ABD Pads
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Your ABD Pads Questions, Answered!
What are ABD Pads?
ABD pads, also known as combination pads are highly absorbent, multi-layered dressings designed for heavily draining wounds. Although "ABD" stands for "abdominal", these pads are used on any wound with significant drainage, regardless of location.
They typically have a soft, non-woven outer layer, a fluffy cellulose inner core for maximum absorption, and often a moisture-resistant backing to prevent leakage.
How do I choose the right ABD pad?
ABD pads are designed for heavily draining wounds. When choosing an ABD pad:
Sterile vs. Non-Sterile
Always use sterile pads for open wounds. Non-sterile pads are only for intact skin.
Size & Coverage
The pad should be large enough to completely cover the wound and extend at least an inch beyond its edges. This ensures that drainage is fully contained and the skin surrounding the wound is protected from excess moisture, which can lead to irritation and maceration.
Common sizes include 5" x 9" for small to moderate wounds and 8" x 10" for larger wounds.
Alternatives
If your wound has less drainage, consider gauze sponges, non-adherent dressings, or foam dressings. Alginate dressings are good for very wet wounds.
How do I apply an ABD Pad?
Choose a size that covers the entire wound with a small overlap. Always use sterile ABD pads for open wounds.
To apply:
- Wash Hands: Always start with clean hands.
- Clean Wound: Clean the wound as directed by your healthcare professional, usually with saline or a wound cleanser.
- Dry Skin: Gently pat the surrounding skin dry.
- Apply Pad: Open the sterile package (if using sterile pads) and place the pad directly over the wound.
- Secure Pad: Use medical tape, rolled gauze, or a bandage to hold the pad in place. Don't wrap it too tightly.
- Changing Frequency: Change the pad as often as your doctor recommends, or when it becomes saturated, loose, or if you notice an odor or signs of infection. Heavily draining wounds may need multiple changes per day.
