#adaptic

[mcatmemoranda]

I'm in wound care clinic today. For wounds with lots of tissue that's stuck to the wound, you can apply medihoney and then xeroform dressing on top.

For wounds with lots of drainage, apply Aquacel dressings and pt should elevated the area.

Vashe is a wound cleanser that can treat pseudomonas. One of the pts I saw today had a greenish looking wound, so the doctor asked the RN to put Vashe on the wounds. There's also Dakin's solution and Irrisept solution. You put the Vash on some gauze and soak it and let it stay on the wound for 15 minutes before dressing the wound.

Vashe - Vashe Wound Solution helps to cleanse the wound and accomplish the goals of wound bed preparation in a biocompatible, safe, effective, and natural way. This solution of hypochlorous acid (HOCl) acts as a preservative that inhibits microbial contamination within the solution. Vashe Wound Solution has the highest concentration of pure HOCl.

Dakin's solution - Dakin’s solution is a mixture of sodium hypochlorite (0.4% to 0.5%) and boric acid (4%) diluted in water. The boric acid (HȝBOȝ) acts as a buffering agent to maintain a pH of between 9 and 10, as alkalinity outside this range is found to be much more irritating. Boric Acid is also a mildly effective antiseptic. Irrisept - Irrisept is jet lavage containing low concentration Chlorhexidine Gluconate (CHG) 0.05% in sterile water for irrigation. CHG acts as a preservative to help inhibit microbial growth in the solution.

The mechanical action of the Irrisept system removes particulate and debris. The unique bottle design allows users to control the delivery pressure of the solution through manual bottle compression. Grasping the bottle firmly, the user can control the direction and pressure needed to help remove particulate and debris.

OptiLock is good for wounds with lots of drainage.

OptiLock - OptiLock is a super absorbent polymer core dressing. It takes in a remarkable amount of wound fluid — even under compression — and locks it away to help prevent maceration. Even more, this wound dressing is non-adhesive, meaning minimal disruption to the wound and gentle, pain-free removal.

OptiLock can be used as a primary dressing on partial-thickness and full-thickness wounds, such as: pressure, venous or neuropathic ulcers; post-operative wounds; superficial or partial-thickness burns (first- or second-degree); lacerations; abrasions. OptiLock can also be used as a secondary dressing on full-thickness wounds.

Santyl is another product that works for stuck on tissue. It has collagenase, which breaks down tissue that is stuck to a wound. With its unique mechanism of debridement, Collagenase SANTYL◊ Ointment has been shown to help wounds progress toward closure through byproducts that contribute to the migration and proliferation of fibroblasts, keratinocytes, and endothelial cells.

SANTYL Ointment uniquely and actively debrides by cleaving necrotic tissue at seven specific sites along the denatured collagen molecule, unlike endogenous debridement that only works at one site.5,7 While this effectively removes barriers to healing, it also aids wound progression by creating polypeptide bioactive byproducts8-11 that have been shown to signal cells associated with closure.

Epifix - EPIFIX is a dehydrated human amnion/chorion membrane allograft. EPIFIX is SMR2T Technology (Selective Membrane of Reparative and Reconstructive Tissue) which provides a semi-permeable protective barrier that supports the healing cascade. The product protects the wound bed to aid in the development of granulation tissue and provides a human biocompatible extracellular matrix that retains 300+ regulatory proteins.

Saw a pt who had a wound that was on the bottom of his foot. It was like a slit and there was a lot of callus around it because the pressure on his feet when he walks would hit that area of his foot. The doctor removed the callus tissue because that will help it heal. When wounds are dry, they won't heal. You can put Hydrogel into a wound so it can be more moist and it will heal better than a wound that is dry and not healing. You can cover it with a non-adhering dressing called Adaptic. Adaptic dressing is more confortable to remove. Hydrogel may also be more comfortable for pts.

[aquilaofarkham]

every autistic person watching this episode of dungeon meshi:

[yourfavecharacterisqueer]

hypothetical scenario for you all: the real king arthur returns. you meet him and you welcome him into your home. what is the first thing you do with him? keep in mind, this is a man from the 500s (he died in 542), and you are from the 21st century (2024).

[chiptrillino-art]

(ID in ALT text)

found the time to dust off and colour some sokkas! at least some concept to make sure our boy is well-dressed and protected through the episodes in season one. (i am not entierly sold on all though... hm...

you may also like: zuko, sokka, ty lee, suki,

[applecidersstuff]

Percy Jackson is against bullying.

He is however very sad that neither Annabeth, Clarrise or Drew had met Octavian in camp Jupiter, because as much as he frowns on it he would pay any kind of money to see those three tear him a new one for acting like a little bitch he is.

[ruporas]

don’t worry about me. goodbye, big brother

[vamprisms]

filmmakers who adapt classic gothic literature for the screen: damn i'm not reading that book no matter hWHAT

[cozylittleartblog]

cant tell you how bad it feels to constantly tell other artists to come to tumblr, because its the last good website that isn't fucked up by spoonfeeding algorithms and AI bullshit and isn't based around meaningless likes

just to watch that all fall apart in the last year or so and especially the last two weeks

there's nowhere good to go anymore for artists.

edit - a lot of people are saying the tags are important so actually, you'll look at my tags.

#please dont delete your accounts because of the AI crap. your art deserves more than being lost like that #if you have a good PC please glaze or nightshade it. if you dont or it doesnt work with your style (like mine) please start watermarking #use a plain-ish font. make it your username. if people can't google what your watermark says and find ur account its not a good watermark #it needs to be central in the image - NOT on the canvas edges - and put it in multiple places if you are compelled #please dont stop posting your art because of this shit. we just have to hope regulations will come slamming down on these shitheads#in the next year or two and you want to have accounts to come back to. the world Needs real art #if we all leave that just makes more room for these scam artists to fill in with their soulless recycled garbage #improvise adapt overcome. it sucks but it is what it is for the moment. safeguard yourself as best you can without making #years of art from thousands of artists lost media. the digital world and art is too temporary to hastily click a Delete button out of spite

[greekcomedy]

i will give them that dionysus is Perfect. "i'm looking for my dad" "well i can help you with that... son" fuck off that was hilarious

[counting-stars-gayly]

[tisorridalamor]

Legendary mangaka Arakawa Hiromu is forklift certified!

[quibbs]

just had SO much fun with the fallout tv show... i love you missus okey dokey

[randomness-is-my-order]

something about percy winning against ares by drawing first blood, not giving a fuck that it’s the god of war he is making an enemy out of vs him being caught totally unaware by luke and luke drawing first blood because percy hesitated, because this is his friend, because making an enemy out of a god is way more preferable over making an enemy out of a friend. percy winning against insurmountable odds vs him losing because his loyalty is truly and undoubtedly fatal.

[prokopetz]

If the second twelve episodes of the Dungeon Meshi anime keep the same pace as the first, they'll take us up to chapter 56. While I don't think it's likely this is the plan, imagine that's actually where episode 24 caps off, then the series doesn't get renewed. We get a flashback to how Chilchuck met his ex-wife and that's the end of the show.

[imthefailedartist]

Carrie is fat in the book. Learning that completely blew me.

The use of pigs blood makes so much more sense. The reason she was bullied so relentlesly, even though she does nothing to nobody, makes so much more sense. The relationship with her mother makes so much more sense.

I know they aren't going to, but I wish they would cast someone fat in this new Carrie adaptation. From the articles I've seen, they are already speculating which skinny actress it's going to be.

How many times can they tell the story the same exact way? The answer: endlessly.

I don't know what's worse the total erasure of fat people in movies or the only story we get to see ourselves in are the love yourself fatty movies.