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Large Animal Surgery > Bandaging > Flashcards

Bandaging Flashcards

1
Q

Bandages can protect what?

A

Wounds and incisions

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2
Q

Bandages can provide what?

A

Support

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3
Q

Bandages can inhibit what?

A

Excessive granulation tissue

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4
Q

What are 4 things bandages can reduce?

A
  • Swelling
  • Movement
  • Edema
  • Post-op hemorrhage/edema
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5
Q

Bandages can assist in what?

A

Temporary stabilization of fractures

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6
Q

Bandages can decrease what?

A

Dead space

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7
Q

Bandages can prevent what?

A

Contamination

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8
Q

Why do you want a smooth bandage with no wrinkles?

A

Wrinkles can create bandage sores, inhibit circulation and cause pain/discomfort.

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9
Q

What are the 3 layers of a bandage?

A
  • Primary
  • Secondary
  • Tertiary
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10
Q

Each bandage layer is secured with what?

A

Gauze

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11
Q

What are 3 reasons for changing a bandage?

A
  • Soiled
  • Wet
  • Slips
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12
Q

What can be sued to secure a bandage in place?

A

Cohesive or self-adhesive material

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13
Q

How tightly should the bandage be placed?

A

Snugly - not too tight, not too loose

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14
Q

What should be done if lameness increases or becomes apparent?

A

Remove bandage immediately

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15
Q

What is an important consideration for bandaging material?

A

Adequate width

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16
Q

Why is important to fully span the wound when bandaging?

A

Minimize edema formation at margin.

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17
Q

A lower limb bandage should be extended how far?

Why?

A
  • Distal to coronary band

- Prevent damage to coronary band which would lead to abnormal hoof growth

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18
Q

How should the flexor tendons be wrapped?

A

Medially

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19
Q

How far should the cotton be extended when wrapping the lower limb?

A

Past the heel bulb

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20
Q

When bandaging the distal limb, make sure the holding layer catches what?

A

Heel bulb

21
Q

What are 3 things that can happen if a bandage is placed too tight?

A
  • Circulation cut off
  • Soft tissue injury/tendon damage
  • Pressure sores form
22
Q

How far up should a foot bandage come up?

A

Up to the pastern

23
Q

What are primary and secondary bandaging layers secured with?

A

Conforming roll gauze

24
Q

Where is the primary layer placed?

A

Directly on the wound

25
Q

What are 3 characteristics of a primary bandage layer?

A
  • Sterile
  • Non-adherent
  • Porous
26
Q

Should the primary layer be placed with tension?

A

No

27
Q

What are 5 examples of primary layers?

A
  • Telfa
  • Curasalt (hypertonic dressing)
  • Kerlix AMD
  • Hydrogel
  • Calcium alginate
28
Q

Which type of primary layer has an antibiotic in it?

A

Kerlix AMD

29
Q

Which type of primary layer is used on a desiccated wound that needs moisture added?

A

Hydrogel

30
Q

Which type of primary layer is the most common one used?

A

Telfa

31
Q

What are 4 examples of secondary layers?

A
  • Cotton/supporting layer
  • Cotton roll (pound cotton)
  • Sheet cotton
  • RediRoll
32
Q

What is the secondary layer secured with?

What is an example of this?

A
  • Conforming gauze

- Brown gauze

33
Q

What are 2 functions of the secondary layer?

A
  • Provide support and padding

- Absorbent for exudate

34
Q

What does the secondary layer help prevent?

A

Excessive compression

35
Q

What are 2 commonly used materials for the tertiary layer?

A
  • Vetwrap/Coflex

- Elastikon

36
Q

What are 3 functions of the tertiary layer?

A
  • Secures previous layers
  • Provides rigidity/support to bandage
  • Helps protect bandage from contamination
37
Q

How much overlap should there be on each wrap around?

A

50%

38
Q

What should be done before putting the elastikon on the limb?

A

Unroll then re-roll

39
Q

Where should a distal limb bandage extend to proximally?

A

Below the carpus or tarsus

40
Q

Where should a distal limb bandage extend to distally?

A

Below the coronary band

41
Q

What is the tertiary layer sealed with at the top or bottom?

A

Elastikon

42
Q

Why is elastikon placed at the top and bottom of the bandage?

A

To prevent dirt and debris from entering the bandage.

43
Q

What are 3 uses for a full limb/stack bandage?

A
  • Large wounds
  • Swelling/cellulitis
  • Assist with coaptation for temporary fracture stabilization
44
Q

When is the proximal “stack” bandage placed?

A

After placing secondary layer on distal limb.

45
Q

What does the proximal “stack” bandage need to cover?

A

Proximal aspect of first cotton on distal limb.

46
Q

The bandage is sutured over a wound or incision site with what type of bandage?

A

Stent bandage

47
Q

What can be done to secure a stent bandage?

A

Create suture “loops” to string umbilical tape through to secure bandage.

48
Q

Don’t forget to put what on when placing the primary layer?

A

Exam or sterile gloves

Large Animal Surgery (3 decks)

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