A patient has a purulent, foul-smelling leg wound. What wound care practice is most appropri-ate?
a. Leave the wound open to the air.
b. Administer systemic antibiotics.
c. Cleanse the wound with diluted povidone iodine.
d. Prepare the patient for operative débride-ment.
C
Antiseptics are not used on healthy granulating tissue. Povidone iodine must be diluted and only used short term. A moist environment is needed for healing; leaving the wound open to air will cause too much drying. The patient may eventually need operative débridement. Systemic anti-biotics may or may not be needed.
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