Bandaging Flashcards
Bandages can protect what?
Wounds and incisions
Bandages can provide what?
Support
Bandages can inhibit what?
Excessive granulation tissue
What are 4 things bandages can reduce?
- Swelling
- Movement
- Edema
- Post-op hemorrhage/edema
Bandages can assist in what?
Temporary stabilization of fractures
Bandages can decrease what?
Dead space
Bandages can prevent what?
Contamination
Why do you want a smooth bandage with no wrinkles?
Wrinkles can create bandage sores, inhibit circulation and cause pain/discomfort.
What are the 3 layers of a bandage?
- Primary
- Secondary
- Tertiary
Each bandage layer is secured with what?
Gauze
What are 3 reasons for changing a bandage?
- Soiled
- Wet
- Slips
What can be sued to secure a bandage in place?
Cohesive or self-adhesive material
How tightly should the bandage be placed?
Snugly - not too tight, not too loose
What should be done if lameness increases or becomes apparent?
Remove bandage immediately
What is an important consideration for bandaging material?
Adequate width
Why is important to fully span the wound when bandaging?
Minimize edema formation at margin.
A lower limb bandage should be extended how far?
Why?
- Distal to coronary band
- Prevent damage to coronary band which would lead to abnormal hoof growth
How should the flexor tendons be wrapped?
Medially
How far should the cotton be extended when wrapping the lower limb?
Past the heel bulb
When bandaging the distal limb, make sure the holding layer catches what?
Heel bulb
What are 3 things that can happen if a bandage is placed too tight?
- Circulation cut off
- Soft tissue injury/tendon damage
- Pressure sores form
How far up should a foot bandage come up?
Up to the pastern
What are primary and secondary bandaging layers secured with?
Conforming roll gauze
Where is the primary layer placed?
Directly on the wound
What are 3 characteristics of a primary bandage layer?
- Sterile
- Non-adherent
- Porous
Should the primary layer be placed with tension?
No
What are 5 examples of primary layers?
- Telfa
- Curasalt (hypertonic dressing)
- Kerlix AMD
- Hydrogel
- Calcium alginate
Which type of primary layer has an antibiotic in it?
Kerlix AMD
Which type of primary layer is used on a desiccated wound that needs moisture added?
Hydrogel
Which type of primary layer is the most common one used?
Telfa
What are 4 examples of secondary layers?
- Cotton/supporting layer
- Cotton roll (pound cotton)
- Sheet cotton
- RediRoll
What is the secondary layer secured with?
What is an example of this?
- Conforming gauze
- Brown gauze
What are 2 functions of the secondary layer?
- Provide support and padding
- Absorbent for exudate
What does the secondary layer help prevent?
Excessive compression
What are 2 commonly used materials for the tertiary layer?
- Vetwrap/Coflex
- Elastikon
What are 3 functions of the tertiary layer?
- Secures previous layers
- Provides rigidity/support to bandage
- Helps protect bandage from contamination
How much overlap should there be on each wrap around?
50%
What should be done before putting the elastikon on the limb?
Unroll then re-roll
Where should a distal limb bandage extend to proximally?
Below the carpus or tarsus
Where should a distal limb bandage extend to distally?
Below the coronary band
What is the tertiary layer sealed with at the top or bottom?
Elastikon
Why is elastikon placed at the top and bottom of the bandage?
To prevent dirt and debris from entering the bandage.
What are 3 uses for a full limb/stack bandage?
- Large wounds
- Swelling/cellulitis
- Assist with coaptation for temporary fracture stabilization
When is the proximal “stack” bandage placed?
After placing secondary layer on distal limb.
What does the proximal “stack” bandage need to cover?
Proximal aspect of first cotton on distal limb.
The bandage is sutured over a wound or incision site with what type of bandage?
Stent bandage
What can be done to secure a stent bandage?
Create suture “loops” to string umbilical tape through to secure bandage.
Don’t forget to put what on when placing the primary layer?
Exam or sterile gloves
