favorite wound products - page 6
by adrienurse 17,033 Views | 56 Comments
Say, hypothetically you have all the money in the world at your disposal.:chuckle Patient is 90 yr old NIDDM patient with dementia and constant oozing of stool. Her status is palliative, and decision has been made to do no... Read More
- 0Aug 11, '02 by adrienurseYes she's on a multivite OD with extra minerals like Zinc. I also think the the protein supplement is doing her a lot of good.
I have heard of regranex. It has been used in the subacute section of my facility and has worked well. We do not have that option, because the unit cannot absorb the cost and the patient is what you would call a ward of the state (she is under the public trusteeship). Canadian Healthcare has its positives and negatives.Last edit by adrienurse on Aug 11, '02
- 0Aug 11, '02 by bandaidexpertadrienurse: how is the hydrogel working? There is a very good protein supplement made by Novartis called Arginaid. I have tried it and find it is accepted (by the resident)better than Promod or other products used. I am not sure of the cost. www.Novartis.com
Just some info.
- 0Aug 12, '02 by RandQuick Thoughts.
Regranex is bioengineered platelet derived growth factor, (PDGF). Good stuff when accompinied by excellent wound care. I use it on small lower extremity wounds, like heel wounds that were unstable, debrided to calcaneous and then I might use Regranex to help fill the wound with granulation asap.
Ortho-Mcneil started clinical trials with Regranex on pressure ulcers, but reportedly the results were less then stellar and research targeting FDA indications for pressure ulcers were stopped. As suggested, Regranex runs, best price ~ $425.00/15 gram tube. If a wound is big enough, could possibly go through a tube in just a few dressings.
Arginaid is a suppliment with L-arginine, an amino acid that is a precursor to nitric oxide, a potent vasodilator that may increase circulation at the wound site. L-arginine is one of the few nutritional suppliments that has received favorable results in the medical research. However, L-arginine by itself is not a protein and I believe the prior versions of Arginaid offered very little complete protein. Best to suppliment the individual suffering with protein-calorie malnutriton with easily digested protein at a general rate of 1.5 to 2.0 grams of protein per kilogram of body weight per day. Might consider combining Arginaid with other high protein sources so long as renal function isn't impaired. The original Arginaid cost was about $1.75 - $2.25 a packet and recommendations was 2 packets daily delivering ~ 8 gms of L-arginine daily, but again, very little protein.
(note to myself...got to check these boards earlier in the evening )
All the best.
RandLast edit by Rand on Aug 12, '02