Answer: The following is from the Instruction for Use for Fibracol Plus. Directions for Use Debride when necessary and irrigate the wound site with normal saline solution. Remove excess solution from surrounding skin. For heavily exuding wounds, apply to wound bed directly. For wounds with minimal exudate, apply to moistened wound bed; this will initiate the gel forming process. Pack deep wounds loosely. The dressing can be cut to size with sterile scissors. The amount of FIBRACOL:registered: Plus dressing to be used depends on the size of the wound and the amount of exudate. FIBRACOL:registered: Plus dressing may be covered with either a non-occlusive secondary dressing and fixed to the skin with a non-irritating tape or a semi-occlusive dressing (e.g. TIELLE:registered: Hydropolymer Adhesive Dressing or TIELLE:registered: Plus Hydropolymer Adhesive Dressing). Reapply FIBRACOL:registered: Plus dressing when the secondary dressing has reached its absorbent capacity or whenever good wound care practice dictates that the dressing should be changed. A heavily exuding wound may require daily or twice daily dressing changes. More moderately exuding wounds will require less frequent changes (every 2 to 4 days or as directed by a healthcare professional). Following the initial application, irrigate the wound with saline solution. Reapply FIBRACOL:registered: Plus dressing as previously instructed. Dressing Removal After gently removing the secondary dressing, lift any FIBRACOL:registered: Plus dressing that has not formed a gel and discard. Using normal saline, gently irrigate the wound to remove any residual gel. Do not re-use. Do not resterilize.
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