Do Not Do Recommendation

Do Not Do Recommendation Details

Recommendation:

Do not offer subcutaneous or intravenous fluids to treat a pressure ulcer in adults whose hydration status is adequate.

Interventions:

Subcutaneous or intravenous fluids

Source guidance details

Guidance:

Pressure ulcers: NICE guideline (CG179)

Published date:

April 2014

Paragraph number:

1.4.8

Page number:

20

View all NICE do not do from this Guidance

• Do not offer skin massage or rubbing to adults, neonates, infants, children and young people to prevent a pressure ulcer.
• Do not offer nutritional supplements specifically to prevent a pressure ulcer in adults, neonates, infants, children and young people with adequate nutritional status for their developmental stage and clinical condition.
• Do not offer subcutaneous or intravenous fluids specifically to prevent a pressure ulcer in adults, neonates, infants, children and young people with adequate hydration status for their development stage and clinical condition.
• Do not offer nutritional supplements to treat a pressure ulcer in adults whose nutritional intake is adequate.
• Do not use standard-specification foam mattresses for adults with a pressure ulcer.
• Do not routinely offer adults, neonates, infants, children and young people negative pressure wound therapy to treat a pressure ulcer, unless it is necessary to reduce the number of dressing changes (for example, in a wound with a large amount of exudate).
• Do not routinely offer larval (maggot) therapy to adults with a pressure ulcer.
• Do not routinely offer enzymatic debridement to adults with a pressure ulcer.
• Do not offer systemic antibiotics specifically to heal a pressure ulcer in adults
• Do not offer systemic antibiotics to adults based only on positive wound cultures without clinical evidence of infection.
• Do not routinely use topical antiseptics or antimicrobials to treat a pressure ulcer in adults.
• Do not offer gauze dressings to treat a pressure ulcer in adults, neonates, infants, children and young people.
• Do not use electrotherapy to treat a pressure ulcer in neonates, infants, children or young people.
• Do not use hyperbaric oxygen therapy to treat a pressure ulcer in neonates, infants, children or young people.
• Do not use iodine dressings to treat a pressure ulcer in neonates.