General Forums >> Ask A Nurse >> Wound care
Wound care
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Posted almost 5 years ago I am working in an nursing home as a nurse tech this summer and have a question about wound care. There is a resident that has alot of medical complications that has a wound on the leg that started out as slit in the skin. Now it has gotten wider and looks pretty bad. Its probably about 5 cm long and 3 cm wide. It has yellow sloughing area inside the wound. No odor. It is weeping alot. Fluid is basically running out of it. The legs have pitting edema. The tx that is done is washing the legs 4x a day with dove soap and water followed by putting and ointment on the legs. Now there is a smaller circular area adjacent to the wound that is breaking down. In school we were taught that you never leave the wound open to air which they are doing. Is it because it is weeping so much? Any ideas? Is there anything out there in ways of tx that would be better? |
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| Posted almost 5 years ago It sounds as if the pt would benefit from aldactone, or a med similiar to that for the edema.If is it weeping alot from the wound(it sounds like it is from the edema) you could always put a colostomy bag over the drainage area, to prevent it leaking onto her leg and causing more irrtiation and breakdown.If it requires an actual dressing, then maybe a telfa, to prevent sticking, then saline wet to dry, covered w/ kerlix. |
