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BY: NANCY MORGAN, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC What exactly is wound exudate?
Also known as drainage, exudate is a liquid produced by the body in response to tissue damage.
Responsibility for final decisions and actions related to care of specific patients shall remain the obligation of the institution, its staff, and the patients’ attending physicians.
Some absorbent dressings also form a gel on contact with exudate.Next we have the famous serosanguineous exudate, which is thin, watery, and pale red to pink in color.It seems to be everyone’s favorite type of drainage to document, but unfortunately, it’s not what we want to see in a wound. So what types of drainage do you see being documented? Are you really seeing drainage that indicates trauma to the wound bed, or is the drainage type mislabeled?The use of skin barrier preparations such as LBF should be considered to protect the delicate peri-wound area. Infection can be systemic, causing the patient to become ill or local, only affecting the wound bed and surrounding tissues.At assessment the health care professional should observe for the clinical signs of infection: pain, heat, erythema, cellulitus, oedema, pyrexia, malodour, delayed healing, wound breakdown, fragile granulation tissue, excessive exudate and the presence of pus.