MERCY HEALTH WOUND PRODUCT GUIDE WOUND BED TISSUE GOALS OF THERAPY SUPERFICIAL WOUND DEEP/CAVITY WOUND Ensure that a thorough assessment of the patient and the wound is undertaken. If a wound base cannot be visualized or is tracking into a body cavity, caution should be taken with dressing products that cannot be easily removed. Epithelium o o Protect Maintain a moist wound environment NIL - LOW EXUDATE o Melolin™ * # o Primapore™ * o Mepilex®/lite * o Mepilex® Border lite * o Hydrocoll/Thin * o Tegaderm® Granulation o Promote a moist wound environment Promote epithelialization LOW – MOD EXUDATE o Hydrocoll/Thin * o Atrauman * o Mepitel® * o Mepilex®/Lite * # HIGH EXUDATE o Melgisorb® * o Aquacel® * o Mepilex® Border * # o Zetuvit/Plus * # o Allevyn™ * # o Allevyn Life™ * # LOW - MOD EXUDATE o Solosite™ gel * o Flaminal® hydro gel * o Hydrocoll * o Mepilex®/lite * # HIGH EXUDATE o Aquacel® Extra * o Flaminal® Forte gel * o Melgisorb® * o Zetuvit/Plus * # o Allevyn™ / Allevyn™ Life * # o All antimicrobial products listed under infection HIGH EXUDATE o Mesalt® * o Aquacel® Ag * o Flaminal® Forte gel * o Iodosorb™ paste * o Acticoat™ Flex * o Zetuvit Plus * # Consider oral antibiotics LOW - MOD EXUDATE o Hydrocoll/Thin * # o Atrauman * o Mepitel® * o Mepilex®/Lite * # HIGH EXUDATE o Melgisorb® * o Aquacel® * o Mepilex® Border * # o Zetuvit/Plus * # o Allevyn™ * # o Allevyn Life™ * # LOW - MOD EXUDATE o Solosite gel™ * o Flaminal® Hydro gel * o Mepilex®/lite * # PALLIATE o Paint wound with Betadine and cover with Zetuvit o Carbonet for odour o Consider antimicrobials ACTIVE TREATMENT o Flaminal® Hydro gel * o TenderWet 24 Active * o Zetuvit/Plus * # o Allevyn™/Allevyn™ Life * # PALLIATE o Paint wound with Betadine and cover with Zetuvit o Carbonet for odour o Consider antimicrobials ACTIVE TREATMENT o Flaminal® Hydro gel * o TenderWet 24 Active * o Zetuvit/Plus * # o Allevyn™/Allevyn™ Life * # o Slough o o o Green (infection) o o o Necrotic/eschar o o Aid in autolytic debridement Promote a moist wound environment Manage bacterial burden/infection if present Aid in debridement Promote a moist wound environment Treat infection Palliate - manage symptoms such as pain, odour, exudate, bacterial burden OR Actively treat to aid in debridement of necrotic tissue HIGH EXUDATE o Aquacel® Extra * o Flaminal® Forte gel * o Melgisorb® * o Zetuvit/Plus * # o Allevyn™/ Allevyn™ Life * # o All antimicrobial products listed under infection HIGH EXUDATE o Mesalt® * o Aquacel® Ag * o Flaminal® Forte gel * o Iodosorb™ paste * o Acticoat™ Flex * o Zetuvit Plus * # Consider oral antibiotics *Indicates product is used as a primary dressing # indicates product is used as a secondary dressing PREPARED BY WOUND WISE CONSULTING 2014
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