Lawrence JC. Continue to anesthetize the circumference of the wound, subdermally inserting the needle into regions already anesthetized, advancing the needle into contiguous unanesthetized tissue, and injecting while withdrawing the needle. 6. Lets face it, dressing selection can be overwhelming for clinicians because of the plethora of products that are in the wound care market space. You dont need to bandage every boo-boo. 3. The Portugal Centre for Evidence-Based Practice: an Affiliate Centre of the Joanna Briggs Institute, 2. 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It comes with a self-assessment enabling you to test your knowledge after reading it, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 10th Floor, Southern House, Wellesley Grove, Croydon, CR0 1XG, We use cookies to personalize and improve your experience on our site. Lactated Ringers solution. Why should they be used? Please confirm that you are a health care professional. We are a rural hospital and rely upon irrigating wounds with a 35 ml syringe and 18g catherer, using normal saline. Crystalloids contain small molecules that flow easily across semi-permeable membranes, which allows for transfer from the bloodstream into the cells and tissues (Crawford & Harris, 2011). What if the effectiveness of cleansing solutions is affected by the wound etiology? Use a new 44 gauze pad for each circle. 6. Am J Emerg Med.1998; 16: 379-381. Apply adhesive tape or a circumferential gauze wrap to keep the dressing in place. Thanks for any advice you can give! Blot up excess moisture with a clean gauze pad. These opposing forces loosen the particles and suspend them in the water. Quantitative data will, where possible, be pooled in statistical meta-analysis using JBI-MAStARI. Any disagreements that arise between the reviewers will be resolved through discussion, or with a third reviewer. For a linear wound or incision: Pour irrigation solution into the irrigation tray. Clean the wound: Use clean . If blood oozes through the cloth or gauze, leave the covering on the wound. Tetanus vaccination and immune globulin may be needed depending on the wound type and patient's vaccination history (see table Tetanus Prophylaxis in Routine Wound Management Tetanus Prophylaxis in Routine Wound Management ). 4. 2. It'sused in dialysis and surgery, to clean wounds, and to inject patients with medication from antibiotics to chemotherapy. CT Computed Tomography CT shows a focal area of osteolysis (arrows) involving the right acetabulum that is consistent with particle disease. Thirdly, the reference list of all identified reports and articles will be searched for additional studies. Instruct the patient to keep the dressing dry and in place and to return in 2 days for a wound check or, if delayed closure is anticipated, in 3 to 5 days. Rub your hands together, scrubbing your palms, the backs of your hands, your fingers, and under your fingernails. to maintaining your privacy and will not share your personal information without Cleaning a wound removes loose debris and planktonic (free-floating) bacteria, provides protection to promote an optimal environment for healing, and facilitates wound assessment by optimizing visualization of the wound. Check the quality of the water source. What is the most common bacteria found in postopeative wound infections. Nerve blocks Local anesthesia for laceration treatment and procedural sedation Sedation Intensive care unit (ICU) patients are often agitated, confused, and uncomfortable. Suspected foreign bodies can often be identified using ultrasonography Ultrasonography In ultrasonography, a signal generator is combined with a transducer. Method and cleaning solution will vary based on the type of wound. Please try again soon. In addition to use of antiseptics to reduce bacterial load of a wound, several other approaches have been developed, including debridement, cleansing and pulsating jet lavage for removal of the devitalized tissue, and application of topical antibiotics. Cleaning with a saline bullet If the wound has been closed with sutures, many operators apply topical antibiotic to keep the sutures from adhering to the dressing. __________ is the transmission of the pain stimulus from the periphery to the . 3. 