Wound Assessment; Dressing Changes - Medela Invia Gauze Instrucciones De Uso

Step 6 – Connect the dressing tubing to the pump tubing
Make sure both parts of the Quick-connector are aligned correctly as shown in the picture below.
Push the Quick-connector together until you hear a click.
Step 7 – Turn on the pump
Turn on the pump and select the prescribed therapy setting. The recommended pressure level is -125mmHg at constant mode.
Check that the seal is secure around Transparent Film and suction pad. Finished dressing should be firm to the touch.

Wound assessment

CAUTION
Patient monitoring: The patient should be monitored regularly according to the physician's instructions and local facility
guidelines to check for patient comfort, therapy compliance and signs of infection.
WARNING
Objective indications or signs of a possible infection or complication must be addressed immediately (e.g. fever, pain, red-
ness, increased warmth, swelling or purulent discharge).Non-observance can lead to considerable danger to the patient.
Observe the wound/periwound tissue and exudate for signs of infection or other complications. The most common
signs of infection include redness, tenderness, fever, swelling, itching, increased warmth in the wound area, strong odor
or purulent discharge. Additional symptoms include nausea, vomiting, diarrhea, headache, dizziness, fainting, sore
throat with swelling of the mucous membranes, disorientation, high fever (>102° F, 38.8° C), refractory and/or orthostatic
hypotension, or erythroderma (a sunburn-like rash). More serious complications of infection include pain, discomfort,
fever, gangrene, toxic or septic shock. If more serious complications of infection occur, discontinue therapy and consult
a healthcare professional immediately.

Dressing changes

– Dressings should be changed every 48 – 72 hours.
– In the event of heavy drainage, drainage with sediment or infected wounds, more frequent dressing changes may be needed
– Check dressings regularly and monitor the wound to check for signs of infection. If there are any signs of systemic infection or
advancing infection at the wound site, contact the treating physician immediately.
Dressing Removal
a. Turn the pump off.
b. Close the clamp on the dressing tubing.
c. Close the clamp on the pump tubing.
WARNING
Ensure the same number of gauze pieces that were placed in the wound have been removed.
If dressing adheres to wound, apply normal saline into the dressing and wait for
15 – 30 minutes before gently removing the gauze.
If the patient experiences discomfort during the dressing change, consider premedication, the use of non-adherent wound
contact layer before gauze placement, or managing the discomfort as prescribed by the treating physician.
g. Dispose of the dressing in accordance with local guidelines.
h. Prepare the wound for the next dressing as described under "Wound preparation".
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d. Disconnect pump tubing from dressing tubing by pressing
on the sides of the Quick-connector.
e. Remove the Transparent Film from the skin by gently pull-
ing parallel to the skin.
f. Remove the gauze from the wound.