Bandaging Flashcards
Functions of ______:
Promote Healing
Protect Wounds
Absorption
Eliminate Dead Space
Apply or Relieve Pressure
Modulate Pain
Stabilize
Bandages
*Promote Healing- Bandages create Acidic Environments that Increase Oxygenation at Wound Site and Promote Healing
*Absorption- Bandages take Discharge away from the wound Itself
*Compression of A Bandage will help to Eliminate Dead space, Edema and Inflammation at the Wound
Component of Bandage that Directly Contacts Wound or Patient Surface
Primary Layer
Component of Bandage that Should Never Contact Wound
Secondary Layer
*Hold the Primary Layer in Place
Component of Bandage that is the Outermost Layer
Tertiary Layer
*Protects and Helps Keep Clean the Primary and Secondary Layer
_____ Layer of Bandage:
Absorbs/Transfers Exudate and Discharge to Secondary Layer
Maintains Moist Wound Environment
Sterile
Primary Layer
*Allows Exudate and Discharge from the Wound to be Absorbed into the Secondary Layer
*Sterile- Don’t Introduce Bacteria to the Level of the Wound itself
Two Adherent Types of Primary Layers
Dry to Dry
Wet to Dry -More Common
We use ____ Primary Layer Bandages, when there is a Lot of Discharge produced by the Wound
Adherent (Wet to Dry)
*Adherent Primary Layer- Provides the Best Effect for Drawing out Discharge that is Produced by the Wound better than any other type of Bandage
_____ Primary Layers are commonly used when the Wound Initlally Occurs. Once Necrotic Debris and Infectious Material are Removed from the Wound, we typically switch to ____ Primary Layers
Adherent
Non Adherent
*When Wound first occurs, we use an Adherent Wet-Dry Primary Layer. After 3-5 Days we usually switch to a Non-Adherent Primary Layer Bandage
Placement of Dry Sterile Adherent Gauze to an Open Wound, that is Typically used for placing a Bandage or Cast on a Patient
Dry to Dry Dressings
*Typically DO NOT use Dry to Dry- Dry material on a Wound will Adhere to the Wound making it Painful to Remove and can significantly Disrupt Healing Tissue. NEVER want to use Dry to Dry on a Wound
Most Common Adherent Bandage, that uses Sterile Saline or LRS on Gauze Early in Wound Managment (First 3-5 Days)
Wet to Dry Dressings
*Used during the Intial Managment of Wound
Don’t use Wet to Dry Dressings on Healthy Tissue because it can Damage Tissue
Advantages of which Primary Layer Bandage:
Provides Hydration
Dilutes Exudate
Wicks Exudate
Removes Necrotic Tissue
Wet to Dry Dressing
*Removes Exudate and Bacteria through a Wicking Effect
Disadvantages of which Primary Layer Bandage:
Can Damage Healthy Tissue
Painful upon Removal
Wet to Dry Dressings
True/False: Once Granulation Tissue has begun to Form, we will Switch from a Wet to Dry Bandage to a Non Adherent Bandage
True
*Only use Wet-Dry Bandages for Initial Management of Wound (3-5 Days)
______ Primary Layer Bandages:
Applied to Healthy Tissue
Dressing Removal Without Disturbance
Provides Moisture
Allows Absorption
Non Adherent Dressings
*Ex. Tefla
*Non Adherent Dressings- Allow Absorption, although Not as Well as Wet-Dry Bandages
Primary Layer Dressing that Minimally Disrupts Wound Healing when Replaced
Non Adherent Dressing
*Healing Products and Granulation Tissue are preserved when Non Adherent Dressing is Replaced- Allows wound to Heal more Rapidly and is not as Painful upon Removal
Functions of ____ Bandage Layer:
Absorb and Hold Drainage from Wound
Provide Support or Immobilization
Decrease Dead Space
Reduce Edema
Control Hemorrahge
Hold Primary Dressing in Place
Secondary
Materials used for ____ Layer of Bandage:
Rolled Cotton
Cast Padding
Gauze Pads
Rolled Gauze
Secondary
Criteria for ____ of Secondary Layer:
Amount of Discharge
Amount of Pressure required
Amount of Support
Immobilization
Protection
Thickness
*The more Padding you put, the more you can Compress that Padding and provide support
When Applying Secondary Layer, Leave Digits ____ and ____ Exposed if Possible
3 and 4
*Digits- Help us to Monitor the Bandage. If we see Swelling of the Digits, there may be a problem going on underneath the Bandage that we need to Address- Possibly too Tight
When Applying Secondary Layer, as a Rule of Thumb you Overlap approximately ___%
50%
*General Rule of Thumb
Which of the Following Regarding Secondary Bandage Layer is FALSE:
A. Apply Proximal to Distal on Limbs
B. Should Never Contact Wound
C. Bandage in Normal Functional Angle unless Indicated
D. Change Before Exudate Reaches Tertiary Layer
A. Apply Proximal to Distal on Limbs
*Apply DISTAL to PROXIMAL on Limbs
If we go Proximal to Distal we always cause Venous Congestion at the Distal Limb and Swelling of the Paw
Characteristics of ______ Layer:
Binding Layer
Protects Underlying Layers from Contamination
Porous/Breathable
Tertiary Layer
*Porous and Breathable and help to Protect the Outer Portion of the Bandage and Prevent Contamination of the Secondary Layer
Common Products used for _____ Layer:
Elasticon
Vet Wrap
Tertiary Layer
Bandages tend to ____ towards Narrower Circumferences
Slip
*Big Problem with Bandage Placement- Bandage Slippage
