The client with an infected leg wound that is draining purulent material has a prescription for sodium hypochlorite (Dakin solution) to be used in the care of the wound. The nurse would do which of the following while using this solution?
1. Rinse off immediately following irrigation.
2. Pour onto sterile sponges, and pack in wound.
3. Let the solution run freely over normal skin tissue.
4. Use each bottle of solution for 2 weeks before replacing.
1
Rationale: Dakin solution is a hypochlorite solution that is used for irrigating and cleaning necrotic or purulent wounds. It cannot be used to pack purulent wounds, because the solution is inactivated by copious pus. (It can be used to pack necrotic wounds, however.) It should not come into contact with healing or normal tissue, and it should be rinsed off immediately if used for irrigation. The solution is unstable, and it is best to prepare a fresh solution for use during each dressing change.
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