WOUND MANAGEMENT FORMULARY - NHS North Somerset

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Description of Wound Black – Yellow Wound Necrotic tissue and yellow slough Exudate Management Aims Product Choice Low Exudate Promote removal of necrotic and sloughy tissue by autolysis. Provide moist environment. A hydrogel is required on black areas on a low exuding wound. If the wound is exudating a small amount, a hydrocolloid may be beneficial as it will form a gel in contact with the wound and will aid autolysis. Hydrogel : Purilon Gel Actiform Cool Hydrocolloid: Tegaderm Hydrocolloid Mod – High Honey dressings debride and are also antibacterial. Honey is a good choice on malodorous wounds. If the wound is wet, the exudate will need to be managed by using a more absorbent dressing. The formulary choices are, an alginate or a cellulose fibre gelling dressing. A hydrofibre ribbon should be used on wounds that require packing as the product has a knitted thread inserted to ensure no fibres are shed from the dressing. As these products absorb the exudate they gel, which aids autolysis. Foams should only be used if they manage exudate sufficiently to significantly decrease dressing changes. Careful consideration should be given to the choice of secondary dressing. If the wound needs daily or frequent changes, an absorbent dressing pad should be used. Honey product Activon tube Algivon Actilite Cellulose fibre gelling dressing: Durafiber Alginate: Sorbsan plus Hydofibre Aquacel Ribbon Foam : Biatain Allevyn Adhesive Tegaderm Foam Secondary Dressing: Dressing Pad Kerramax NSCP and <strong>NHS</strong> NS Wound Management Formulary Version 2. June 2012 6
Description of Wound Yellow Wound Slough is usually yellow or white Exclude possibility of pus and spreading infection Exudate Management Aims Product Choice Low Exudate Mod – High Facilitate removal of sloughy tissue to promote healing. Provide a moist environment for autolysis to occur. Depending on the level of exudate either a gel or a hydrocolloid may be appropriate. If using a gel cover with a low adherent dressing and gauze. Honey dressings will debride and are antibacterial. They are a good choice on malodorous wounds Actilite is a honey coated low adherent dressing and suitable on superficial wounds and under compression If the wound is wet, the exudate will need to be managed using an alginate, hydrofibre or cellulose fibre gelling dressing. As these products absorb exudate they gel, which aids autolysis. Hydrogel: Purilon Gel Actiform cool Hydrocolloid: Tegaderm Hydrocolloid Honey product Activon Tube Algivon Actilite Cellulose fibre gelling dressing: Durafiber Alginate: Sorbsan Plus Cavity wounds should be packed lightly with a hydrofibre ribbon which is chosen because it does not shed fibres. Foams should only be used if they manage exudate sufficiently to significantly decrease dressing changes. Silicone coated foams can be used if the skin surrounding the wound is delicate and there are concerns about damage on removal of dressing. Careful consideration should be given to the choice of secondary dressing. If the wound needs daily or frequent changes, an absorbent dressing pad should be used. Hydofibre Aquacel Ribbon Foam: Biatain Allevyn Adhesive Tegaderm Foam Silicone Coated Foam: Siltec Allevyn Gentle Border Secondary Dressing: Dressing Pad Kerramax NSCP and <strong>NHS</strong> NS Wound Management Formulary Version 2. June 2012 7
Page 1 and 2: Wound Management Formulary June 201
Page 3 and 4: Introduction This third edition of
Page 5: Wound Healing Continuum and Appropr
Page 9 and 10: Description of Wound Exudate Manage
Page 11 and 12: Indolent Wounds with Delayed Healin
Page 13 and 14: Dressing Type Indications and Tips
Page 17 and 18: Dressing Type Indication and Tips P
Page 21 and 22: If the wound does not respond withi
Page 23 and 24: Appendix 3 Alphabetical list of dre
Page 25: Formulary working Group Linda Davie

WOUND MANAGEMENT FORMULARY - NHS North Somerset

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