换药的原则（Dressing change principle）.docVIP

换药的原则（Dressing change principle） The principle of dressing change is to make clear the purpose of changing dressings, and the change of dressing should be based on the wound condition. 1. iodine + alcohol deiodinase - disinfectant 2., the anti-inflammatory effect of Vaseline gauze is weaker, but promote the growth of granulation 3. - all shades of iodophor, wetting properties 4. excellent antisepsis 5. glucose + insulin + (IGF-1) in patients with diabetes, wound healing. 6. hypertonic saline - to reduce granulation edema 7. - gentamicin needle infection wound; osteomyelitis 8., clean and destroy, or hydrogen peroxide or metronidazole - irrigation coverage can be used, anti anaerobic 9. antibiotic powder (cephalosporin, etc.) - based on drug sensitivity test 10. Yunnan Baiyao (capsule) - Chinese Medicine 11. honey, white sugar, folk prescription 12.SD-ag, SD-zn convergence 13. black ointment pull - scabies formula of traditional Chinese Medicine 14, neurovascular tendon exposure - do not use irritating drugs 15., shikonin oil strips - de rotten sound muscle 16. Vaseline gauze - can be used as a carrier for other drugs, oily (can separate the fingers, toes, separated blood scab, prevent adjacent wounds stick together.) 17., can be used for bedsore gentamicin + iodine 18. Erythromycin Ointment, broken skin smear, no bandage 19. osteomyelitis, lotions, etc., have treated more oozing wounds - dry dressings, raised limbs 20. when you need to cut the stitches stitches incision, depending on experience. 21. pay attention to the patient after the change of dressing, whether there is any pain caused by the medicine, whether there is any leakage of incision cerebrospinal fluid or not, whether or not the wound is oozing blood continuously, whether or not it causes the dislocation of the joint or affects the fixation Dressing frequency In principle, the material should be changed by soaking 1. general wound: for the first time within 24h, every 2-3 days / time; 2. special wound: