Stage 4 Pressure Wound

Stage IIIIV - Promote granulation and contraction epithelialization top of section top of page. Stage 3 or 4 pressure ulcers Unstageable including slough andor eschar deep tissue injury pressure ulcers.

Staging Grading Of Pressure Ulcers Harvest Healthcare

A stage 4 bedsore is a pressure ulcer that has been allowed to progress through stage 1 stage 2 and stage 3 of bedsore development.

Stage 4 pressure wound. Stage 3 and Stage 4 wounds are other situations. Stage 4 wounds could take months to recover and in many cases never heal at all. The skin may be warm or cool firm or soft.

Full-thickness skin and tissue loss. Stage 3 and 4 wounds have gone through the first layers of tissue and involve fat muscle even bone. Ad Read Marys Story About One Simple Trick To End Painful Bedsores Fast.

The tissue below the skin is. Wounds may demonstrate multiple stages or characteristics in a single wound. The skin blisters or forms an open sore.

Determine the Wound Etiology. If slough or eschar obscures the extent of tissue loss this is an Unstageable Pressure Injury. The area may be preceded by tissue that is painful firm mushy or boggy or warmer or cooler than adjacent tissue.

The area around the sore may be red and irritated. To describe a healing wound it is more accurate not to reclassify it at a lower stage but rather to use the historically deepest stage and prefix this with the term healing Therefore a Stage 4 pressure ulcer that is almost healed is designated a healing Stage 4. The skin now develops an open sunken hole called a crater.

Stage 4 Pressure Injury. Fascia muscle tendon ligament cartilage andor bone are not exposed. Stage 3 pressure ulcers will take at least one month in some cases up to 4 months to heal.

Damage to deeper tissues tendons and joints may occur. A reddened painful area on the skin that does not turn white when pressed. Provide 30-35 kcalorieskg body weight for adults with a pressure ulcer who are assessed as being at risk of malnutrition.

Recently closed wound Stage I pressure ulcer denuded or excoriated skin - Encourage adequate perfusion and protect from further tissue damage. Adjust energy intake based on weight change or level of obesity. Undermining and tunneling may occur.

This is a sign that a pressure ulcer may be forming. Measure the size of the ulcer and note the presence of undermining. Ad Read Marys Story About One Simple Trick To End Painful Bedsores Fast.

Pressure ulcer of sacral region stage 4 2016 2017 2018 2019 2020 2021 BillableSpecific Code L89154 is a billablespecific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Describe pressure ulcer. At stage 4 the pressure injury is very deep reaching into muscle and bone and causing extensive damage.

The 2021 edition of ICD-10-CM L89154 became effective on October 1 2020. An ulcer begins in the deepest tissue layers before the skin breaks down. Stage IV is the worst.

In stages 3 and 4 there may be little or no pain due to significant tissue damage. Adults who are underweight or. In stage IV pressure ulcers these may be apparent at the base of the ulcer.

Stage II or PTW - Encourage regeneration of tissue and protect wound surface. Type of Ulcer Pressure Venous Arterial Primary Cause Pressure Shear will lower. Due to damage of underlying soft tissue from pressure andor shear.

Deep tissue injury may be difficult to detect in individuals with dark skin tone. The ulcer dimensions include length width and depth. Stage 4 bedsores may occur in conjunction with other medical skin conditions but in many cases stage 4 bedsores occur due to the result of nursing home negligence or elder caretaker negligence.

Provide 30-35 kcalorieskg body weight for adults at risk of a pressure ulcer who are assessed as being at risk of malnutrition.

White People Population

No there are only 850000000 white people in the world out of a population of 75 billion. It is extremely ironic that White people around the world call themselves the majority when in actuality they are the minority.

Most Common Age Of Whites In U S Is 58 For Minorities It S 27 Pew Research Center

Additionally we used other rough estimation we could find.

White people population. The white share rose to 90 in 1920 where it stayed until 1950. Since the fact that out of 13 billion people who are living on the black continent less than one percent is of white European descent is somewhat expected. 09 of residents reported American Indian and Alaska Native while 5 reported Asian alone.

This discrepancy in data is because the Namibian government no longer collects. Many are also Portuguese or English immigrants. World Wide there is only about 800 million to 1 Billion Whites Albinos actually that is only about 10 of the Worlds Human population.

