I have a pt. with stage4 wound with undermining to hip. is on q-turn bed, unable to turn and reposition per self. Is malnourished, and very poor appetite. am currently using atb ointment saturated strip packing without much improvement to undermining. any suggestions????
Dec 19, '03
by NRSKarenRN, BSN, RN
Since wound bed is clean, I'd stop the antibotic and use hydrogel on ribbon gauze in undermind area--remember to place loosely--too much packing adds presure to wound and delays closing.
Not taking very much calorie wise---how is HGB/HCT, any anemia?? Might need to add Iron to help stimulate blood cell formation. Does Multivit include Zinic---our wound docs will add Zinci supplement.
One doc also adds l-arginine supplement; Resource now has a drink with this additive--helped my dad heal a necrotic toe wound complication after triple A surgery.
L-arginine is a non-essential amino acid which is abundant in protamines and histones, these are proteins associated with nucleic acids.
L-arginine is used by the immune system to help regulate the activity of the thymus gland, which is responsible for manufacturing T lymphocytes. (These are the T-cells, which assist the immune system and body defences).
Update us when you can.
Last edit by NRSKarenRN on Dec 19, '03