(1000) tiny cuts... and infections

what are three phases of healing/how long each last?

• inflammatory (3-4 days)

• proliferative (3 weeks)

• maturation/remodeling

exclusions for self-care

Cuts longer than ½ inch

•Cut that continues to bleed after applying pressure for 10 minutes

•Wound secondary to animal or human bite

•Deep partial thickness, full thickness, or subdermal skin injuries

•Any injury that is a suspected non-accidental injury

•Signs of infection

•Patients with preexisting medical disorders that could complicate management, prolong recover, or affect mortality, such as diabetes

•Wound containing foreign matter after irrigation

•Chronic wounds (wound showing no progress toward healing at 30 days)

•Site of injury includes face, hands, feet, major joints, genitals, or perineum

•A skin injury that seems to worsen or does not show signs of healing in 7 days

what does neosporin have

bacitracin, polymxin b, neomycin

what does polysporin ahve

JUST bacitracin and polymycin B

when use gauze// advantages/dis

helps drain wound, just make sure not too dry wound environment (can slow healing)

advan: sizes, cheap, use with other products

dis: need tape to hold, stick to wound, change many times a day

what is issue with band-aids lol

don’t provide topical skin environment

what are hydrocolloids? when used?

• for partial thickness wounds

• have collodial layer and water-imperable layer

• pros: moist healing environment, long wear time, self-adherant

• cons: NOT for if infected, can hurt scab when peeled off/cause skin irritation, expensive

trasnperant films what are they? pros/cons?

• thin elastic film— gas permeable

• pros: moist healing, self-adhere, gas-perm, can watch wound healing progression

  • cons: uninfected only, not absorptive, periwound trauma on removal expensive

liquid adhesive bandages what used in

simple cuts/lacerations— spray coat on the wound

how long spray bandages stay on for

5-10 days

what is “gold standard” for scar management

SILICONE

how does silicone for scar management work

• hide/hydration scar tissue

  • LOOKS less scarred

how often get tetanus booster

• 10 years

• 5 years if “dirty wound'“— needs to get booster if last shot was only 5 years ago

silicone formulations

Silicone sheets: soft, semi-occlusive gel sheet

Silicone gels: transparent, flexible, gas permeable, water-impermeable coating

what OTC regular products for wounds

• systemic analgesics (tylenol/NSAIDs)

• skin protectants (like vaseline— keep skin from getting dry)

• topical anesthics— pain relief— careful on broken skin (benzocaine/lidocaine)

how often use topical anesthics for pain relief

4 times a day

how long can use vaseline until seek medical care

7 days

what are the antiseptics used for wounds

• hydrogen peroxide

• ethyl alcohol

• isopropyl alcohol

• camphorated phenol

• iodine

• povidone/iodine

• chlorhexidine

when no use hydrogen peroxide

• release oxygen to kill stuff

  • NOT if wound closed

how often use ethyl alcohol

1-3 times day

what does isopropyl alcohol do? stronger or weaker than ethyl?

• stronger

  • astringent— causes tightening of skill cells

what antiseptic can stain skin

iodine

what is hibiclens brand of

chlorhexidine

what antisep is often used before surgery as soap

chlorhexidine

what antisep may affect thyriod function and is elminated by kidneys

povidone/iodine

when CAN you use first aid antibiotics

• not if actually infected

  • use for 7 days

what are the ointment brands for antibiotics

• neosporin

  • polysporin

complementary therapies for wounds

• calendula— antibacterial/anti-inflam properties

• honey— wound/burn healing, most healing environment

waht is bacitracin and how often apply

• bactericidal, gram + coverage

  • apply 1-3 times daily

what is neomycin/how often use

• apply topically 1-3 xd

  • bactericidal, gram - and staphs

what is polymyxin B

• another oint for gram -

  • use 1-3 times daily

do antibacterial soaps work according to FDA?

noooo no no