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Sponges and Dressings

Laparotomy Tapes, packs, laps Ray-Tec Cottonoids Patties Tonsil Kitner Peanut. Sponges and Dressings. Have a radiopaque strip so they can be located by X-ray. Sponges and Dressings. Sponges . Peanut. Lap sponge. Ray-Tec. Tonsil. Dressing. Determined by several factors:

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Sponges and Dressings

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  1. Laparotomy Tapes, packs, laps Ray-Tec Cottonoids Patties Tonsil Kitner Peanut Sponges and Dressings

  2. Have a radiopaque strip so they can be located by X-ray Sponges and Dressings

  3. Sponges Peanut Lap sponge Ray-Tec Tonsil

  4. Dressing • Determined by several factors: • Type, size, and location of the wound • Amount of drainage expected • Surgeon preference • Age and size of the patient • Underlying medical conditions • Condition of the surrounding skin • Comfort of the patient

  5. Dressing • One-layer • Three-layer • Pressure • Bulky • Rigid • Specialty • Packing

  6. Dressing • One-layer dressing • Cover small incisions • Frequently used to cover IV access • Transparent polyurethane film/adhesive backing

  7. Dressing • One-layer dressing • OP-site • Collodion • Aerosol adhesive sprays, foams, gels • Skin closure tapes

  8. Dressing • Three-layer dressing • Nonpermeable • Occlusive • Semipermeable • Semi-occlusive • Permeable • Nonocclusive

  9. Nonpermeable dressing (occlusive) • May be placed around an exit wound for a chest tube to prevent air from reentering the pleural space.

  10. Semipermeable (semi-occlusive) • May be used on a chronic wound, such as a decubitus ulcer or burn.

  11. Permeable (nonocclusive) • Nonadherent material should allow “painless” removal of dressing.

  12. Dressing • Pressure dressing • Immobilization of an area • Support • Absorption of excessive drainage • Even pressure distribution • Elimination of dead space • Reduced edema • Reduced hematoma formation

  13. Dressing • Bulky dressing • Three-layer dressing • Additional material is added to the intermediate layer • Used to immobilize an area • Provide support • Absorb excessive drainage

  14. Dressing • Rigid dressing • Casts • Encircles • Provide support • Prevent movement • Often incorporates the joint

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