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(3) Exfoliation of the epidermis

1. The main reason is that the epidermal cells of the tape are damaged by the tape after repeated use of the tape at the same site.

2. Clinical manifestations The degree of injury is related to the patient’s skin condition, which can be manifested as skin congestion, swelling, breakage, and pain.

3. Precautionary measures Use hypoallergenic adhesive tape with good air permeability and moderate viscosity for those with epidermal peeling; or apply or spray the skin protective film on the local skin before sticking it; and pay attention to replacing the adhesive tape and removing the adhesive tape correctly.

(4) Chemical damage

1. Cause Irritant chemicals remain between the skin surface and the tape. Chemicals that can be adhesive tapes can directly act on the skin, or chemical irritants (such as alcohol or other disinfectants) remain on the skin, and covering with an airtight tape causes the skin to react with chemical irritation.

2. Clinical manifestations Redness, swelling, papules and pustules may appear at the site of the tape.

3. Precautions Wash the skin around the wound with normal saline or water and wipe it clean before sticking the adhesive tape, and avoid using disinfectant; stick the adhesive tape on dry, clean, chemical-free or oil-free skin (chemicals or oil will affect the adhesiveness of the adhesive tape), And choose good breathable tape.
(5) Skin maceration

1. The reason is that the skin on the adhesive tape is kept in a humid environment for a long time or the air property of the adhesive tape is poor. Impregnation can weaken the skin strength, making it more susceptible to irritation and damage.

2. Clinical manifestations White and soft skin with swelling and folds.

3. Precautions To avoid causing skin maceration, it is important to choose a hypoallergenic tape with good breathability and moderate adhesion that does not interfere with skin perspiration and breathing. In addition, it is necessary to choose a tape with a certain fixing force and adhesion that is suitable for the purpose and location of use. You can also smear or spray the skin protective film on the skin and then stick the tape; replace the wet wound dressing in time to avoid irritation of the skin by exudate from the wound; pay attention to replacing the adhesive tape and remove the tape correctly.
(6) Allergic reaction

1. Cause Allergy to the adhesive or material of the tape itself.

2. Clinical manifestations Redness, swelling, papules and itching, the involved parts are not limited to the edge or under the adhesive tape, but can involve a wide range of parts around the adhesive tape. The longer the tape is on, the more severe the reaction will be.

3. Precautions Remove the existing tape and use a breathable, hypoallergenic tape; use a non-adhesive bandage, such as 3M self-adhesive bandage; perform a patch test on the patient, understand the patient’s allergy history, and avoid contact with allergens; often Observe the skin at the edge of the tape, noting any itching or redness.
(7) Residual glue

1. The reason is that the adhesive of the tape is not firmly bonded to the backing, resulting in adhesive residue. Zinc oxide tape is more common.

2. Clinical manifestations Adhesive remains on the skin or fixation when the tape is removed.

COMMON WOUND DRESSING APPLICATION SKILLS


Post time: Mar-15-2022