Professional Documents
Culture Documents
Fourniers Gangrene
A type of necrotizing fasciitis or gangrene usually
affecting the perineum.
Commonly seen in elderly men.
With diabetes, alcoholics, or those who are
immune compromised.
Clinical Manifestations:
Fever
General discomfort (malaise)
Moderate to severe pain and swelling in the
genital and anal areas (perineal)
Rankness and foul smell
Rubbing the affected area
In severe cases, the death of tissues extend
Causes:
Bacteria
Fungi
Viruses
Debribement
is the medical removal of dead,
damaged, or infected tissue to improve
the healing potential of the remaining
healthy tissue.
Purpose:
Debridement is used to clean dead
and contaminated material from your
wound to aid in healing.
Types:
Removal may be:
Surgical
Mechanical
Chemical
Autolytic (self-digestion)
By maggot therapy, where certain species of live
maggots selectively eat only necrotic tissue.
Instruments:
Nursing Responsibilities
PREOPERATIVE CARE
Discuss the impending surgery, the clients
concerns regarding surgery and its risks, and
what steps will be taken if surgery is ineffective.
Open discussion and active listening are
important means of gaining the clients trust and
encouraging the client to express concerns about
the outcome of the surgery.
INTRAOPERATIVE CARE
Position patient with good ear down near edge of
bed closest to surgeon.
Ensure the proper room temperature, humidity
and lighting.
Make certain the equipments are safely
functioning.
Ensure that supplies and materials are available
for use during surgical procedures.
POSTOPERATIVE CARE
Provide meticulous care of the dressing and/or
irrigation setup.
Frequently, the irrigation tubes are connected to
a 3-way stopcock, which allows irrigation and
drainage of the debrided area without separating
the tube from the collection device.
Nurses need to be extremely cautious and
adhere to strict sterile technique.
Here are a few suggestions to help you reduce your risk of developing gangrene:
Lose weight
Excess pounds not only put you at risk of
diabetes but also place pressure on your arteries,
constricting blood flow and putting you at risk of
infection and slow wound healing.