NURS 116 Lecture Notes - Lecture 18: Polymyxin, Alginic Acid, Necrosis

• School: University of Alberta
• Department: Nursing
• Course: NURS 116
• Professor: Kathleen Hegadoren

Document Summary

Clean ulcer with no cellulitis surgical consultation may be considered. Stage 1: apply protective dressings as needed. Stage 2: applying moist dressing, such as a transparent films, cleanse the wound. Stage 3: no necrotic tissue, moist absorbent dressing such as hydrogel, foam, or alginate, If no improvement in 14 days, begin on topical antibiotics. Apply moisture to absorbent dressing and cleanse the wound. Local infection topical antibiotics (if serous, if bloody, use oral instead) Moist and absorbent dressing to cleanse the wound if no improvement in 4 weeks, obtain tissue culture and consider osteomyelitis if necessary, apply systemic antibiotics, apply moist and absorbent dressing to cleanse the wound. Systemic infection systemic antibiotics, apply moist and absorbent dressing and cleanse the wounds. *poor protein levels in the body leads to poor healing. *the best method is to use preventative measures. Topical antibiotics: polymyxin to begin with if no risk of reaching systemic circulation as in open wounds.