Bandages Flashcards

1
Q

What is layer?

A

Layer directly contacting wound or patient surface

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2
Q

T/F: the secondary layer should never contact the wound

A

True

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3
Q

What are the functions of the secondary bandage layer?

A

Absorb and hold drainage from wound

Provide support or immobilization

Decreased dead space

Reduce edema

Control hemorrhage

Holds primary dressing in place

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4
Q

What materials can be used for secondary layers?

A

Rolled cotton

Cast padding

Gauze pads

Rolled gauze

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5
Q

How will you apply the secondary layer?

A

Leave 3-4 digits exposed if possible
Overlap approx 50%
Apply distal to proximal on limbs
Should never contact wound (will adhere)
Bandage in normal functional angle unless otherwise indicated

Change before exudate reaches tertiary layer (bacterial strike through)

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6
Q

What products can be used for a tertiary layer?

A

Elasticon

Vet wrap

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7
Q

What are methods used to prevent slippage of bandages?

A
Stirrups 
Tape overlay 
Torso strap 
Tie over bandage 
Patch bandage 
Fur incorporation
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8
Q

What type of anchoring method is used on limb bandages and uses 2 strips of tape on the skin and wraps back over the outer bandage.

A

Stirrups

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9
Q

What type of adhesive method is used on the torso/abdomen and engages bandage and a circumferential strip

A

Tape overlay

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10
Q

What adhesive method makes a figure 8 around the forelimbs?

A

Torso strap

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11
Q

What type of bandage can be used in areas that are not amenable to circumferential bandages?

A

Tie over

Lose interrupted sutures around peripheral
Cover with dressing which is then held in with umbilical tape

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12
Q

When is a patch bandage used?

A

To protect incision lines post op

Areas that cannot place a circumferential bandage

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13
Q

What method can you use to secure a tail bandages ?

A

Fur incorporation

Last layer incorporates fur

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14
Q

What is a modified Robert jones bandage ?

A

Porous tape - used for stirrups

Cast padding - secondary layer (rolled gauze with even pressure, distal to proximal, stirrups are adhered to this layer)

Conforming bandage
Elasikon/vet wrap

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15
Q

If you are making a reinforced modified Robert jones bandage.. where will you add your support material (eg plastic splints)

A

In-between secondary layer ( roll gauze) and tertiary (elasticon) layers

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16
Q

What is a Robert jones bandage ?

A

Similar to modified Robert Jones but uses roll cotton instead of cast padding gauze

17
Q

What is the indication for a Robert jones bandage?

A

Temporary stabilization of a fracture distal to elbow or stifle

18
Q

What type of splint provides immobilization of upper extremities and is used for fracture/luxation of shoulder or hip?

A

Spica splint

19
Q

How do you make a spica splint?

A

Cotton roll extends from limb and around the trunk

Conforming bandage compresses cotton

Aluminum rod fitted down limb and over the back

Secured with tertiary layer

20
Q

What are indications for a velpeau sling?

A

Create a non-weight bearing forelimb

Immobilization after reduction of shoulder luxation
Primary stabilization for some scapular fractures

21
Q

How do you make a velpeau sling?

A

Carpus and elbow wrapped in moderate flexsion

Wrap cast padding and conforming gassed

Follow around torso with elasticon or vet wrap

22
Q

Indications for an Ehmers sling?

A

Non weight bearing hindlimb

23
Q

What are the indications for a pelvic limb sling?

A

Non weight bearing hind limb
Limited motion

Tibial or femoral fracture repair
Post-op coxofemoral or stifle surgery

24
Q

How is a pelvic limb sling placed?

A

2-4 inch belly band as anchor

Sling made with 2-3inch porous tape, 4x longer than limb to paw
Fold adhesive sides
Secure to belly band and below stifle

25
Q

Indications for full leg casts?

A

Certain fractures

Or adjunct following internal fixation/arthrodesis

26
Q

When is a full leg cast contraindicated ?

A

Wounds
Significant inflammation
Femur or humerus

27
Q

What materials are required for a full leg cast?

A

Stockinette +/-

  • wick away moisture
  • protect skin

Cast padding
-dont exceed 2 layers

Plaster cast or synthetic fiberglass

28
Q

What is a bivalved cast?

A

Cast made and cut in two and secured

Allows for frequent cast changes and wound managment