What meds do you use to treat your residents sores? - page 2

by PHTLS 9,078 Views | 19 Comments

One of my residents has 2 coccyx sores that I treat alternately with Saf-gel and Silvadene. She also has deep tunneling on her sores that needs to be packed with strips. I also use Normgel with another resident. ... Read More


  1. 0
    If it a clean wound that is deep or tunnels, we use Carrysyn Gel soaked gauze. This stuff works wonders!!!
  2. 0
    Has anyone ever heard of the tender-wet system? Used in the hospital. The solution is a LR base and then it has special pad to absorb drainage. I'd love it when I could get a hold of it for stage ll's but when I couldn't, I went with lightly packing with seasorb if puralant(sp?) if infected and hydrogel to biafine ointment if not infected. Good luck!
  3. 0
    Quote from donmomofnine
    I LOVE Xenaderm!
    Ditton I love the stuff. Works wonders! Calmoseptine isn't bad for stage 1 and 2.
  4. 0
    Acuzyme for debrieding, panafil for granulation and if insurance dosen't cover panafil we use normalgel (some insurances require santel but it usually dosen't work, use it then document it not working). For abrasions and shear injuries and skin that is often scalded by urine and feces Xenederm and all patients get A&D to the peri-anal area everytime they soil. Deeper wounds with drainage get mesalt, we also use Aleven for drainage. Most dressing are changed BID and cleansed with normal saline spray. Coverage includes alldress, mepilex border and mepilex light. We also use dry dressing without tape depending on the area affected. For skin tears we use mepitel changed every 5 days and cleansed with saline and bacitracin ointment then covered with a dry dressing usually roll kling.
    Some deep sores are also treated with a wound vac once they are beefy red, has to be a clean wound without osteomylitis.
    We heal a lot of wounds residents are admitted with.
    Ace wrapping lower extremities with wheeping stasis ulcers seems to work well along with treating the ulcers to keep them from becoming infected.
    Making these patients as mobile as possible is also a key to healing sores.
  5. 0
    For my hubby's gram, we use good old fashioned Bag Balm on her bottom. Hasn't had 1 breakdown in 3.5 yrs. For the workplace it varies, I absolutely LOOOOOVE Xenaderm, Accuzyme for debridement, kaltostat for draining wounds.... I could go on & on....
  6. 0
    Well, we like to go cheap. A&D for most prevention. Selan (don't like it) for prevention. Sometimes Zinc oxide. Clean IIs. Transparent dressing and curgel. or Silvadene withy DSD. Also use silvadene or accuzyme with slough or necrotic tissue covered with dsd. Tunneled wounds packed with nugauze or 2x2, 4x4s moisted with saline.
  7. 0
    Well, we like to go cheap. A&D for most prevention. Selan (don't like it) for prevention. Sometimes Zinc oxide. Clean IIs. Transparent dressing and curgel. or Silvadene withy DSD. Also use silvadene or accuzyme with slough or necrotic tissue covered with dsd. Tunneled wounds packed with nugauze or 2x2, 4x4s moisted with saline.
    oops we too started using Xenaderm.
  8. 0
    We actually healed a huge tunneled coccyx would with wound vac then Autologel treatments. I guess the Autologel is expensive, but only needed to be changed once a week, so the hours saved made up for it cost.

    We've used Dilantin soaked gauze (open 100 mg cap, dissolve in a couple CCs of NS, then pack the wound).

    We also had a warming pad that increased blood flow to the area and helped heal one.

    Work closely with your CWOCN.
  9. 0
    Dilantin?? Tell us more! What type of wound was that? I take it the dilantin cant be absorbed?
  10. 0
    Quote from PHTLS
    One of my residents has 2 coccyx sores that I treat alternately with Saf-gel and Silvadene. She also has deep tunneling on her sores that needs to be packed with strips.

    I also use Normgel with another resident.

    Calmoseptine (spell?) and others for high risk residents and those that had there sores heal. We all know that once they get those sores, those former sore spots are prone to be injured again.
    I have found that Calcium Alginate/Wound Gel works wonders for tunnelling sores, if you dont see a change in 2 weeks I would consider changing treatments!!! I also use Fibercol/woundgel and Polysporin powder!!!


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