1. Keep Your Wound Clean & Covered Make sure your wound stays clean, covered, and dry at all times. Hydrogen peroxide works to disinfect wounds in several ways: First, since it's a solution in water, it helps rinse away dirt and damaged cells and loosen dried blood, while the bubbles help lift away debris. Saline and Dextrose Fluid (IV), Injectable Medicines, Pharmaceutical Product, Pharma Sector . http://woundcareadvisor.com/apple-bites-vol1-no4/. Aletha Tippett MD is a family medicine and wound care expert, founder and president of the Hope of Healing Foundation, family physician, and international speaker on wound care. Fernandez R, Griffiths R, Ussia C. Water for wound cleansing. A retained foreign body in a wound is suggested by pain or foreign-body sensation (enhanced by motion) in the absence of infection. Skip this step for burns. 1. All rights reserved. . Hess CT (ed.). There are other methods of debridment that can be used, some of which take longer for healing to occur, but are less painful. The trusted provider of medical information since 1899, How To Cleanse, Irrigate, Debride, and Dress Wounds, How To Repair a Laceration With Simple Interrupted Sutures, How To Do Plastic Surgical Repair With Buried Deep Dermal Sutures, How To Repair a Laceration With Horizontal Mattress Sutures, How To Repair a Laceration With a Subcuticular Running Suture, How To Repair a Laceration With Vertical Mattress Sutures, Last review/revision Mar 2021 | Modified Sep 2022. To debride a fistula or through-and-through puncture wound, moisten some gauze and gently pull it through the tract in the direction opposite to the puncture using a forceps or hemostat. Does it need to be cleansed? Dextrose is a common type of added sugar that's made when corn is broken down with acids or enzymes before it's crystallized, according to the U.S. Food & Drug Administration (FDA). There should be debris or blood in the wound that needs to be rinsed out. For this reason several guidelines and various studies discourage the use of antiseptic solutions such as povidone iodine, hydrogen peroxide, or sodium hypochlorite because in most instances, they do not effectively promote good wound healing; in contrast, most studies showed either impaired wound healing, reduced wound strength, or infection.14,20. Do not use excessive force during irrigation and scrubbing. Plausible explanations for variations in treatment effects will be explored using subgroup analyses, where possible, to specify population and intervention differences and quality of studies. Remarkable advances have been made in the science of wound care and treatment. Do not explore the wound with your finger, because sharp foreign bodies may cause injury. Water (distilled and/or cooled boiled water) compared with sterile normal saline; Tap water compared with cooled boiled tap water; Tap water compared with polyhexanide/betaine solution; Tap water compared with any other solution; Sterile normal saline compared with polihexanide/betaine solution; Any other comparable solution that appears in scientific papers. 17. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Step 4. Dealey C. Tratamento de Feridas: um guia para enfermagem.1. Larvae's secretions calm the body's immune response. Add 1 tablespoon saline solution. Open Wound Cleansing. This product is intended for intravenous administration only. After inspecting and removing matter from the wound, irrigate the wound. In CT, an x-ray source and x-ray detector housed in a doughnut-shaped assembly read more as well as MRI Magnetic Resonance Imaging Sagittal T1-weighted image of the brain shows normal midline structures. Yet amongst scientific literature, several studies have recommended various cleansing agents for their supposed therapeutic value. Dont pick at any scabs -- theyre part of the healing process. Int Wound J.2009; 6: 420-430. lm an infection control nurse and just back from post basic in infection control l was taught not to use Normal saline solution for wound cleaning as it will enhance the growth of microorganism. How can that be a dilemma? Thus, the purpose of this systematic review is to investigate the effectiveness of cleansing solutions for wound treatment in clinical practice. Cleaning a wound removes loose debris and planktonic (free-floating) bacteria, provides protection to promote an optimal environment for healing, and facilitates wound assessment by optimizing visualization of the wound. If you have a minor scrape or cut, clean it and leave it alone. In pathology, a wound is an acute injury that damages the epidermis of the skin. 2008-2023 HMP Global, Inc. All rights reserved. JBI. This article explains the circumstances in which it is appropriate to cleanse a wound, when it is appropriate to use tap water and when a sterile solution is recommended. Nociception. Make the cuts perpendicular to the skin surface, not on an angle (to maximize dermal apposition during closure). H2Ocean's Piercing Aftercare Spray has been tested and