Debridement
Tools with the correct debridement
Mechanical- instrument biological- maggots enzymatic- cream
Which of the following are the main functions of debridement
Removes bacteria from wound Removes non-vascular tissue Stimulates healthy tissue formation
The body's use of its own enzymes to destroy necrotic tissue; often used with wound dressings Dressings: thin flims, honey, alginates, hydrocolloids, hydrogel
autolytic
Well perfused wounds with minimal necrosis or infection Not used with infected wound or copious exudate
autolytic
The body's use of its own enzymes to destroy necrotic tissue; often used with wound dressings
autolytic debridement
The use of medical grade sterile larvae to remove necrotic tissue from a wound
biologic debridement
Which of the following BEST describes the debridement in the video
cross-hatching
A 56-year-old male is referred to a clinician for wound management. The patient present with eschar as shown in the image. The clinician decides scoring the wound is the best treatment at this time. Which of the following best describes scoring a wound.
cutting perpendicular lines in the necrotic tissue with a sharp instrument to allow moisture to permeate the tissue
wounds that require debridement and which does not
debride- pressure injury with non-viable tissue on the sacrum, ischial tub, and or greater trochanter do not debride- not on dry, intact eschar in an atrial ulcer without identified adequate blood flow
For conservation debridement of wounds with slough and cross-hatched eschar Not used when allergic to any ingredients in topical agent
enzymatic
Topical application that breaks down proteins in necrotic tissue Topical agents such as Papain Urea
enzymatic
Topical application that breaks down proteins in necrotic tissue
enzymatic debridement
What are the advantages to primary intention over secondary and tertiary intention
faster wound healing low risk of infection minimal scarring
Which of the following BEST describes general contraindication for the debridement shown in video
high internation normalized ratio (INR)
Which of the following BEST describes a characteristic of mechanical debridement
may damage healthy tissue
Use of outside forces to perform non-selective debridement. Wet to dry dressing, whirlpool, pulsatile lavage, or scrubbing a wound
mechanical
Used with caution for necrotic wounds, exudating wounds, infected wounds Not used when possibility of damage viable tissues
mechanical
Use of outside forces to perform non-selective debridement that includes wet to dry dressing, whirlpool, and pulsatile lavage
mechanical debridement
All types of wounds, neuropathic ulcers and thick calluses Not used with arterial wound or heel pressure injury with stable, dry eschar. Inadequate perfusions or thrombocytopenia or high INR
sharp
The use of instruments, such as a scalpel, to selectively debride nonviable tissue from a wound Scalpel, curette, scissors, or forceps
sharp
A patient presents to a wound care specialist with complaints of a wound on the bottom of his toe that has not healed. The wound appears thick and calloused as shown in the image. Which of the following is the BEST form of debridement in order to treat this wound
sharp debridement
The use of instruments, such as a scalpel, to selectively debride nonviable tissue from a wound
sharp debridement
Which type of debridement is generally indicated for thick calluses
sharp debridement: selective
Tools with the correct debridement
sharp- scalpal mechanical- pad autolytic- film
A 56-year-old male presents with a full thickness laceration near his elbow. After examination the clinician notices purulent exudate in the wound and edema of the periwound. The clinician decides the best course of action is to allow for the wound to be left open until the purulent exudate and edema have cleared before closing the wound with sutures. What type of closure is this called.
tertiary intention/delayed primary closure
