Bed Sore
Protocols
Bed Sore:
- Special type of ulcers due to impaired blood supply and tissue nutrition due to prolonged pressure.
- Skin overlying sacrum and hips is commonly involved.
- Patient is old, paralyzed or unconscious patient.
Bed Sore site:
Investigation:
- 1)CBC with ESR
- 2)Serum Albumin
- 3)Serum protein
- 4)Transfering
- 5)Urine RME
- 6)Biopsy
Mx:(Medical Treatment)
1. Cap.Flucloxacillin (Flubex)(500mg)
- 1+1+1+1........7-10 days
2. Tab.Ceevit DS(500mg)
- 1+1+1.......10 days
3. Tab.xinc-OT
- 1+0+1.......15 days
4. softi Cream
- আক্রান্ত স্থানে দিনে ৩ বার...... ১০ দিন
5. Burna cream 1%( silver sulphonamide)
- দিনে ২-৩ বার আক্রান্ত স্থানে....... ১০ দিন
6. Tab.Baclofen(Beklo)(10 mg)
- 1+0+1........7 days
Personal Wound Care:
- Good nursing care is needed.
- Viodin 10% + Usol solution mix করে নিয়মিত dressing করতে হবে।
Surgical care:
- Surgical debridement
- Diversion of the urinary or fecal stream
- Release of flexion contractures
- Wound closure
- Amputation
Options available for surgical management of pressure ulcers are as follows:
- Direct closure (rarely usable for pressure ulcers being considered for surgical treatment)
- Skin grafts
- Skin flaps
- Myocutaneous (musculocutaneous) flaps
- Free flap
Prevention:
- Shift your weight frequently. repositioning 2 hourly
- Lift yourself, if possible.
- Look into a specialty wheelchair.
- Select cushions or a mattress that relieves pressure.
- Adjust the elevation of your bed.
- Use pneumatic bed