Sx Skills - Bandaging

drraythe's version from 2016-05-05 12:03


Question Answer
5 big fxns of bandages?Protection, Absorption, Compression, Stabilization, Immobilization
What is the indication for a tie-over bandage?Wounds in areas that cannot be effectively bandaged
What is the indication for a stabilizing/immobilizing bandage?Fractures
What is the indication for a pressure bandage?Control of hemorrhage, edema, compress dead space
Stirrups are made of what 2 things?Tongue depressors & porous tape
Conforming bandage materials are...Sof-Kling/ Gauze roll/Brown gauze
What are the 3 layers of wound bandages? (Be sure to know their aka names)(1) Contact (2°) - also referred to as “wound dressing”
(2) Intermediate (2°)
(3) Outer (3°)
Indication for Absorbent dressings?Open contaminated & infected wounds
Indication for adherent dressings?Necrotic wounds
Indication for non-adherent dressings?Most wounds once granulation tissue has begun to form
Indication for occlusive dressings?Partial-thickness wounds w/o necrosis or infxn
What are the 4 fxns of the 1° (contact) layer?(1) Debride necrotic wound
(2) Deliver medication
(3) Absorb wound exudate
(4) Protect granulation tissue (non-adherent only!)
What are the 2 kinds of Non-adherent dressing? Which is the most common dressing?Non-adherent can be occlusive or semiocclusive. Semiocclusive non-adherent is the most commonly used dressing
What are the 3 types of adherent contact layers?(1) Wet adherent (wet-dry)
(2) Wet adherent (wet-wet)
(3) Dry adherent (dry-dry)
What are the benefits/uses of Wet-dry adherent bandages?Wet bandages absorb faster than dry, wicking action occurs as gauze dries → debris & exudate absorbed into gauze. Used w/ saline, hypertonic saline, 0.05% chlorhexidine. Performs mechanical debridement (non-selective, tho)
Why would you select a wet-wet bandage?Contact layer kept moist to maintain moist wound environment
Why would you select a dry-dry bandage?Absorbs exudate & adheres to necrotic tissues & debris
***Adherent contact bandage layers are usually used for how long? Until when?SHORT TERM USE ONLY (Can be used until granulation tissue begins to appear)
What are 2 indications for use of adherent contact layer bandages?(1) Open wounds in need of debridement (i.e. necrotic tissue)
(2) Aid in removal of debris
*How often do you change adherent contact layer bandages?Change once or twice daily
What are 2 downsides for adherent contact layer bandages?(1) Debridement is non-selective… removes healthy & non-healthy tissues
(2) Painful when removed
3 indications for use of a non-adherent contact layer bandage?(1) For clean wounds
(2) Use over suture lines
(3) Open wounds w/ granulation tissue
*How often do you change non-adherent contact layer bandages?Should be changed every 3-7 days
What is a semi-occlusive non-adherent contact layer like? What does it do? (Examples of what they contain?)It is permeable to air, but retains moisture to promote moist wound healing. Contain petrolatum, polyethylene glycol, petrolatum-based antibiotic ointments (i.e.) Adaptic, Xeroform)
What is an occlusive non-adherent contact layer like? What does it do? When do you use it?It is impermeable to air & utilizes hydrophilic compounds (so they draw moisture out of the wound). This is for use on healthy wounds w/ minimal exudate. It allows enhanced epithelization
In short, adherent=_________ & non-adherent=_________Debridement, protective
5 fxns of the intermediate (2°) layer?(1) Absorbent
(2) Stabilize
(3) ↓ movement
(4) Provides padding
(5) Holds contact layer
What are the materials often used for the intermediate (2°) layer?Cotton roll or cast padding
3 fxns of the outer (3°) layer?(1) Protection
(2) Stability
(3) Holds other layers
What are some of the materials that an outer (3°) layer could be made of?Stockinette
Conforming bandage (Kling)
Elastic adhesive tapes (Vetrap®, Elastikon®)
Wounds heal faster when they are___. Which bandages accommodate this?Warm & moist. Semi-and non-occlusive dressings can provide a warm, moist environment that enhances wound healing
What are the 4 types of orthopedic bandages?(1) Robert Jones +/-reinforcement
(2) Modified Robert Jones (Schanz)
(3) Reinforced Modified Robert Jones
(4) Spica splint
Which orthopedic bandage is the watermelon looking 1Robert jones (bc of the bulky cotton ball)
**For TEMPORARY support/1st aid, which orthopedic bandages would you choose?Robert Jones bandage
Modified reinforced RJ (splints)
