Sx skills- Bandaging

untimely's version from 2015-05-07 01:07


Question Answer
5 big functions 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 two things?tongue depressors and porous tape
conforming bandage materials are...Sof-Kling/ Gauze roll/Brown gauze
what are the three layers of wound bandages? (be sure to know their aka names)(1) Contact (Primary) -also referred to as “wound dressing” (2) Intermediate (Secondary) (3) Outer (Tertiary)
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 without necrosis or infection
what are the 4 functions of the primary (contact) layer?(1) Debride necrotic wound (2) Deliver medication (3) Absorb wound exudate (4) Protect granulation tissue (non-adherent only!)
what are the two 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 three 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 with saline, hypertonic saline, 0.05% chlorhexidine. Performs mechanical debridement (non-selective, though)
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 and 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 two indications for use of adherent contact layer bandages?(1) open wounds in need of debridement (ie. necrotic tissue) (2) aid in removal of debris
*how often do you change adherent contact layer bandages?Change once or twice daily
what are two downsides for adherent contact layer bandages?(1) Debridement is non-selective… removes healthy & non-healthy tissues (2) Painful when removed
three indications for use of a non-adherent contact layer bandage?(1) for clean wounds (2) use over suture lines (3) open wounds with 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 (ie) Adaptic, Xeroform)
what is a occlusive non-adherent contact layer like? what does it do? when do you use it?It is impermeable to air, and utilizes hydrophilic compounds (so they draw moisture out of the wound). This is for use on healthy wounds with minimal exudate. It allows enhanced epithelization
in short, adherent=_________ and non-adherent=_________debridement, protective
5 functions of the intermediate (2*) layer?(1) absorbent (2) stabilize (3) dec mvt (4) provides padding (5) holds contact layer
what are the materials often used for the intermediate (2*) layer?cotton roll or cast padding
three functions of the outer (3*) layer?(1) protection (2) stability (3) holds other layers
what are some of the materials that a 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 and 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 watermellon onerobert jones
**for TEMPORARY support/first aid, which orthopedic bandages would you choose?Robert Jones bandage, or a Modified reinforced RJ (splints)
**for PRIMARY support, which orthopedic bandages would you choose?(Can be used with selected fractures) a cast, or a Modified reinforced RJ (splints)
** for SECONDARY support(Aid to surgical reduction and internal fixation), which orthopedic bandages would you choose?Modified RJ, Reinforced modified RJ, Slings
**what are the indications for a Robert-Jones bandage? (be sure to say where!)Emergency, temporary stabilization of fractures below the elbow and stifle. If done POST-OPERATIVELY, it will Protect soft tissue wounds, provide Extra stabilization, Limb immobilization, and 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 with sufficient immobalization/stabalization for fractures)
what are the materials you need for a modified robert jones bandage?Porous tape, Cast padding, Conforming bandage, Elastic bandage (ie. Vetrap®, Petflex®, Elastikon®tape)
**what is the indication for a REINFORCED modified robert jones bandage?Additional support for fractures and 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?BETWEEN CONFORMING BANDAGE & ELASTIC BANDAGE LAYERS (between 2 and 3rd layer)
what are the two indications for a spica splint?(pic on slide 30) (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 and 4 so you can check for swelling, temperature, etc
**if you are going to stabilize a fracture, what must you do?stabilize joint ABOVE AND BELOW IT (hence, most bandages are for injuries below the elbow or stifle)
Velpeau Sling vs Ehmer Sling...which is for the front leg and which is for the back?ehmer rhymes with femur, so you know that's the back leg one!
**Three 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 surgery 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 with a sling, what time-related thing must you keep in mind?has to be a fresh luxuation-- over 24 hr starts to be too old
**what are the indications for a ehmer sling?Prevent weight bearing on rear limb with injuries to the Coxofemoral joint or Pelvis
When properly applied, the ehmer slind induces an ___ rotation of the limbinternal
**three 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, Patient biting the bandage, Drainage or discharge, Fever, anorexia or depression, pain
what are the six major things you should tell the client upon discharge with their bandaged animal?(1) KEEP IT CLEAN AND DRY (2) CHECK TOES FOR SWELLING 2X DAILY (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 (6) MAKE SURE IT DOESNT SLIP DOWN, AND THAT THERE ARE NO SORES at contact points

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