Bandaging Flashcards
Why do you want to ensure a smooth badage?
Because it can cause pressure sores and discomfort otherwise. AND because you want the owner to think you know what you’re doing…
Why do you need to place a bandage snuggly?
To prevent/minimize slipping.
When should you remove a bandage immediately?
If lameness increases or becomes apparent.
When applying a bandage, why do you want to extend it distal to the coronary band?
To prevent coronary band damage and abnormal hoof growth.
When wrapping a bandage, you must always wrap your flexor tendons _________.
Medially
What are 3 reasons you don’t want to wrap a bandage too tight?
Circulation
Soft tissue injuries (bowed tendons)
Pressure sores
How many layers are there to a proper bandage?
3
What are 3 important qualities of the primary layer?
Sterile
Non-adherent
Porous
How is the primary bandage layer secured?
Kling or Conform PLACED WITH NO TENSION
What is Curasalt and what is it used for?
A hypertonic dressing for dirty wounds
What is Kerlix AMD?
A primary dressing impregnated with abx
What will you commonly use as a secondary layer?
Some type of cotton to help support and pull moisture from the primary layer.
How is the secondary layer secured?
Also conform gauze
What do you use as a tertiary layer?
Vetwrap, Coflex, Elastikon
What are 3 roles of the tertiary layer?
Secures other layers
Provides rigidity/support
Helps protect bandage from contamination
What do you need to remember when placing the tertiary layer?
PLACE WITH NO TENSION
What is a stack bandage?
A full limb bandage
What are 3 uses for a stack bandage?
Large wounds
Swelling/cellulitis
Coaptation for temporary fracture stabilization
What is a stent bandage?
Bandage is sutured over a wound or incision site.
Can put in suture loops and use umbilical tape to secure the dressing
What should you always push medially?
Flexor tendons
Seriously, where do the tendons go?
Medially
When is an abdominal bandage commonly used?
After colic surgery or for thoracic/abdominal wounds
What is the purpose of a “sweat bandage”?
To decrease edema
What are 3 things you will commonly find as ingredients in a sweat bandage?
Nitrofurazone ointment
DMSO
Epsom salt
What is important to do daily with a sweat bandage?
Remove the bandage and wash the limb daily to prevent scalding.
What type of bandage can we use to preserve blood supply and support a limb fracture?
Robert Jones Bandage
NOTE: You can incorporate splints, just like in small animal.
What does a Kimzey Leg Saver splint do?
Reduces/eliminates flexion and extension of joints
What is the rule to placing a splint to immobilize a fracture?
Immobilize the joint above and below.
How do you stabilize a radial fracture?
Robert Jones
Palmar splint from heel to elbow
Lateral splint from hoof to withers
How do you stabilize an olecranon fracture?
Stack bandage with palmar splint
NOTE: Extend splint from heels to top of elbow.
What is a Thomas-Schroeder splint?
Ring and rods splint for radial and tibial fracture stabilization in food animals.
NOTE: NOT used in horses.
What can you use on an animal with a ruptured gastrocnemius?
Thomas-Schroeder splint