Dakin's Solution is used on contaminated wounds to kill the local bacteria on the wound bed. While it is known to be cytotoxic, as are several other more current wound care solutions, if used judiciously for only a few weeks, the benefits outweigh the risk.
The physician will order either full strength, 1/2 strength or 1/4 strength Dakin's Solution.
Making the solution:
Boil water for 15 minutes with the lid on the pan. Remove from heat.
Add the baking soda to the boiled water.
Measure bleach according to the strength ordered and add to the water.
Cover tightly in a jar and cover the jar with aluminum foil to protect from the light.
Once opened for use it is good only for 48 hrs. Throw any unused portion away. If the jar remains unopened it can be stored for one month at room temperature.
Using the cooled solution, wet a 4x4 gauze or kerlix roll, keeping it moderately soaked. pack the wound lightly and cover with dry 4x4s or ABDs and secure with tape. This is usually changed daily (QD).