The nurse is preparing to use high-pressure pulsatile lavage to irrigate a necrotic wound. Which of the following statements indicate a need for further education on this type of irrigation? (Select all that apply.)
a. "I can set the psi between 15 and 17.".
b. "I should never use this on exposed blood vessels.".
c. "It is okay to use this on skin grafts.".
d. "I should not use this on exposed muscles or tendon.".
e. "I should never use this on patients with a coagulation disorder.".
A, C, E
Pulsatile high-pressure lavage is often the irrigation of choice for necrotic wounds. Pressure set-tings should be set per provider order (usually between 4 and 15 psi) and should not be used on skin grafts, exposed blood vessels, muscle, tendon, or bone. Use with caution if the patient has coagulation disorder or is on anticoagulants.
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