A patient arrives in the emergency department with multiple dirty abrasions after a bicycle-automobile accident . Which product might be used initially to cleanse this patient's wounds?

Question

Quizplus · Accepted Answer

Hydrogen peroxide does not have good antiseptic properties, because the antimicrobial component is destroyed by catalase in tissues. It is useful initially because the frothing that occurs when catalase liberates oxygen loosens debris and facilitates cleansing of a dirty wound. Isopropanol is irritating to the skin. Povidone-iodine is used on intact skin. Soap and water can be used, but hard scrubbing is necessary on a dirty abrasion and can be painful.

A Patient Arrives in the Emergency Department with Multiple Dirty