Population estimates base April 1 2010 V2019 308758105. Was established as a country in 1776 whites comprised roughly 80 of the population. The white share rose to 90 in 1920 where it stayed until 1950.

Population growth is fastest among minorities as a whole and according to the Census Bureaus estimation for 2020 50 of US. A person having origins in any of the Black racial groups of Africa. However after the mass exodus resulting from the Cuban Revolution in 1959 the number of white Cubans actually residing in Cuba diminished.

A person having origins in any of the original peoples of Europe the Middle East or North Africa. 65 years and over. 79 male 227164176female 289048221 2011 est Median Age 284 years male.

Population Census April 1 2010. To estimate the number of white residents we summed up percents of white ethnical group and got the number of around 38 million. Official data in scarce or out of date.

163 of the population reported being of Hispanic or Latino origin. There are far more people of black heritage in this world. White Population of the United States - 233000000.

In 2010 the largest racial group was white at 72 of the population. Was established as a country in 1776 whites comprised roughly 80 of the population. Current estimates of the White Namibian population run between 75000 and 150000.

Ninety percent of the worlds population is people of color. The majority of White Namibians are Afrikaners with many of the White minority being German Namibians. 1 the number of White people in the world is very small.

02 of residents reported their race as Native Hawaiian and other Pacific Islander. White Americans are Americans who identify as and are perceived to be white peopleWhite Americans including White Hispanics constitute the historical and current majority of the people living in the United States with 72 of the population identifying as white alone totalling 236475401 people and 75 identify white fully or multiracial totalling 246234076 people. The True White Population of the United States - 190000000.

White people are a world minority - not a world majority and the white demographic is decreasing yearly due to. Population with a total of about 234370202 or 73 of the population as of 2017. Non Hispanic White Population of the United States - 197000000.

Population estimates July 1 2019 V2019 328239523. White Namibians are people of European birth or descent living in Namibia. White people in Cuba make up 641 of the total population according to the 2012 census with the majority being of diverse Spanish descent.

Number of European people on this planet. White Population of the United States 233000000 Non Hispanic White Population of the United States 197000000 The True White Population of the United States 190000000. It includes people who indicate their race as Whiteor report entries such as Irish German Italian Lebanese Arab Moroccan or Caucasian.

To accomplish this goal two things must be made clear. Comprising around 12 of the planets population. The black or African American group accounted for 13 of the population.

29 years 2009 est According to a report by the Global Social Change Research Project worldwide the percent of the population age. Children under the age of 18 are members of ethnic minority groups. With almost 247 million white residents who account for 774 percent of all population America ranks as first on our list 11 countries with highest white population.

White people constitute the majority of the US. Population percent change - April 1 2010 estimates base to July 1 2019 V2019 63. The purpose of this project is to estimate white population numbers around the world - in every country where they have settled in significant enough numbers.

Black or African American.

Stress And Glucose Levels

The underlying mechanism proposed to explain the association between stress and glucose levels involves interference with carbohydrate metabolism following various stressors potentially leading to insulin resistance3. Identify sources of stress.

Stress can be a major barrier to effective glucose control.

Stress and glucose levels. If you look specifically at mental stressors they can cause an increase in blood glucose levels for people with type 2 diabetes but they can have a more variable response either increasing or decreasing blood glucose levels for people with type 1. In turn elevated stress can raise glucose levels putting many in an unpleasant vicious cycle. Under stress your body goes into fight-or-flight mode raising blood sugar levels to prepare you for action says Richard Surwit PhD.

Managing your stress and relaxing more will help you and your baby stay as healthy as possible. This is true not only in people living with diabetes type 2 but also others with normal blood sugar control 12. Can Stress Cause Diabetes.

Listening to your body and the way it feels can be the first sign of a. Namely stress can both contribute to and be a consequence of diabetes. Although this is of adaptive importance in a healthy organism in diabetes as a result of the relative or absolute lack of insulin stress-induced increases in glucose cannot be metabolized properly.

Having diabetes to manage on top of lifes normal ups and downs can itself be a cause of stress. Stress hormones in your body may directly affect glucose levels. The impact on blood sugar caused by stress is so significant that some researchers feel it serves as a trigger for diabetes in people already predisposed to developing it.