certified to be effective and safe. Face mask and safety glasses (or a face shield), head cap, gown, gloves (sterile if preferred, but these are nonsterile procedures), Sterile drapes, towels (for wound debridement and suturing), Wound cleansing, inspection, debridement (not all items are required for simple repairs), Antiseptic solution (eg, chlorhexidine, povidone-iodine), Sterile gauze squares (eg, 10 cm 10 cm [4 inch 4 inch]), Pneumatic tourniquet (or blood pressure cuff), commercial hemostatic agent, as needed to assist hemostasis. Data will be extracted from papers included in the review independently by two reviewers, using standardized data extraction tools from the Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument JBI-MAStARI (Appendix II). Add 1/2 teaspoon baking soda. The wound is now prepared for closure and dressing. o [teenager OR adolescent ], , MD, San Antonio Uniformed Services Health Education Consortium. Do not introduce a cleansing agent directly into the wound because many are toxic to tissues and may interfere with wound healing. Wounds involving deep structures (eg, nerves, blood vessels, ducts, joints, tendons, bones) and those covering large areas require specific repair techniques that may necessitate referral to a surgical specialist. Cleaning the Wound 1 Examine the wound. Prophylactic oral antibiotics may be given to prevent infection of dirty (especially organically contaminated) wounds, particularly for diabetic and immunocompromised patients. After scrubbing, irrigate the wound as described above. The whole purpose of cleansing a wound is to remove necrotic or infectious material from the wound to prevent or reduce infection. Cooling a wound impairs and slows healing, potentially inhibiting/delaying healing for 4-8 hours.1 If the wound is not dirty, dont clean it. Plain x-rays are sensitive for glass ( 1 mm) and most inorganic material (eg, stones). (See also Lacerations Lacerations Lacerations are tears in soft body tissue. 3. Among the uses for aloe vera include acne, burns, and rashes. Although the oxygen released by peroxide doesn't kill all . This article has been updated The evidence in this article is no longer current. Pour irrigation solution into the irrigation tray. Depending on wound location, patients can do this themselves; local anesthesia may be needed. This makes it ideal because after the piercing . In CT, an x-ray source and x-ray detector housed in a doughnut-shaped assembly read more or MRI Magnetic Resonance Imaging Sagittal T1-weighted image of the brain shows normal midline structures. Thanks. Elevate the area if possible, and, if needed, use other means (eg, inflated blood pressure cuff, brief application of a proximal tourniquet, injected or topical 1% epinephrine with lidocaine) to attain hemostasis. Moscati R, Mayrose J, Fincher L, Jehle D. Comparison of normal saline with tap water for wound irrigation. The search for unpublished studies will include: Agency for Healthcare Research and Quality (AHRQ); Grey Literature Report from New York Academy of Medicine; National Library of Australia's Trove service; ProQuest - Nursing and Allied Health Source Dissertations; Banco de teses da CAPES (www.capes.gov.br); RCAAP - Repositrio Cientfico de Acesso Aberto de Portugal. Creepy, yet calming. Symptoms may include fever, malodorous pus drainage and heat, particularly in cases of infection. Dressings should keep wounds moistbut not too moist. 5. Adelaide The Joanna Briggs Institute [serial online] 2006; [cited 2012 Nov 1] 10(2). 2. What? Nine Steps to Clean a Wound 1. I am a new nurse working in an urgent care center. The purpose of wound cleansing is to remove and loosen debris and contaminants from the wound bed. The doctor orders dextrose 5% in water, 1,000 ml to be infused over 8 hours. Burn Gel For more information, please refer to our Privacy Policy. Use care when scrubbing because the sponge may damage the internal tissues and provoke inflammation. a. * Some wounds typically are not dressed (eg, facial lacerations and those within areas that have hair). A nurse is caring for a client who has an a. use a different sterile swab for each stroke. Beam, JW. Academic Emergency Medicine.2007; 14: 404-10. Visible wound. Allow space for a basin to be placed under the wound during irrigation. We are taught to select a wound cleanser and a means to deliver that cleanser. Already have an account, Some error has occurred while processing your request. Check your organizations policy for required personal protective equipment (PPE). 8- Wash hands Check with your sales rep to verify eligibility) Wound tissue can be vulnerable to further injury during cleansing and closure. