Irrigate with 7-15 PSI Irrigate with 7-15 PSI Irrigate into Irrigate with 7-15 PSI Cleansing will be pressure, if tolerated. pressure. tunneled/undermined pressure. dependent on Reduce pressure as area using a 5Fr characteristics of Use at least 150cc’s Use at least 150cc’s needed to minimize catheter or wound bed and of solution, at room of antimicrobial pain and damage to with a 30cc goal of treatment. or body temperature. solution, at room or friable tumor tissue. syringe. body temperature. If goal is to Cleanse the Use at least 150cc’s Use at least 150cc’s of prevent wound periwound skin of Cleanse the of solution, at room solution, at room or from debris, exudates. periwound skin of or body temperature. body temperature. deteriorating, debris, exudates. Irrigate until returns cleanse as per a May cleanse small Cleanse the are clear. Necrotic burns with lukewarm Two week challenge: periwound skin of Wound. tap water and mild May use a 10 14 – debris, exudates. Gently palpate over soap. day cleansing regime undermined or Foul odor indicates with an antimicrobial tunneled areas to presence of solution to address express any irrigation anaerobes - use an bacterial burden. solution that is antimicrobial retained. solution, and/or topical Do not force irrigation Metronidazole. when resistance is detected. Cleanse the periwound skin of debris, exudates. NOTE: Normal saline and sterile water do NOT contain preservatives and must be discarded 48 hours after opening
Irrigate with 7-15 PSI pressure, if tolerated. Reduce pressure as needed to minimize pain and damage to friable tumor tissue. Use at least 150cc’s of solution, at room or body temperature. Cleanse the periwound skin of debris, exudates. Foul odor indicates presence of anaerobes - use an antimicrobial solution, and/or topical Metronidazole. Irrigate with 7-15 PSI pressure. Use at least 150cc’s of solution, at room or body temperature. Cleanse the periwound skin of debris, exudates. May cleanse small burns with lukewarm tap water and mild soap. Irrigate into tunneled/undermined area using a 5Fr catheter or with a 30cc syringe. Use at least 150cc’s of solution, at room or body temperature. Irrigate until returns are clear. Gently palpate over undermined or tunneled areas to express any irrigation solution that is retained. Do not force irrigation when resistance is detected. Cleanse the periwound skin of debris, exudates. Irrigate with 7-15 PSI pressure. Use at least 150cc’s of antimicrobial solution, at room or body temperature. Cleanse the periwound skin of debris, exudates. Two week challenge: May use a 10 – 14 day cleansing regime with an antimicrobial solution to address bacterial burden. Cleansing will be dependent on characteristics of wound bed and goal of treatment. If goal is to prevent wound from deteriorating, cleanse as per a Necrotic Wound. NOTE: Normal saline and sterile water do NOT contain preservatives and must be discarded 48 hours after opening
Venous%20and%20Mixed%20Venous%20Leg%20Ulcers.docx