In short stress will generally cause your blood sugar to rise. One study recommended rating your perceived stress try a scale of 1 to 10 with 10 being the most stressed and recording your blood sugar level. It also triggers your blood glucose levels to skyrocket.

Stress doesnt cause diabetes but it can affect your blood sugar levels and how you look after your condition. How stress affects your blood sugar. For people with diabetes this can be particularly problematic as they find it harder than non-diabetics to regain normal blood glucose levels after a bout of stress.

Stress stimulates the release of various hormones which can result in elevated blood glucose levels. Stress can increase your blood glucose levels. Another way that chronic stress directly increases blood sugars is.

When the body is under stress the adrenal glands trigger the release of glucose stored in various organs which often leads to elevated levels of glucose in the bloodstream. Everyones stress and diabetes response can be a little different. Physical stress can increase blood sugar in people with type 1 and type 2 diabetes.

Chronic or sustained stress can cause a persistent rise in our blood sugars. Its not always easy to live with and this can also feel harder when many people dont understand it. For example a person may feel that their stress levels rise when having to plan meals and measure their blood sugar.

The mental vicious circle. You cant avoid stressful situations but. The stress can push us to overeat which raises our glucose levels which leads to us to suffer from notable fatigue and low energy levels.

It will also be difficult to bring it down because of the insulin resistance created by stress hormones and the production of glucose from your livers response to adrenaline. Stress can also cause you to turn to unhealthful behaviors such as overeating eating unhealthful foods or smoking. All kinds of stress mental physical and emotional can cause glucose levels to skyrocket and can be dangerous.

If youre experiencing stress or. The problem is sustained or chronic stress. 4 After a few weeks of this you may be able to notice a trend in your stress and blood sugar.

Pch Grant Program

PCH GRANT is a Federal Assistant program leading direct-to-consumer company offering a unique blend of curated multi-channel shopping and free-to-play chance to win digital entertainment across a network of web and app-based entertainment properties. You Never Have to Pay to Receive a Legitimate PCH Win.

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Graduate nurses are eligible and must provide approval from the respective regulatory college to.

Pch grant program. 7-1-4-8-7 -3 Email Ticket Number. Amounts exclude transfers to other government departmentsorganizations. The truth is you never ever have to pay to receive a sweepstakes prize from Publishers Clearing House or any other company.

PCH GRANT is a Federal Assistant program offering a unique blend of curated multi-channel shopping and free-to-play chance to win digital entertainment across a network of web and app-based entertainment properties. Economists concluded that CoronaVirus was one of the most effective measures deployed to blunt the. PCH GRANT is a Federal Assistant program leading direct-to-consumer company offering a unique blend of curated multi-channel shopping and free-to-play chance to win digital entertainment across a network of web and app-based entertainment properties.

Evaluation of the Partnership for Community Health Grant Program ICH was the evaluator for the Partnership for Community Health PCH grant program an initiative of Neighborhood Health Plan and Partners HealthCare in partnership with the Massachusetts League of Community Health Centers. Our continued success in todays new digital publishing environment is built on PCHs unique free-to-play chance-to-win value. Publisher Clearing House PCH COVID-19 Census Grant.

Scammers extort money from you in exchange for a promise of a prize that never materializes. There are more to PCH scams than just friend requests on social media. The eligibility criteria for the PCH Grant are as follows.

PCH GRANT is a Federal Assistant program leading direct-to-consumer company offering a unique blend of curated multi-channel shopping and free-to-play chance to win digital entertainment across a network of web and app-based entertainment properties. Remember at Publishers Clearing House the winning is ALWAYS FREE and there are NEVER any fees to. The Publisher Clearing House PCH established 1953 by the Harold Mertz and now supported by the AMERICA GOVERNMENT with the objective of human growth educational and community development.

Publishers Clearing House Grant Award 382 Channel Drive Port Washington New York 11050. Order Winning Numbers. 32 rows PCH GRANT is a Federal Assistant program leading direct-to-consumer company offering.

PCH funding programs under 5M Unless specified otherwise figures reflect planned spending figures for FY2019-2020 per the 2019-20 Departmental Plan adjusted for in-year top-ups through Budget Implementation Votes and Supplementary Estimates. PCH GRANT is a Federal Assistant program leading direct-to-consumer company offering a unique blend of curated multi-channel shopping and free-to-play chance to win digital entertainment across a network of web and app-based entertainment properties. After you are assured that you completed everything properly and your chances to get the grant are high you submit the application form along with a 199 fee.