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage. Care of lacerations Enables prompt healing Minimizes risk of infection Optimizes cosmetic results read more for detailed discussions of the treatment and healing of skin wounds.). A July 2019 study in the European Spine Journal suggested that "dextrose (Prolotherapy) is one of the regenerative methods that has gained popularity in the treatment of many musculoskeletal problems, and (the researchers) aimed to present and evaluate the outcomes of 5% dextrose (Prolotherapy) for the treatment of failed back surgery syndrome." Center of Studies in Education, Health and Technology - Research and Development Unit. Spray cleansers may be applied directly to the wound or sprayed onto clean 44 gauze pads and then applied to the wound. formulated to remove fecal matter, so they should never be used on open wounds, as they tend to be stronger than a wound cleanser and toxic to wound tissues. 2009; 66(1):82-90. Position the patient so that the cleansing solution will flow by gravity from the upper end of the wound to the lower end. Each suture consists of a single, roughly circular (ie, simple) loop of suture material, individually tied read more , buried deep dermal sutures How To Do Plastic Surgical Repair With Buried Deep Dermal Sutures Deep dermal sutures (which begin and end at the bottom of the wound so that the knot is deeply buried) can be used to appose the dermis and hypodermis of wounds under tension in cosmetically read more , horizontal mattress sutures How To Repair a Laceration With Horizontal Mattress Sutures The horizontal mattress suture uses a simple suture bite followed by a reverse bite adjacent to the first to create a single broad suture that achieves wound approximation and epidermal eversion read more , vertical mattress sutures How To Repair a Laceration With Vertical Mattress Sutures The vertical mattress suture accomplishes, in a single suture, both dermal and subdermal approximation using a wide-deep (far-far) loop, followed by epidermal approximation and eversion using read more , a subcuticular running suture How To Repair a Laceration With a Subcuticular Running Suture Placed intradermally, the subcuticular running-type suture is used for cosmetic closure of a straight, clean laceration under no tension, typically of the face or neck and using absorbable suture read more , glue How To Repair a Laceration With Glue Wound glue or adhesivesor biodegradable bonding agentscan be used to close small, straight, superficial, low-tension wounds. Place a nonadherent dressing on the wound. Each surfactant molecule has ahydrophilic (water-loving) head that is attracted to water molecules and a hydrophobic (water-hating) tail that repels water and simultaneously attaches itself to wound contaminants, oils, or grease. Using a new moistened 44 gauze pad, repeat cleaning, using a gentle downward stroke parallel to the incision. Intermountain Healthcare: Chronic Wounds., Mayo Clinic: Cuts and Scrapes: First Aid, Burns: First Aid., Familydoctor.org: First Aid: Cuts, Scrapes, and Stitches., Seattle Childrens Hospital: Skin Injury.. Remember to use a new 44 gauze pad for each downward stroke. Here is a link to an article that discusses wound debridement http://woundcareadvisor.com/debridement-options-beams-made-easy_vol2-no/ This bitesize learning video series explores the different types of mattresses that are used in clinical settings and how to choose wisely to reduce pressure ulcer risk. Towler J. Cleansing traumatic wounds with swabs, water or saline. To heal a wound, the body undertakes a series of actions collectively . Infection in wounds can spread into the bloodstream easily causing serious problems and even death if not treated promptly. On the other hand, there is no agreement amongst wound care authorities on the advantages of using sterile solutions over non-sterile solutions. Keyword Highlighting To avoid crushing tissue, never grasp it with a hemostat. 