Clean gently with Savlon & water. Apply Mercurochrome and leave it open. If the abrasion is deep, apply Soframycin ointment x 3 times/day (antibiotic oint ==11B) If the abrasion is brushing against clothes, cover it with Vaseline gauze, pad and bandage. Dressing of ulcers & wounds:
1. Clean gently with savlon, H2O2 and water. Clean the surrounding area also. 2. Remove loose slough with forceps &* scissors.
If deep cavity, pack it with Soframycin ointment and Vaseline gauze piece. If there are hypertrophic granulations, apply silvernitrate crystals If ulcer edge is undermined, refer to surgeon for excision of ulcer edge.
1. Apply Soframycin ointment, Gauze piece and dressing. Use a cotton pad/Gamjee pad if there is copious discharge. 2. Fix the dressing with sticking plater strips, or a bandage.
If a wound does not heal after regular dressings:
1. First rule out Diabetes. Ask for blood sugar – Fasting and Post-prandial. 2. if anemic, treat with Iron & folic acid, - Cap. Aturin 1 OD x 60(2I) 3. Look for other diseases like C.C.F., C.R.F. etc. 4. if ulcer is on leg – Palpate for the peripheral pulsations, and look for varicose veins in standing position 5. Look for everted edge of malignancy or undermined edge of Tuberculous ulcer.