FL 6542975 Dear Beneficiary These specific DonationsGrants will be awarded to 105 lucky international recipients worldwide in different categories. Nurses RNs RPNs or LPNs with an active practice license. A really easy way to spot a PCH scam is if you are asked to pay or wire money to claim a prize.

PCH GRANT is a Federal Assistant program leading direct-to-consumer company offering a unique blend of curated multi-channel shopping and free-to-play chance to win digital entertainment across a network of web and app-based entertainment properties. The grant is available only today so you really have to get the ball rolling ASAP. You download the form and might even call the phone number listed for more information.

This is being offered in the form of a Personal Care Home PCH Grant. PCHGRANT is a Federal Assistant programleading direct-to-consumer company offering a unique blend of curated multi-channel shopping and free-to-play chance to win digital entertainment across a network of web and app-based entertainment properties.

Cdc Air Purifiers

When used along with other best practices recommended by the Centers for Disease Control and Prevention operating an air. US CDC abruptly pulls COVID-19 guidelines on airborne spread The retracted guidelines encouraged people to use air purifiers to limit exposure to germs.

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Cdc air purifiers. Although the CDC reports that coronavirus is primarily spread through person-to-person contact or contact with contaminated surfaces and. Airborne droplets expelled from the mouth or nose of someone infected with. Here the clean volumetric air flow rate Q is.

Clean other surfaces in your home when they are visibly dirty or as needed. Congregation of people in cleaner air shelters and cleaner air spaces can potentially provide a route for the transmission of SARS CoV-2 the virus that causes COVID-19 among individuals using the facilities staff and volunteers. Air purifiers do not prevent the spread of coronavirus.

The updated guidance posted on the CDCs website on Friday also recommended that people use air purifiers to reduce airborne germs indoors. The use of cleaner air shelters and cleaner air spaces can result in congregating of groups of people including older adults and those with heart or lung conditions. Focus on high-touch surfaces such as doorknobs tables handles light switches and countertops.

Clean them more frequently if people in your household are more likely to get very sick from COVID-19. When used properly air purifiers can help reduce airborne contaminants including viruses in a home or confined space. Free Shipping on Qualified Orders.

Ad Everyday Low Prices and Amazing Selection. Central furnace or HVAC filters are designed to filter air throughout a home. Air purifiers with HEPA or HEPA-like filters will trap most airborne particles including pet dander and pollen.

You might also choose to disinfect. Improve central air filtration. Based on CRs lab tests of air purifiers we recommend looking for a model with a CADR over 240 which can perform roughly five air exchanges per hour in its suggested room size.

1 Properly fitted FFR and half facepiece reusable elastomeric respirators are expected to reduce exposures to one-tenth of the concentration that is in the air based on OSHAs APF of 10 for these respirator types. Consider using natural ventilation ie opening windows if possible and safe to do so to increase outdoor air dilution of indoor air when environmental conditions and building requirements allow. Portable air cleaners and HVAC filters can reduce.

ACH Q x 60 room volume 200 cfm x 60 12 x 10 x 10 120001200 10 ACH. The addition of the HEPA filter device provides additional clean air to the room. The CDC says air purifiers can help reduce airborne contaminants including viruses in a home or confined space The EPA Environmental Protection Agency adds that air purifiers are helpful.

The CDC maintains that when used properly air purifiers can help reduce airborne contaminants including viruses in a home or confined space The CDC also warns that air purifiers and other ventilation-improving products are not enough to protect yourself and your family from COVID-19 and suggests following other official prevention guidelines. CDC Director Dr Robert Redfield recently. So a CADR of 400 will bring 400 cubic feet of clean air into a room every minute.

Disable demand-control ventilation DCV controls that reduce air supply based on temperature or occupancy. Ad Everyday Low Prices and Amazing Selection. Will an air cleaner or air purifier help protect me and my family from COVID-19 in my home.

Q Q e Q hepa 80 cfm 120 cfm 200 cfm. CDC has published recommendations for HCP respiratory protection and of commonly used NIOSH-approved FDA-cleared single-use filtering facepiece N95 surgical respirators. The CFM rates how much air the purifier will process in a minute.

However by itself a portable air cleaner is not enough to protect people from COVID-19. This number is then multiplied by the efficiency to get the CADR or clean air delivery rate roughly analogous to replacing the air in a room with fresh air. Portable air cleaners also known as air purifiers or air sanitizers are designed to filter the air in a single room or area.

What Is A Good Glucose Level

A woman with a fasting blood glucose level of 100 to 125 mgdL may have a condition known as impaired fasting glucose or prediabetes which can increase your risk of developing type 2 diabetes. Normal blood sugar levels for diabetics before eating fasting range from 80 mgdL to 130 mgdL while the high range starts at 180 mgdL.

Chart Of Normal Blood Sugar Levels For Adults With Diabetes

Target blood sugar levels for people with diabetes.

What is a good glucose level. The target levels can also vary if you have diabetes. Mean nighttime glucose of 81-102 mgdl. For generally healthy individuals without diabetes who havent eaten for eight hours or more a normal blood sugar level is between 70-99 mgdL.

12 hours after the start of a meal. This simple chart shows target blood sugar levels for adults before and after meals after fasting before exercise and at bedtime as well as an A1c target. Tips to manage and prevent low or high blood sugar levels you can be used while eating fasting and after eating.

You can also try the best fat-burning foods to lose weight quickly. It depends on your diet lifestyle and overall health. A normal fasting no food for eight hours blood sugar level is between 70 and 99 mgdL A normal blood sugar level two hours after eating is less than 140 mgdL Diabetes is diagnosed by any one of the following.

A blood glucose test is a blood test that screens for diabetes by measuring the level of glucose sugar in a persons blood. People without diabetes typically have between 72140 milligrams of glucose per 1 deciliter of. Mean daytime glucose of 83-106 mgdl.

Your blood sugar level range can be low or normal or even high. Glucose levels between 70-120 mgdl for approximately 90 of the day and to rarely ever go above 140 mgdl or below 60 mgdl 24-hour mean glucose levels of around 89-104 mgdl. Target glucose ranges vary from person to person but in general its ideal for blood sugar levels to be between 126 mgdL and 180 mgdL before starting exercise.

For people with diabetes blood sugar level targets are as follows. Two consecutive fasting blood glucose tests that are equal to or greater than 126 mgdL. 7099 mgdl 3955 mmolL Official ADA recommendation for someone with diabetes.

4 to 7 mmolL for people with type 1 or type 2 diabetes. Fasting normal blood sugar Normal for person without diabetes. Glucose is a form of natural sugar and that is why it is present in food.

What is a normal blood sugar level. Under 9 mmolL for people with type 1 diabetes and under 85mmolL for people with type 2 diabetes. For example if you are diabetic and are monitoring your blood sugar you might get a reading of 65 mgdl.

If you test your blood glucose and its lower than 126 mgdL here are the steps to take depending on the exact reading you get. More on this later. Target blood sugar levels for people without diabetes.

Blood glucose levels vary depending on a persons health status and whether they have eaten. That is considered to be mild hypoglycemia and you would be wise to eat 15 grams of fast-acting carbohydrates and retest your blood sugar in 15 minutes. Normal blood glucose level while fasting range within 70 to.

When youve eaten in the past two hours it should. The answer to the question what is a normal blood sugar level is as follows. The American Diabetes Association ADA delineates certain levels as normal blood sugar levels but the ADAs normal may not mean optimal Whats more measuring blood glucose isnt the only or even the best way to assess metabolic health ideal levels of blood sugar triglycerides high-density lipoprotein HDL cholesterol blood pressure and waist circumference.

But in case of 2 hours after of meal 70mgdl is considered lower than the standard level. 80130 mgdl 4472 mmolL Normal blood sugar 2 hours after meals. A fasting blood glucose level of 126 mgdL or greater may indicate that you have diabetes.

The normal blood sugar glucose level for a healthy adult without diabetes should be less than 126 mgdL milligrams per deciliter or 6 mmolL millimole per litre before fasting and meals and below 200mgdL or 11 mmolL two hours after meals. According to the standard chart 70-99mgdl is referred to as a normal blood glucose level in the case of fasting. Less than 100 mgdl.

Mean post-meal glucose peaks ranging from 992 105 to 1372 211 mgdl. After an overnight fast a normal blood sugar level is less than 100 milligrams per deciliter mgdL according to the American Diabetes Association ADA.

Collagenase Santyl For Wrinkles

Collagenase SANTYL Ointment is used to remove damaged tissue from chronic skin ulcers and severely burned areas. Collagenase is an enzyme that breaks down collagen in damaged tissues within the skin and helps the body generate new healthy tissue.

Santyl Same As Silver Collagen Page 1 Line 17qq Com

Cleaning solutions such as hydrogen peroxide normal saline or.

Collagenase santyl for wrinkles. Collagen is a type of protein that connects and supports fibers in body tissues such as skin tendons muscles and bone. The optimal pH range of collagenase is 6 to 8. Collagenase SANTYL Ointment is used to remove damaged tissue from chronic skin ulcers and severely burned areas.

Collagenase topical for the skin is applied to severe burns or skin ulcers to help remove dead skin tissue and aid. You may apply Santyl directly to the wound or apply it to a sterile gauze pad and then to the wound. You may need to apply it more often if the wound area becomes soiled.

Gently cleanse the wound with sterile saline or as directed by your healthcare professional. Do not use if you have shown hypersensitivity to collagenase. Clean the area as directed by your doctor.

It is usually applied once daily or as directed by your doctor. How to apply Collagenase SANTYL. Is Santyl Smith Nephew.

The enzyme collagenase is derived from the fermentation by Clostridium histolyticum. What is collagenase topical Santyl. As you age your body produces less and less collagen which results in the inevitable formation of fine lines wrinkles -- and stretch marks.

If the dressing becomes soiled collagenase may be applied more frequentlyTo apply wash hands first. Occasional slight redness may occur if SANTYL Ointment is placed outside the wound area. It has been reported that collagenase cleaves the amino acid bond of collagen and breaks down the collagen and elastin which possibly leads to the prolonged skin damage or wrinkle formation.

You may need to apply it more often if the wound area becomes soiled. Apply SANTYL Ointment directly to the wound source once a day at a 2 mm thickness or about the thickness of a nickel. Try not to get any ointment on the healthy skin around the wound.

Naturally plant phenolic compounds have been known to inhibit the collagenase activity. 100 Natural Antiseptic Healing Cream. Santyl is a collagenase based ointment 250 Ug which is.

Santyl is usually applied once daily. Santyl ointment Generic Names. Higher or lower pH conditions will decrease the enzymes activity and.

Do not use if you have shown hypersensitivity to collagenase. Xia ex is. Topically applied for enzymatic wound debridement 8586.

Two new studies published Skin Pharmacology and Physiology find a daily regimen of a new type of collagen supplement improves skin elasticity and reduces wrinkles around the eyes by. Collagenase SANTYL Ointment SANTYL is indicated for debriding chronic dermal ulcers and severely burned areas. The only product available in the US.

You may apply collagenase topical directly to the wound or apply it to a sterile gauze pad and then to the wound. Clostridium collagenase is the active enzyme used in Collagenase SANTYL Ointment which selectively degrades non-viable collagen fibers while conserving living collagen tissue 98. 27 To prevent the skin from aging or wrinkles natural collagenase inhibitors from plant is desirable.

SANTYL is contraindicated in patients who have shown local or systemic hypersensitivity to collagenase. Recommended 5X Faster Healing Wounds Infected Skin Bed Sores Diabetic Ulcers Neuropathy Burns Eczema Psoriasis Itchy Skin Shingles Res Q Ointment. The enzyme collagenase is derived from the fermentation by Clostridium histolyticum.

The reason for this has to do with collagen a protein that functions to hold or bind skin cells together and which serves to keep skin supple. Collagenase is a biologic ointment that breaks down collagen within the contaminated wound bed with enzymatic debridement action. Before applying Santyl rinse the skin area several times with normal saline solution or other cleanser recommended by your doctor.

Collagenase topical is usually applied once daily. 42 out of 5 stars. Occasional slight redness may occur if SANTYL Ointment is placed outside the wound area.

Collagenase Santyl Ointment is a sterile enzymatic debriding ointment which contains 250 collagenase units per gram of white petrolatum USP. As it is a biologic product and prescription item collagenase can be expensive and cost-prohibitive for some patients.