7. Normal Saline is isotonic, 3% Saline is hypertonic, and 0.45% Saline is hypotonic. Using a bandage will keep your wound protected as it heals. We tested the effects of escalating dextrose concentration on cell counts and cell volume of platelets and red cells in PRP and whole blood (WB). Position the container at any angle required to access the area to be moistened or cleaned. Therefore, the maximum dose ranges from 5mg/kg/min for adults to 10-18 mg/kg/min for babies and children depending on the age and the total body mass. Try to rinse soap out of wound to prevent irritation. Piezoelectric crystals in the signal generator convert electricity into high-frequency sound waves, which are sent into read more . You'll need to determine the nature and severity of the wound. Ingredients in commercial cleansers may include surfactants, wetting agents, moisturizers, and/or antimicrobials. That can hurt and cause irritation. These symptoms are unpleasant for patients and often interfere with read more and analgesia Analgesia Intensive care unit (ICU) patients are often agitated, confused, and uncomfortable. Can I change the ratio of the saline solution? Initially wash heavily contaminated wounds, eg, using tap water and a gentle hand soap. Our warehouse crew usually ships online orders within 1-3 business daysfrom the time they are placed. Skin Pharmacol Physiol.2010; 23(1): 7-16. Antibiotic ointment: Topical antibiotic ointments continue to be recommended for sutured wounds because they help keep wound edges moist and prevent dressings from sticking. About The Author Dry the surrounding skin. 18. Please I have observed a wound dressing in which savlon and Hydrogen Peroxide used. Should I take her to the emergency room, or is this something I can take care of at home? 8. Doctors may recommend using a topical antibiotic if you have burn blisters that break open. Gently pat the wound dry, using dry gauze pads. Imaging studies: Do imaging studies for all wounds involving glass and for wounds if the history or clinical findings suggest a foreign body (eg, puncture wounds of the foot, any puncture deeper than 5 mm, or animal or human bites Human and Mammal Bites Human and other mammal bites (mostly dog and cat bites, but also squirrel, gerbil, rabbit, guinea pig, and monkey bites) are common and occasionally cause significant morbidity and disability read more ). Although instruments that touch the wound (eg, forceps, needles, suture) must be sterile, clean nonsterile gloves as well as clean but not sterile water may be used in immunocompetent patients. Just follow these steps: If you have a burn, rinse the area under cool (not cold) water for 10 to 15 minutes. Clean at least 1 inch beyond the end of the new dressing or 2 inches beyond the wound margins if you arent applying a dressing. Saline Solution Saline Solution IV Poles Saline Solution Syringes If significant oozing or bleeding seems possible, apply a sterile absorbent dressing over the nonadherent dressing. No part of this website or publication may be reproduced, stored, or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the copyright holder. But Dextrose Solutionsdon't. They act differently in the body . Potable (drinkable) tap water. Honey Honey is one of the most widely studied. But what about a pink, clean, granulating wound that just had a clean, intact dressing removed? 50-51. We do not control or have responsibility for the content of any third-party site. Im currently undergoing treatment after a bike accident. Click here to see examples of wound cleansers. If you have a clean wound, consider NOT cleansing it. The FDA has approved a wound retraction system created On December 28, 2017, the FDA gave approval for Is your wound-cleansing practice up to date? Rev. One of the most typical uses is IV drips, for those who are dehydrated or suffering from diarrhea and serious vomiting. Available from: 15. Second, how are you going to clean the wound? Or, place a cool cloth on the burn for the same length of time. Your message has been successfully sent to your colleague. Atiyeh BS, Dibo SA, Hayek SN. Lactated Ringers solution provides sodium, potassium, and calcium chloride to the wound, while safely cleaning it and avoiding damage to viable cells. In this regard, all studies in other languages will be excluded. Moisten 44 gauze pads in the solution; squeeze out excess. Nursing Management of Chronic Wounds.1997; Mosby, London. The recommended dosage when used as a vehicle or diluent ranges from 50 to 250 ml per dose of medicinal product to be administered. A nurse is teaching a client who requires c. The client stands with her elbows slightly flexed while holding the . This article explains when wound cleansing is appropriate and how to select a cleansing solution. 4. However, you might need to apply pressure to the area, and if an arm or leg is affected, you should raise it above heart level if possible. 9. Also, Here is a link to a detailed step by step procedure of non-sterile dressing change. Step 2: Antimicrobial Hydrogel. 3. There is evidence that maggot therapy may help with wound healing. 