SUR 131

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Author:
suprstar77
ID:
167728
Filename:
SUR 131
Updated:
2012-08-27 23:12:55
Tags:
Dressings
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Description:
Dressings
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  1. Raytex(Rx) - 4x4 gauze, COUNTED, 10/pack, contains raiopaque strip, used for sponging at operative field.
  2. Cottonoid - COUNTED, 10/pack, radiopaque strip, used to absorb blood on and near delicate structures(i.e. brain, nerves, spinal cord).
  3. Lap Sponge - COUNTED, 5/pack, radiopaque strip, large sponges used to absorb blood and body fluids on large procedures.
  4. Kittner or peanut dissector - COUNTED, 5/pack, radiopaque identifier, small sponge placed on a clamp for blunt dissection of tissue.
  5. Tonsil Sponges - COUNTED,  5/pack, radiopaque strip, used to absorb blood and apply pressure during tonsillectomy and adenoidectomy.
  6. Dacron tape - COUNTED, 2/pack, used as a heavy tie and to retract vessels.
  7. 3 layer dressing:
    • When moderate to heavy dranage is expected, a complete dressing has three layers:
    • Contact Layer
    • Intermediate Layer
    • Outer Layer
  8. Contact layers:
    Act as the passageway for secretions and exudates to leave the wound by a wickin action. the contact layer must conform to the skin and must stay in contact with the skin for a minimum of 48 hours.
  9. Intermediate layer:
    Absorbs secretions passing through the contact layer. The intermediate layer should be layered but flat and not bulky.
  10. Outer layer:
    holds the contact and intermediate layers in proper position. The outer layer should be conforming and stretchable to avoid constriction as edema develops/occurs. The most common outer layer materials are: non-allergenic tape, elastic bandages, Montgomery straps or stockinette.
  11. Pressure Dressing:
    • Bulky dressings are added to the intermediate layer of a 3 layer dressing after many extensive surgical procedures, especially plastic and surgical procedures of the breast. Pressing dressings are used to:
    • Eliminate dead space to preven hematoma or edema.
    • Distribute pressure evenly.
    • Absorb extensive drainage.
    • Immobilize a body area or support soft tissue when muscles are moved(reconstructive flaps.
  12. First layers:
    Contact layers - dressings applied directly to the wound. They are constructed to be non-adherent dressings and they are applied first after the procedure is completed and the skin is cleansed. (Telfa, adaptic, vaseline gauze, owens gauze, xeroform gauze)
  13. Telfa(first layer) - non-adhesive on both sides, cotton inside with a poly outer layer.
  14. Adaptic(first layer) - petroleum
  15. Vaseline gauze
  16. Owens gauze - no lotion, silky dressing.
  17. Xeroform gauze - petroleum jelly
  18. Second layers:
    Toppers, sofwik, abd/surgipad, kerlix fluffs, coban, kerlix roll/kling, cast padding, iodoform.
  19. Toppers - used as wound dressings after the non-adherent dressing has been applied. Sometimes gauze sponges are the last dressing to be applied before the tape. Cotton absorbs fluids well. Sizes:  4x4, 4x8, 2x2.
  20. Sofwik used for dressings around drains. Put around drain, overlap edges before taping barrier to prevent infection.
  21. ABD or Surgi pad - large, absorbent dressing used when excessive postop drainage is expected. Used for pressure dressings for hemostasis. Placed on top of other dressings and are the last dressings to be applied before the tape. The most absorbent of everything.
  22. Kerlix Fluffs - used as a pressure dressing; also used for prepping. "Fluffs" are used over the non-adherent dressing and under an ABD or circumferential wrap.
  23. Coban - elastic, self-adherent wrap used to secure extremity dressings. For compression used in orthopedics(brown athletic tape).
  24. Kerlix roll - single layer, used for securing dressings; usually for extremity dressings or head/neck dressings. Kling is available in 2", 3", 4", and 6" widths. Use before Coban.
  25. Kerlix Kling - used for securing dressings; usually for extrmeity dressings or head/neck dressings.
  26. Synthetic cast padding - used as padding under a fiberglass cast. (fake-snow-like)
  27. Webril - used as padding under a cast (bumpy)
  28. Iodoform - used for vaginal packing postop or packing small open wounds.
  29. Plain packing gauze - used for vaginal packing postop or packing small open wounds.

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