9/11/2023 0 Comments Serosanguinous fluid after surgeryOther considerations are the cost and frequency of dressing changes. This may include topical antimicrobials, topical antibiotics, antifungals, or oral/IV medications. In this case, cultures to combat the bacteria can be beneficial so that an accurate care plan can be initiated. Chronic wounds often have bacteria, like pseudomonas or staphylococci, which inhibit new cell growth. Effective management of the exudate depends on the characteristics of the wound such as amount of exudate, location, and exudate composition. Considerations in Managing ExudateĮxudate is a byproduct of vasodilation during the inflammatory stage and in chronic wounds the drainage changes and contains proteolytic enzymes. If the fluid becomes very thick, this can be a sign of infection. Purulent drainage is milky, typically thicker in consistency, and can be gray, green, or yellow in appearance. It is thin, pink, and watery in presentation. Serosanguinous drainage is the most common type of exudate that is seen in wounds. If it is seen outside of the inflammatory phase, sanguineous drainage can be a result of trauma to the wound. Sanguineous drainage is only normal in occurrence during the inflammatory stage of healing where a small amount of this blood may leak from a full- or partial-thickness wound. Yet, if there is a large amount of serous drainage, it can be the result of a high bioburden count. The production of serous drainage is a typical response from the body during the normal inflammatory healing stage. Serous drainage is clear, thin, and watery. There are four types of wound drainage: serous, sanguineous, serosanguinous, and purulent. If there is not proper management of the exudate, then the high protease levels and low growth factor levels will negatively impact wound healing time. Assessing the exudate color, odor, volume, viscosity, and if it is causing maceration of the periwound skin are all important to note when creating a care plan for the patient. Wound exudate and how to properly assess and manage it has been a long standing clinical challenge in wound care.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |