Webinar: Wound Care & Moist Wound Healing with Dr. Ian Sandler, DVM Question Title * 1. Please fill in your personal information: First Name Last Name Email Address Occupation Veterinary Practice/Clinic Province Question Title * 2. Is it true that Activon Medical Grade Manuka Honey tube or dressings can be used to break up established biofilms? True False Question Title * 3. Manuka honey can be used on malodorous wounds, and prevents malodour. How does Manuka honey do this? Honey stops the production of ammonia and other odorous products of bacterial decomposition in necrotic wounds Honey debrides devitalised tissue, reducing bioburden and any accompanying smell All of the above Question Title * 4. Which bandages are appropriate for wounds with heavy amounts of exudate? Advazorb Eclypse Question Title * 5. Can Advazorb be used under compression? Yes, it can because it has fluid-handling properties and a low friction film backing No, Advazorb cannot be used under compression Yes, it can because it is hypoallergenic Question Title * 6. Advazorb can reduce the burden of frequent dressing changes because it’s been tested and proven to have no strikethrough even when left in place for up to 7 days. True False Question Title * 7. The Eclypse is a superabsorbent dressing because the dressing has an excellent fluid-handling capacity, and the waterproof and low-friction film backing prevents any strikethrough from occurring. It can even be used under compression. True False Question Title * 8. How many times faster does a wound heal in a moist environment compared to a wound left out to dry? It has the same healing rate but with more positive outcome for the wound It has twice the healing rate Question Title * 9. How would you summarize what wound management should include? Managing necrotic tissue Managing necrotic tissue and managing wound exudate Decreasing the bacterial load Managing necrotic tissue; managing wound exudate and decreasing the bacterial load Question Title * 10. Some common signs and symptoms of local infection for an acute wound could include; Redness Pain Swelling Discharge All the above Question Title * 11. Advazorb is a non-adhesive foam dressing that: Can be left on for up to 7 days Can be used under compression Can be used with mild to moderately exudative wounds Helps to maintain an optimal moist wound environment All the above Question Title * 12. Advazorb dressings can be cut, but Eclypse dressings cannot. True False Question Title * 13. Advazorb and Advazorb Silfix can be used on the same types of wounds, and can both be cut. True False Question Title * 14. Wound contact layers like Silflex assist in the formation of tissue granulation and epithelization. True False Question Title * 15. How long can Silflex be left in place? Up to 5 days Up to 7 days Up to 10 days Up to 14 days Question Title * 16. What are the negative impacts of excessive exudate? Maceration Delayed healing Excoriation Malodour Increase in wound size Local infection of the wound All the above Question Title * 17. What can superabsorbent dressings absorb? Moderate to large amounts of exudate Bacteria Proteases Inflammatory mediators All of the above Question Title * 18. It is well known that microbes feed on sugar and that Manuka honey contains sugar. Knowing this, how can Manuka honey be antibacterial? The sugar binds the water molecules making it impossible for microbes to use them. Glucose oxidase, an enzyme which is added to the honey as it matures converts some of the glucose to gluconic acid making it a hostile environment that is too acidic for microbes to thrive. Hydrogen peroxide is produced during the conversion of the glucose to gluconic acid which will act as a broad-spectrum antiseptic. All of the above Question Title * 19. What differentiates medical grade Manuka honey from other honeys on the market? Medical grade Manuka honey is sterilized and processed into a paste Medical grade Manuka honey is purified before it is being packaged Medical grade Manuka honey is filtered and sterilized to remove contamination and bacteria There is no difference, all honey has the same properties Question Title * 20. Does Manuka honey have a low or a high pH level? Low pH (3.5 - 5.5) High pH (greater than 5.5) Question Title * 21. What is best to use to treat infected postoperative wounds? Antiseptics and gauze Antibiotics Dressings coated with Manuka honey Done