**For 1° support, which orthopedic bandages would you choose?(Can be used w/ selected fractures) A cast, or a Modified reinforced RJ (splints)
** For 2° support (Aid to surgical reduction & internal fixation), which orthopedic bandages would you choose?Modified RJ
Reinforced modified RJ
**What are the indications for a Robert-Jones bandage? (Be sure to say where!)Emergency, temporary stabilization of fractures below the elbow & stifle
If done POST-OPERATIVELY, it will protect soft tissue wounds, provide extra stabilization, limb immobilization & tissue compression
What are the materials you need for a Robert-Jones bandage?Porous tape
Cotton roll (3-6” thick)
Conforming bandage
Elastic bandage
**3 indications for a Modified Robert Jones bandage?(1) Protect soft tissue wounds
(2) Provides minimal tissue compression
(3) Provides minimal immobilization &support (doesnt provide you w/ sufficient immobilization/stabilization for fractures)
What are the materials you need for a Modified Robert Jones bandage?Porous tape
Cast padding
Conforming bandage
Elastic bandage (i.e. Vetrap®, Petflex®, Elastikon®tape)
**What is the indication for a REINFORCED modified Robert jones bandage?Additional support for fractures & other orthopedic injuries
What are the materials you need for a reinforced modified Robert jones bandage?Addition of splint rod
Fiberglass immobilizer
Thermoplastic splint
Etc. (on top of the other modified Robert Jones materials)
**If you are going to do a modified reinforced Robert jones, where do you place the reinforcer?BTWN CONFORMING BANDAGE & ELASTIC BANDAGE LAYERS (btwn 2 & 3rd layer)
What are the 2 indications for a Spica splint?(1) Temporary stabilization of humeral or femoral fractures
(2) Post-operative immobilization
What’s something you can do which can minimize the risk of the bandage slipping?Use stirrups
**Do you wrap prox-dist or dist-prox?ALWAYS DIST-PROX~!!!
Do you wrap towards medially or towards laterally?Wrap towards the medial aspect of the limb (some exceptions)
**How much bandage overlap should be there be?50% overlap
**Which toes should you leave exposed when bandaging-why?3 & 4 so you can check for swelling, temperature, etc
**If you are going to stabilize a fracture, what must you do?Stabilize joint ABOVE & BELOW IT (hence, most bandages are for injuries below the elbow or stifle)
Velpeau Sling vs Ehmer Sling...which is for the front leg & which is for the back?Ehmer rhymes w/ femur, so you know that's the back leg one!
**3 indications for a velpeau sling?(1) Prevention of weight bearing on forelimb
(2) Stabilization of scapular fractures that do not require internal fixation
(3) Immobilization following injuries or Sx of the shoulder
What are the materials you'd need for a velpeau sling?Cast padding
Conforming bandage
Elastic bandage
If you want to help a luxation/subluxation w/ a sling, what time-related thing must you keep in mind?Has to be a fresh luxation-over 24 hr starts to be too old
**What are the indications for an ehmer sling?Prevent weight bearing on rear limb w/ injuries to the Coxofemoral joint or Pelvis
When properly applied, the ehmer slind induces a ___ Rotation of the limbInternal
**3 indications for a full leg cast?(1) Minimally displaced, stable fracture of radius, ulna, tibia or fibula in young animals (fast healing)
(2) Incomplete fractures
(3) Adjunct fixation following internal fixation of fracture or arthrodesis
**CONTRAINDICATIONS for a full leg cast? (2)(1) Must not be applied over skin wounds
(2) Must not be applied over swollen tissue
How often should you assess the toes when the leg is in a bandage? (Which toes, again?)Toes 3+4. Check TWICE A DAY
Wound bandages should be changed how often?Change at least every 12-24 hrs depending on nature of wound & amount of exudate
Slings should be evaluated how often?Every 24hr
Splints/casts should be changed/evaluated how often?Change splints every 2-3 weeks; evaluate casts every 2-3 weeks
What is a factor which would require you to MORE FREQUENTLY change a monitor bandages?If they are a young, rapidly growing animal
What are some signs of complications of bandages?Swollen
Cyanotic or cold digits
Foul smell
PTx biting the bandage
Drainage or discharge
Anorexia or depression
What are the 6 major things you should tell the client upon discharge w/ their bandaged animal?(1) KEEP IT CLEAN & DRY
(3) Watch for any WET SPOTS SEEPING through the cast/bandage
(4) Watch for FOUL ODOR
(5) If the pet is LICKING/CHEWING incessantly, might indicate a prob-take them back in