Bandages Flashcards
What is layer?
Layer directly contacting wound or patient surface
T/F: the secondary layer should never contact the wound
True
What are the functions of the secondary bandage layer?
Absorb and hold drainage from wound
Provide support or immobilization
Decreased dead space
Reduce edema
Control hemorrhage
Holds primary dressing in place
What materials can be used for secondary layers?
Rolled cotton
Cast padding
Gauze pads
Rolled gauze
How will you apply the secondary layer?
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)
What products can be used for a tertiary layer?
Elasticon
Vet wrap
What are methods used to prevent slippage of bandages?
Stirrups Tape overlay Torso strap Tie over bandage Patch bandage Fur incorporation
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.
Stirrups
What type of adhesive method is used on the torso/abdomen and engages bandage and a circumferential strip
Tape overlay
What adhesive method makes a figure 8 around the forelimbs?
Torso strap
What type of bandage can be used in areas that are not amenable to circumferential bandages?
Tie over
Lose interrupted sutures around peripheral
Cover with dressing which is then held in with umbilical tape
When is a patch bandage used?
To protect incision lines post op
Areas that cannot place a circumferential bandage
What method can you use to secure a tail bandages ?
Fur incorporation
Last layer incorporates fur
What is a modified Robert jones bandage ?
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
If you are making a reinforced modified Robert jones bandage.. where will you add your support material (eg plastic splints)
In-between secondary layer ( roll gauze) and tertiary (elasticon) layers
What is a Robert jones bandage ?
Similar to modified Robert Jones but uses roll cotton instead of cast padding gauze
What is the indication for a Robert jones bandage?
Temporary stabilization of a fracture distal to elbow or stifle
What type of splint provides immobilization of upper extremities and is used for fracture/luxation of shoulder or hip?
Spica splint
How do you make a spica splint?
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
What are indications for a velpeau sling?
Create a non-weight bearing forelimb
Immobilization after reduction of shoulder luxation
Primary stabilization for some scapular fractures
How do you make a velpeau sling?
Carpus and elbow wrapped in moderate flexsion
Wrap cast padding and conforming gassed
Follow around torso with elasticon or vet wrap
Indications for an Ehmers sling?
Non weight bearing hindlimb
What are the indications for a pelvic limb sling?
Non weight bearing hind limb
Limited motion
Tibial or femoral fracture repair
Post-op coxofemoral or stifle surgery
How is a pelvic limb sling placed?
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