Names

Indications

Observation

SODIUM ALGINATE

Indicated in infected or uninfected lesions, with medium or high exudation, with bleeding or in the presence of necrosis and fibrin.

Used as a primary dressing, as it is applied over the wound bed, requiring a secondary dressing to occlude or fix it. The exchange frequency must be evaluated according to the amount of exudates present in the wound, which may remain for up to 4 days.

HYDROCOLLOIDS

Indicated in non-infected wounds, with medium and low volumes of exudate. Can be used in the presence of necrotic tissue and fibrin.

Changing the dressing must be performed whenever the gel leaks. It can stay for up to 7 days. The gel formed with wound exudate has a yellowish color and an unpleasant odor that disappears after cleaning the wound.

HYDROCOLLOIDS IN GRANULES

Indicated for deep and highly exudative wounds. They are associated with the use of the boards.

The granules fill the dead space in the wound bed, increase the absorption of exudate, extending the permanence time of the plaques.

PAPAÍN (1%, 5% OR 10%)

Indicated for necrotic wounds and in the presence of fibrin, being contraindicated in cases of ischemic injury.

It should not be used or mixed with substances derived or composed of iron or iodine, as it is easily oxidized.

COLLAGENASE-10% Without CLORANFENICOL

Indicated in ischemic lesions and necrotic wounds.

It is indicated for wound debridement, digesting and removing necrotic tissue.

ACTIVATED COAL

WITH SILVER

Indicated for infected lesions, with medium and high exudation, with or without odor.

Primary dressing, always requiring coverage with a secondary. It must be changed whenever it is saturated, and may remain for up to 7 days.

TRANSPARENT FILM DRESSINGS

Indicated for insertion sites of peripheral catheters, tunneled or untuned central catheters, intracranial pressure catheters, umbilical catheters and for protecting areas of bony prominences in patients at high risk for developing pressure ulcers.

In catheters, it must be changed every 72 hours; in the pressure areas. can stay for 7 days.

POLYURETHANE FOAM

It is indicated for wounds with deep tissue loss, partial or total, and in the cavity it is used as a filling. In wounds with superficial tissue loss or where there is a predominance of necrotic tissue, it is contraindicated.

The frequency of changing this dressing depends on the volume of exudate drained, and it can remain in the wound bed for up to 5 days. In the presentation of wrapping, it is necessary to use secondary coverage, such as sterile double gauze or polyurethane film.

SUGAR

infected wounds

As it is an easy-access and low-cost product, it is widely used. It has numerous inconveniences such as: need for frequent changes every 2 or 4 hours, intense pain due to acidification of the environment.

MEDIUM CHAIN TRIGLYCERIDES AND ESSENTIAL FATTY ACIDS

Indicated for the treatment of wounds, infected or not, previously debrided, medium or little exudative. The wound must be irrigated with the solution and covered with an occlusive dressing.

Changes must be daily.