Antiseptics & Wound Care

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    Do you think the use of antiseptics such as hydrogen peroxide considered as a practice issue in caring for patients with wound or ulcers?
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  4. 0
    I posted to you on this thread in the home health forum.

    renerian
  5. 0
    Quote from lovelie_skittle
    Do you think the use of antiseptics such as hydrogen peroxide considered as a practice issue in caring for patients with wound or ulcers?
    We have not used HP in ages..They found that it macerated the peri wound area and actually slowed down the healing process.... Normal saline dressings wored much better and the healing time itself was much faster...
  6. 0
    Quote from Elly
    We have not used HP in ages..They found that it macerated the peri wound area and actually slowed down the healing process.... Normal saline dressings wored much better and the healing time itself was much faster...
    Same here, we don't use HP at all.
  7. 0
    Quote from lovelie_skittle
    Do you think the use of antiseptics such as hydrogen peroxide considered as a practice issue in caring for patients with wound or ulcers?
    We have banned hydrogen peroxide for any type of wound care as it damages the good skin and actually damages the ulcer itself
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    NO WAY...HYDROGEN PEROXIDE IS NOT USED TODAY , ITS VERY DAMAGING..WOUNDS SHOULD BE CLEANSED WITH SOAP AND H20/PAT DRY.OR FLUSHED WITH STERILE SALINE....ASEPTIC TECHNIQUE...THEN A DRESSING APPLIED...TELFA FOR NON STICK DSG NEEDS...IF ITS A STAGE 2 DECUBITUS, DUODERM WORKS WELL...IF ITS A STAGE 3 OR 4...WET TO DRY OR PACKING WITH MESALT AND COVERED WITH 4X4'S
    Quote from lovelie_skittle
    Do you think the use of antiseptics such as hydrogen peroxide considered as a practice issue in caring for patients with wound or ulcers?
  9. 0
    Quote from stbernardclub
    NO WAY...HYDROGEN PEROXIDE IS NOT USED TODAY , ITS VERY DAMAGING..WOUNDS SHOULD BE CLEANSED WITH SOAP AND H20/PAT DRY.OR FLUSHED WITH STERILE SALINE....ASEPTIC TECHNIQUE...THEN A DRESSING APPLIED...TELFA FOR NON STICK DSG NEEDS...IF ITS A STAGE 2 DECUBITUS, DUODERM WORKS WELL...IF ITS A STAGE 3 OR 4...WET TO DRY OR PACKING WITH MESALT AND COVERED WITH 4X4'S
    I am personally not impressed with Duoderm? Do you have good luck with them?
  10. 0
    Quote from webblarsk
    I am personally not impressed with Duoderm? Do you have good luck with them?
    It depends on the site the duoderm is applied..If its a coccyx abrasion...They seem to wrinkle and make the abrasion worse... Sometimes ending up with a stage 1 or 2 wound.....
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    I personally don't like Duoderm that much. Occasionally I will use Duoderm thin. We use Conva-Tec Versiva or Combiderm depending on drainage and I love them both. We have been told by our wd. care nurse to not use 4x4's as a top dressing since it allows pathogens to get into the wound whereas an occlusive dressing does not.
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    Maybe we are talking about two different applications.....but.
    After a surgery, wound closed but not dressed, we use peroxide, usually in combination with NS to clean up.
    Especially after a long surgery, peroxide really does a nice job cleaning dried blood, etc off the skin.
    More than a couple of our surgeons ask for it, or like us to use it for clean up.
    Again, this is just one time, right after surgery. Maybe this is a different than more long term, like you all are talking about.
    Mike


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