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Sterile Dressings

Review. Wound Assessment in Stable Setting. Appearance:Approximation

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Sterile Dressings

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    1. Sterile Dressings Chapter 43 Potter & Perry Chapters 37, 38 Perry & Potter

    2. Review

    3. Wound Assessment in Stable Setting Appearance: Approximation Are wound edges closed? Surgical incision should have clean well approximated edges Is there exudate? Is there skin discoloration? Are wound edges inflamed and/or swollen?

    4. Drainage Amount color odor consistency Type: Classifications of drainage Serous clear, watery plasma Purulent thick, yellow, green, tan or brown (pus) Sanguineous bright red, indicates active bleeding (bloody) Sero-sanguineous pale, red, watery; mixture of serous and sanguineous

    5. Wound Drains Put in place to aid with drainage Caution with dressing changes so as not to accidentally remove drain Types: Penrose oldest and was most widely used Evacuator drainage (self-suction) exerts a constant low pressure Hemovac Jackson-Pratt

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