II. Types: Hypertonic Saline Gauze (Mesalt)
- Indicated for exudate absorption for cleaning wounds
- Change gauze daily
- May result in some tissue destruction
- Switch to Hydrogel Dressing once exudate reduced
III. Types: Iodoform Gauze (Iodine impregnated gauze)
- Indicated for tunneling wound with foul discharge
- Change gauze daily
- May cause tissue destruction (limit to <5 days)
- Switch to less toxic alternative once discharge reduced
IV. Types: Vaseline Gauze (Petrolatum impregnated gauze)
- Indicated for wound protection and wound hydration
- Change every 2 to 4 days
- Particularly effective in extremity Skin Tears
- Apply Vaseline Gauze to affected area
- Secure gauze with Kerlix wrapped around extremity
V. References
- Bello (2000) JAMA 283(6): 716-8 [PubMed]
- Degreef (1998) Dermatol Clin 16(2): 365-75 [PubMed]
- Findlay (1996) Am Fam Physician 54(5): 1519-28 [PubMed]
- Habif (1996) Clinical Derm, Mosby, p. 810-13
- Knapp (1999) Pediatr Clin North Am 46(6):1201-13 [PubMed]
- Krasner (1995) Prevention Management Pressure Ulcers
- Lewis (1996) Med-Surg Nursing, Mosby, p. 199-200
- Lueckenotte (1996) Gerontologic Nurs., Mosby, p. 800-7
- PUGP (1995) Am Fam Physician 51(5):1207-22 [PubMed]
- PUGP (1994) Pressure Ulcer Treatment, AHCPR 95-0653
- Way (1991) Current Surgical, Lange, p.95-108