General Principles of Wound Management: Primary Intention

• What is the first step in wound management by primary intention?

  Remove the old dressing
• Why is the initial dressing often left in place for the first 48 hours post-op?

  To provide stability and protection to the wound
• What should be assessed regarding wound closure devices?

  Wound closure and closure devices like sutures
• What should be counted during the assessment of wound closure?

  Count the number of sutures or staples
• What is the purpose of gently cleaning the wound and periwound?

  To prevent infection and promote healing
• What is the most common solution used for cleaning the wound?

  0.95 sodium chloride
• What type of dressing should be applied to keep the wound clean and dry?

  A simple protective dressing like gauze
• What should be monitored for during wound management?

  Monitor for complications
• What are the key steps in wound management by primary intention?

  1. Remove the old dressing
  2. Assess wound closure and devices
  3. Count sutures or staples
  4. Gently clean the wound and periwound
  5. Apply a protective dressing
  6. Monitor for complications