ConvaTec DuoDERM CGF Border Hydrocolloid Wound Dressing

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• Contraindications:
  - Use on individuals with a known sensitivity to the dressing or its components.
• Precautions and observations: DuoDERM CGF Border Dressings are not recommended for use on third degree burns.
  - When Used on Dermal Ulcers:
  1. Initial use of this product should be under the direction of a health professional.
  2. DuoDERM CGF Border Dressings only provide local management of the wound site
  - In pressure sore care, other aspects such as repositioning of the patient and nutritional support should not be neglected.
  - In leg ulcer care, lack of adequate rest in patients with vascular (arterial or venous) insufficiency can increase the amount of local edema and hinder potential healing.
  3. Increased Wound Size: Deeper tissue damage may have already occurred under an apparent superficial dermal ulcer.
  - When using any occlusive dressing in the presence of necrotic material, the wound may increase in size and depth during the initial phase of management as the necrotic debris is cleaned away.
  - Leg ulcers resulting from vasculitis may rapidly deteriorate during exacerbation of the underlying disorder.
  - Odor: Wounds, particularly those that are large or necrotic, are often accompanied by a disagreeable odor; however, this is not necessarily indicative of infection.
  - The odor should disappear when the wound is cleansed.
  - Infection: If signs of clinical infection should develop, such as: uncharacteristic odor or change in the color of the exudate, fever or cellulitis (tenderness and erythema in the area of the wound), a bacterial culture of the wound site should be taken.
  - If clinical signs of infection are present, appropriate medical treatment should be initiated.
  - DuoDERM dressings may be continued during the treatment at the discretion of the clinician.
  - Granulation: Excessive granulation tissue may develop in some wounds when using occlusive dressings.
• Instructions for use:
  - Preparing and Cleansing the Wound Site
  DuoDERM CGF Border dressings are sterile and should be handled appropriately.
  Choose a dressing that allows the DuoDERM CGF mass to extend beyond the wound margin by at least 11/4, covering all unhealthy tissue.
  - Cleanse the wound according to hospital practice. Irrigate with saline and dry the surrounding skin to ensure it is free of any greasy substance.
  - Use of the dressings help facilitate the liquefaction and removal of dead tissue; however, eschar that is particularly thick or fused to the wound margins should be removed prior to application of the dressing.

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