5. Bandaging Flashcards
8 functions of bandages
Wound/incision Secrure dressing Inhibit excessive granulation tissue Reduce swelling, movement, edema Support Decrease dead space Reduce post-op hemorrhage/edema Prevent contamination
Bandaging principles
Smooth 1˚, 2˚, 3˚ layers - secured with gauze Change is soiled, wet or slipped Secure with cohesive or self adhesive Snug placement - lame = REMOVE Adequate width Pull flexor tendons medially
Bandage types
Foot bandage Distal limb bandage Full limb Abdominal Face Stent
1˚ Layer
Telfa, hypertonic dressing, kerlix AMD< hydrogel, calcium alginate
Directly onto wound - sterile, non-adherent, porous
2˚ Layer
Cotton roll, sheet cotton, rediRoll
Support and padding
prevents excessive compression and protects limb
Absorbant for exudate
3˚ layer
Vetwrap, coflex, elastieken, elastoplast
Secures previous layers
Rigidity and support, protects from contamination
50% overlap!
Distal limb bandaging overview
Extends from just below carpus/tarsus
Extends below coronary band
Full limb “stack” bandage overview
Large wounds - swelling/cellulitis
Coaptation for temporary fracture stabilization
Extends below coronary band to proximal carpus/tarsus
Stack a secondary cotton over the 2˚ layer covering the proximal aspect
Stent Bandage overview
Bandage sutured to a wound or incision site
Create suture loops and string umbilical tape
Abdominal bandage overview
Colic sx or thoracic/abdominal wounds
Typical 3 layers
Sweat bandage overview
Decreases edema
Homemade, nitrofurazone ointment, DMSO, epsom salts
cover with saran wrap
Remove and clean limb daily - scalding
Robert Jones Bandage overview
Layers and layers of cotton - heavy and expensive
Perserves blood supply and supports fractures
should be 2x size of limb
Splint material options
PVC 1x4" wood Metal Fiberglass cast material Commercial - KIMZEY LEG SAVER
Splint uses
Fracture stabilization for transportation
Reduce/eliminate flexion/extension of joints
Must immobilize joint above and joint below
Bandage application
GLOVES Roll tendons medially R- clockwise L- counterclockwise Secure without tension
