Question

George has a large abrasion on his lower leg from falling while playing baseball. After the...

George has a large abrasion on his lower leg from falling while playing baseball. After the wound is cleaned, the area is covered with an antibiotic-impregnated dressing. The allied health professional needs to teach George how to change this dressing twice a day. George first asks why a systemic antibiotic has not been ordered. During the teaching, George informs you that he has the same antibiotic cream at home and wants to use that rather than buy the ointment form.

1. What do you tell him? Please explain your answer.

2. What do you tell George about residue from previous dressing?

3. What can George do to make the medication go on smoothly with little jerking motion to the skin?

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Answer #1

Q. No. 1. Answer :

I will tell George, regarding his doubt, that is what ever the antibiotic cream you have, that should be you have to apply on wound after cleaning , and then you have to bandage it well. It may be difficult to remove again while doing dressing.

But it is not good than the antibiotic impregnated dressing, because it is made up of with petroleum designed to provide non adherent packing for full thickness of wounds, it will provide moist environment and it is conducive to wound healing .

It is comfortable than antibiotic cream dressing, because those made with fine soft and comfortable gauze pads with white petroleum.

Like this I will educate him.

Q. No. 2. Answer :

* by using aseptic techniques the George will remove the residue from previous dressing.

* after doing hand washing he has to wear the gloves and has to do cleaning.

* by taking artery forceps he can remove clearly the debris from the wound.

* up to appearance of pink red color.

* then clean with betadine solution and apply dressing pad.

Q. No. 3. Answer :

* with the gauge pad only he can make little jerk of ointment on skin and then he can do dressing.

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