10
8.2) Prior to Therapy
•
Patient should be assessed and measures should be taken to optimize
and stabilize their medical condition. Nutrition, medication, blood
glucose, blood pressure, and circulation as well as other medical issues
should be addressed.
•
The wound should be recently debrided by whatever measure is
appropriate and the amount of necrotic tissue should be minimized.
•
Issues of infection should be addressed.
8.3) Periwound Skin
•
Ensure that the skin that will be under the dressing is clean, dry, free of
surfactants and oil. Any hair should be clipped.
•
The periwound area should be cleaned and allowed to air dry. The use
of a skin preparation wipe is also recommended.
•
A thin film dressing or hydrocolloid may be used as additional
protection.
•
Monitor skin for signs of irritation or breakdown. Treatment may be
discontinued if this occurs and cannot be managed.
8.4)
Dressing Management
In the event that the
extriCARE
®
wound dressings comes apart, all
extriCARE
®
wound dressings materials must be removed from the wound prior to further
treatment.
Clean and debride the wound as necessary. Any bleeding should be
controlled. Follow facility protocol for wound prep and infection control.
The type of
extriCARE
®
wound dressings chosen for use is dependent on
the wound type, size, and location.
extriCARE
®
wound dressings size and
type is labeled on each package.
•
Care should be taken to avoid stretching of the dressing.
•
Avoid pleating the
extriCARE
®
wound dressings. Additional tape and
urethane may be applied to secure the
extriCARE
®
dressing in place.
•
Do not use as a circumferential dressing.
•
Additional wrap dressing may be applied over the
extriCARE
®
wound
dressings to further secure the
extriCARE
®
wound dressings and provide
additional support.
•
If used on anatomically challenging areas or where adhesion is a
problem, a thin layer of ostomy paste may be applied.
•
Refer to instructions for specific information regarding each
extriCARE
®
wound dressings.
•
In a non-infected and monitored wound, dressings should be changed
no less frequently than every 72 hours. Disconnect the dressing from the
drainage tubing and gently peel off to remove.