14. For wounds that require closure, the closure can be done using simple interrupted sutures How To Repair a Laceration With Simple Interrupted Sutures Uncomplicated epidermal closure is most often done using simple interrupted sutures. Elevation and use of a proximally placed compression tourniquet are often helpful in achieving hemostasis of hand wounds. Evaluation of the Efficacy and Tolerability of a Solution Containing Propyl Betaine and Polihexanide for Wound Irrigation. These symptoms are unpleasant for patients and often interfere with read more should be used as needed for wounds that are difficult to anesthetize using local anesthesia (eg, very painful or large wounds) and for agitated or uncooperative patients. It just seems wrong to be advised not to change gloves after cleansing a wound thereby potentially infecting a wound. To remove hair, clip rather than shave it. However, normal saline. A multicentre comparison of tap water versus sterile saline for wound irrigation. Kramer SA. Use OR to account for alternate terms I am doing research on wound irrigation. Therefore, one opened, saline bottles should be discarded within 24 hours of opening. Complications The most common wound complications are: A three-step search strategy will be used in this review. Use the remaining sponge to scrub the internal surface of the wound. Local anesthesia for laceration treatment, Tetanus Prophylaxis in Routine Wound Management, Betasept, Chlorostat, Hibiclens, Oro Clense , Peridex, Periogard, PerioRx , Perisol, Betadine, Betadine Prep, First Aid, GRx Dyne, GRx Dyne Scrub, Povidex , Povidex Peri, 7T Lido, Akten , ALOCANE, ANASTIA, AneCream, Anestacon, Aspercreme, Aspercreme with Lidocaine, Astero , BenGay, Blue Tube, Blue-Emu, CidalEaze, DermacinRx Lidogel, DermacinRx Lidorex, DERMALID, Ela-Max, GEN7T, Glydo, LidaMantle, Lidocare, Lidoderm, LidoDose, LidoDose Pediatric, Lidofore, LidoHeal-90, LIDO-K , Lidomar , Lidomark, LidoReal-30, LidoRx, Lidosense 4 , Lidosense 5, LIDO-SORB, Lidotral, Lidovix L, LIDOZION, Lidozo, LMX 4, LMX 4 with Tegaderm, LMX 5, LTA, Lydexa, Moxicaine, Numbonex, ReadySharp Lidocaine, RectaSmoothe, RectiCare, Salonpas Lidocaine, Senatec, Solarcaine, SUN BURNT PLUS, Tranzarel, Xylocaine, Xylocaine Dental, Xylocaine in Dextrose, Xylocaine MPF, Xylocaine Topical, Xylocaine Topical Jelly, Xylocaine Topical Solution, Xylocaine Viscous, Zilactin-L, Zingo, Zionodi, ZTlido, Adrenaclick, Adrenalin, Auvi-Q, Epifrin, EpiPen, Epipen Jr , Primatene Mist, SYMJEPI, Twinject. Touching an open wound with unwashed hands exposes the cut to germs, bacteria, and dirt, and could cause an infection. You may be trying to access this site from a secured browser on the server. Clean, covered hands help prevent infections. Device Name: ProntosanTM Wound Irrigation Solution Indications For Use: Prontosan Wound Irrigation Solution is intended for cleaning wounds and for moistening and lubricating absorbent wound dressings for ulcers, burns, post-surgical wounds and abrasions. 6-Apply wound dressing Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website ("Content") are for informational purposes only. If needed, dry the wound, following the same procedure as for cleaning, using dry gauze pads. Huxtable K. Ritual cleansing. Upper Saddle River, NJ: Prentice-Hall, Inc; 2000. Use tweezers to remove any dirt or debris that still appears after washing. How To Clean, Debride, and Dress Lacerations. Skin cleansers are 1. Aim the nozzle at the wound and squeeze the bottle, directing the stream of cleanser along the base and sides of the wound. If only there were a multifunctional smart-dressing that could be used on every wound etiology. (See Lacerations Lacerations Lacerations are tears in soft body tissue. The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, Kestrel Health Information, Inc., its affiliates, or subsidiary companies. Ovington LG. Art. If you or your child gets a cut, scrape, or burn, its important to clean the wound properly right away to prevent infection. You should clean a wound every time you change a dressing, unless it's contraindicated. Lather up your hands with warm water and bar soap or a few drops of liquid soap. However, commercial normal saline generally does not contain a preservative to prevent bacteria from growing in the container. This is what has been taught for years. Do you need assistance sourcing parts of NSN 2815-01-446-9212 as soon as possible? Use a thick layer if considerable drainage is anticipated. We stock premium parts such as 6004 N KA SBC USS 1KEY 2KS5, 702D, 7129, 8428DPS, ASL40N.These parts are described as Padlock Set, Hasp Hinged, Cabinet Key, Adjustable Cable Lo, Padlock.Corresponding NSNs are 5340006821505, 5340016574838, 7125016441498 .