Monday, September 15, 2008

Wound care wisdom, part 1

-Juven is better than Boost or Ensure for residents with low albumin levels, and can be mixed with near anything, thus increasing compliance.
-Arterial ulcers need to be kept dry, preferably with Betadine.
-Venous incompetence with lymphedema: redness is most often reactive erythema and not infection, so don't give antibiotics.
-Betadine keeps necrotic tissue dry and is best for heels and toes.
-If there is a yellow ulcer, the red spots that are speckled throughout it are hair follicles and this indicates that it is a stage II.
-Heel ulcers are 100% preventable.

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