Wound Appearance Eschar Primarily Slough, Granulation Description Granulation/Slough, or Fibrin Wounds None Moderate Small Large Small Large → → Exudate Level Unknown Partial Full Thickness Partial Full Thickness → Depth Stabilize/dry necrotic Absorb/dry, fill dead space, Absorb/dry, fill dead space, Treatment tissue, prevent prevent prevent extension/infection, Objective extension/infection, extension/infection, manage odor**/pain, protect manage odor**/pain, manage odor**/pain, protect protect Cleanse exudate from POUR Proviodine or POUR Proviodine or Cleansing (min. 100 periwound skin. Chlorhexadine 2% solution Chlorhexadine 2% solution mL of room/body Paint wound with (min. 100cc). (min. 100cc). temperature Proviodine or Pat or air dry. Pat or air dry. solution) ** Chlorhexadine 2%. Pat or air dry.
Wound Appearance Description Eschar Primarily Slough, Granulation/Slough, or Fibrin Wounds Granulation Exudate Level None → Moderate Small → Large Small Large Depth Unknown Partial → Full Thickness Partial Full Thickness Treatment Objective Stabilize/dry necrotic tissue, prevent extension/infection, manage odor**/pain, protect Absorb/dry, fill dead space, prevent extension/infection, manage odor**/pain, protect Absorb/dry, fill dead space, prevent extension/infection, manage odor**/pain, protect Cleansing (min. 100 mL of room/body temperature solution) ** Cleanse exudate from periwound skin. Paint wound with Proviodine or Chlorhexadine 2%. Pat or air dry. POUR Proviodine or Chlorhexadine 2% solution (min. 100cc). Pat or air dry. POUR Proviodine or Chlorhexadine 2% solution (min. 100cc). Pat or air dry.
Venous%20and%20Mixed%20Venous%20Leg%20Ulcers.docx