Or Foam [1-3+] (max 7 Foam [1-3+] (max 7 Composite [2-3+] Composite [2-3+] days) days) (max 7 days) +/- Film [1+] (max 7 Or Or days) Composite [2-3+] (max Composite [2-3+] Or 7 days) (max 7 days) Gauze sealed by Or Or Film [1+] (for daily Gauze +/- Film seal Gauze +/- Film seal changes ONLY) [1+] (for daily changes [1+] (for daily ONLY) changes ONLY) * Only debride healable wounds. ** If antimicrobial effect is required, consider topical antiseptic cleansers, i.e. chlorhexadine 2% or 4% (for pseudomonas must soak x 5 min. minimum), povidone-iodine, or ¼ strength acetic acid (for pseudomonas – only must soak x 5 min. minimum). – *** If antimicrobial effect is required, consider topical antimicrobial dressings, i.e. silver compounds, iodine compounds, chlorhexadine derivatives, honey, or gentian violet and methylene blue. **** For stalled granulating or epithelializing wounds consider cadexomer iodine or pocidone iodine to initiate acute inflammation or calcium alginate or protease inhibitor dressings to address chronic inflammation. ALSO, may consider pain controlling dressings for painful exudating wounds, biologic dressings for stalled granulating +/- epithelializing wounds in the absence of infection or large drainage, charcoal dressings for odor control (once the cause of the odor has been investigated and treated if able, and adjunctive therapies as indicated. Disclaimer: The information herein is for general informational purposes only and is not intended, nor should it be considered, as a substitute for professional medical advice. Always seek the advice of the attending physician or other qualified healthcare provider regarding a medical condition or treatment. Dressing selection cannot take place in isolation a holistic patient assessment is MANDATORY. –
Or Composite [2-3+] +/- Film [1+] (max 7 days) Or Gauze sealed by Film [1+] (for daily changes ONLY) Foam [1-3+] (max 7 days) Or Composite [2-3+] (max 7 days) Or Gauze +/- Film seal [1+] (for daily changes ONLY) Foam [1-3+] (max 7 days) Or Composite [2-3+] (max 7 days) Or Gauze +/- Film seal [1+] (for daily changes ONLY) Composite [2-3+] (max 7 days) * Only debride healable wounds. ** If antimicrobial effect is required, consider topical antiseptic cleansers, i.e. chlorhexadine 2% or 4% (for pseudomonas – must soak x 5 min. minimum), povidone-iodine, or ¼ strength acetic acid (for pseudomonas only – must soak x 5 min. minimum). *** If antimicrobial effect is required, consider topical antimicrobial dressings, i.e. silver compounds, iodine compounds, chlorhexadine derivatives, honey, or gentian violet and methylene blue. **** For stalled granulating or epithelializing wounds consider cadexomer iodine or pocidone iodine to initiate acute inflammation or calcium alginate or protease inhibitor dressings to address chronic inflammation. ALSO, may consider pain controlling dressings for painful exudating wounds, biologic dressings for stalled granulating +/- epithelializing wounds in the absence of infection or large drainage, charcoal dressings for odor control (once the cause of the odor has been investigated and treated if able, and adjunctive therapies as indicated. Disclaimer: The information herein is for general informational purposes only and is not intended, nor should it be considered, as a substitute for professional medical advice. Always seek the advice of the attending physician or other qualified healthcare provider regarding a medical condition or treatment. Dressing selection cannot take place in isolation – a holistic patient assessment is MANDATORY.
Venous%20and%20Mixed%20Venous%20Leg%20Ulcers.docx