WEB WOC WOUND CARE UPDATED EXAMS
SCRIPT QUESTIONS AND ANSWERS SURE A+
✔✔acetic acid - ✔✔action: bactericidal
effective against pseudomonas aeruginosa, used as irrigant or soak
✔✔hypochlorous acid - ✔✔action: broad spectrum bactericidal
wound cleanser, deodorizer, aides in debridement
✔✔chlorhexidine - ✔✔action: broad spectrum
effective against staph. aureus and e. coli, irrigant solution
✔✔povidone-iodine - ✔✔action: broad spectrum
no reported resistance, confirm no allergy before use
✔✔sodium hypochlorite (diluted bleach) - ✔✔action: chlorine action kills organisms
wound deodorizer, chemical debridement
✔✔hydrogen peroxide - ✔✔action: oxidative debridement
not effective in reducing organisms, useful in removing debris
✔✔silver - ✔✔action: broad spectrum bactericidal
available in many forms, effective against MRSA and VRE
✔✔medical grade honey - ✔✔action: antimicrobial, antioxidant containing
, releases anti-inflammatory products, reduces odor, confirm no allergies to bees or
honey before use
✔✔polyhexamethylene biguanidine (PHMB) - ✔✔action: broad spectrum bactericidal
✔✔methylene blue & gentian violet foam - ✔✔action: broad spectrum antibacterial
effective on yeast
✔✔dialkylcarbamoyl chloride (DACC) - ✔✔action: binds bacteria and prevents toxin
release
physical removal of bacteria with dressing changes, no resistance risk
✔✔concentrated surfactant dressings (CSDs) - ✔✔action: autolytic antimicrobial,
regulates MMP activity
removes biofilms and keeps them from reforming, used as debridement agent and
antimicrobial
✔✔cadexomer iodine - ✔✔action: broad spectrum bactericidal
slow release of iodine from beads while absorbing bacteria and exudate, effective
against MRSA, confirm no iodine allergy before use
✔✔mupirocin ointment - ✔✔action: blocks enzyme in bacteria responsible for making
proteins
contraindicated in large burns or wounds
✔✔3 principles of wound care - ✔✔1. identify and control cause
2. support the host
3. optimize a physiologic wound environment
✔✔wound goal: healing - ✔✔wound is expected to resolve, host support addressed,
proper wound management delivered, patient adherent
✔✔wound goal: maintenance - ✔✔wound is not expected to close to due inability to
address host factors, maintain the wound while reducing risk for infection and
deterioration
✔✔wound goal: palliative - ✔✔due to end stage disease or terminal illness, wound care
is provided based upon patient and families wishes for EOL care
may include management of exudate, odor, pain, and infection prevention
SCRIPT QUESTIONS AND ANSWERS SURE A+
✔✔acetic acid - ✔✔action: bactericidal
effective against pseudomonas aeruginosa, used as irrigant or soak
✔✔hypochlorous acid - ✔✔action: broad spectrum bactericidal
wound cleanser, deodorizer, aides in debridement
✔✔chlorhexidine - ✔✔action: broad spectrum
effective against staph. aureus and e. coli, irrigant solution
✔✔povidone-iodine - ✔✔action: broad spectrum
no reported resistance, confirm no allergy before use
✔✔sodium hypochlorite (diluted bleach) - ✔✔action: chlorine action kills organisms
wound deodorizer, chemical debridement
✔✔hydrogen peroxide - ✔✔action: oxidative debridement
not effective in reducing organisms, useful in removing debris
✔✔silver - ✔✔action: broad spectrum bactericidal
available in many forms, effective against MRSA and VRE
✔✔medical grade honey - ✔✔action: antimicrobial, antioxidant containing
, releases anti-inflammatory products, reduces odor, confirm no allergies to bees or
honey before use
✔✔polyhexamethylene biguanidine (PHMB) - ✔✔action: broad spectrum bactericidal
✔✔methylene blue & gentian violet foam - ✔✔action: broad spectrum antibacterial
effective on yeast
✔✔dialkylcarbamoyl chloride (DACC) - ✔✔action: binds bacteria and prevents toxin
release
physical removal of bacteria with dressing changes, no resistance risk
✔✔concentrated surfactant dressings (CSDs) - ✔✔action: autolytic antimicrobial,
regulates MMP activity
removes biofilms and keeps them from reforming, used as debridement agent and
antimicrobial
✔✔cadexomer iodine - ✔✔action: broad spectrum bactericidal
slow release of iodine from beads while absorbing bacteria and exudate, effective
against MRSA, confirm no iodine allergy before use
✔✔mupirocin ointment - ✔✔action: blocks enzyme in bacteria responsible for making
proteins
contraindicated in large burns or wounds
✔✔3 principles of wound care - ✔✔1. identify and control cause
2. support the host
3. optimize a physiologic wound environment
✔✔wound goal: healing - ✔✔wound is expected to resolve, host support addressed,
proper wound management delivered, patient adherent
✔✔wound goal: maintenance - ✔✔wound is not expected to close to due inability to
address host factors, maintain the wound while reducing risk for infection and
deterioration
✔✔wound goal: palliative - ✔✔due to end stage disease or terminal illness, wound care
is provided based upon patient and families wishes for EOL care
may include management of exudate, odor, pain, and infection prevention
