bone, tendons
  • same as above mostly
  • if eschars: can use knife or Santyl cream for enzymatic debridement
• Deep tissue injury: skin intact but dead tissues underneath