APPLICATION

GUIDE | ALTRAZEAL® TRANSFORMING POWDER DRESSING

Wear sterile gloves Gently drip or spray additional saline to Regularly inspect the wound
Debride or clean wound as required complete transformation if needed Visible margins enable inspection
Moisten with saline or antimicrobial Avoid submerging the powder without primary dressing changes
Pour powder to cover entire surface

Cover with non-adhesive contact layer Dressing flakes off as the wound heals If dressing removal is required prior
and secure wrap, especially in more More exudative wounds may require to wound healing, submerge in
exudative wounds or in areas of regular secondary dressing changes and saline and gently lift off with forceps
high friction or motion top up of Altrazeal® from time to time

SUGGESTED • 1-2 mm layer is sufficient in superificial, mildy exudative wounds

APPLICATION • Apply thicker layer (5 mm) in deeper or more exudative wounds
THICKNESS • Cover entire wound surface and margin. Pack in narrow, deeper wounds

• Altrazeal® can be kept on the wound for up to 30 days

• Suggested guidelines for dressing change frequency or adding more Altrazeal®:

CHANGE SECONDARY REPLACE OR ADD MORE

EXUDATION
DRESSING ALTRAZEAL® EVERY

DRESSING CHANGE Mild As indicated 14 - 30 Days

FREQUENCY Moderate When wet or as indicated 7 - 14 Days
High When wet or as indicated 2 - 4 - 7 Days

• Avoid Altrazeal® removal if wound margin looks healthy and Altrazeal® has adhered
tightly to the wound surface or formed a scab
• If wet or partially wet, change or add more Altrazeal® as needed

• Use non-adhesive, non-occlusive dressings

• Commonly used secondary dressings

EXUDATION COMMONLY USED SECONDARY DRESSINGS

• Contact layer or low adherent pads with gauze wrap

Mild
SECONDARY DRESSING • Films
SELECTION
Moderate • Contact layer with gauze wrap

• Contact layer with absorbent pads or gauze compresses

High
and secure wrap

• AVOID: foams, petroleum based products, super absorbers and occlusive films

Altrazeal® Application Guide | Revision 2.0 | July 2019 | ULURU Inc. | All Rights Reserved



COMPATIBLE • Compression • Contact • Hyperbaric • Graft + Skin • Post NPWT

MODALITIES Bandage Casts Oxygen Equivalents Transition

• Do not pick at the dressing or scab

• Use moisturizing lotions on surrounding skin if dry or itchy, but do not touch the wound
• Keep area dry until scab is formed or Altrazeal® adheres tightly to the wound surface
PATIENT CARE
• Patient may shower with the dressing once scab has formed
• Care should be taken to not submerge the dressing
• Notify clinician if dressing falls off before healing or any signs of infection or allergy
rd
CONTRAINDICATIONS • Allergies, wounds with no exudate, 3 degree burns. Debride necrotic tissue before use

ADDITIONAL INFORMATION BY WOUND TYPE

SURGICAL INCISIONS | • Altrazeal® may be applied over clips, staples or sutures

EXCISIONS | DEHISCIENCES • Fascia should be intact prior to Altrazeal® application

• Apply skin graft or living skin equivalent and anchor with suture or clip if required
GRAFT RECIPIENT SITES • Apply Altrazeal® over graft
• Cover with contact layer and gauze wrap for added protection

• Apply Altrazeal® directly over the donor site

SKIN GRAFT DONOR SITES
• Cover with a film dressing (with pad if oozing)
• Debride and apply antimicrobial solution prior to applying Altrazeal®
• Change as needed
INFECTED WOUNDS
• Antibiotic treatment may be required in deep tissue infections
• Application should be under medical supervision with frequent monitoring
• Debride and clean wound prior to application
• Ensure vascular issues from damaged pericardium are resovled. Use with
compression therapy if oxygen supply is affected
TRAUMA INJURIES
• Altrazeal® may be used in wounds with exposed bones and tendons. Care must be
taken that there is no bone infection
• Use antimicrobial prior to application if wound may be at risk of infection
• Debride necrotic tissue and incise blisters before application
BURNS nd
• Consider alternative procedures if 2 degree burns don’t improve or heal in 14 days
• Offloading is paramount
• Use antimicrobials in cases with heavy bioburden, critical colonization or clinical
DIABETIC FOOT ULCERS
finding of infection. Antibiotics may be necessary in deep tissue infections
• Check ABI as good circulation is important to facilitate healing

• Conduct arterial evaluation and intervention as appropriate prior to application

ARTERIAL ULCERS • Check ABI as good arterial flow is vital to healing
• Often drier wounds requiring saline for dressing formation

• Often more exudative wounds requiring more frequent dressing changes initially
• Altrazeal® may be used with compression therapy
• Use antimicrobials in cases with heavy bioburden, critical colonization or clinical
VENOUS ULCERS
finding of infection. Antibiotics may be necessary in deep tissue infections
• Check ABI (typically 0.9 minimum to 1.2) to ensure good arterial flow
• Ensure venous disease is addressed and treated appropriately by an expert

• Pressure redistribution and reduction of friction and sheer is paramount

PRESSURE ULCERS
• May require more frequent dressing changes initially due to friction and sheer

• Take extra care during wound bed preparation due to potential pathergy reaction
IMMUNOLOGICAL
• If wounds are sensitive and painful, only remove easily removable parts of Altrazeal®
WOUNDS
if required and add more powder to open areas

Altrazeal® Application Guide | Revision 2.0 | July 2019 | ULURU Inc. | All Rights Reserved