Bandaging

Question 1

What are some functions of bandaging?

Answer 1

Wound/incision protection
Support
Secure dressings
Inhibit excessive granulation tissue
Reduce swelling, movement and edema
Assist in temporary stabilization of fractures
Decrease dead space
Reduce post-op hemorrhage/edema
Prevent contamination

Question 2

In what situation should a bandage be immediately removed?

Answer 2

increased lameness or lameness becomes apparent

Question 3

Why is it important that your bandages have no wrinkles?

Answer 3

Prevent pressure sores

Question 4

When should bandages be changed?

Answer 4

If soiled, wet or slips

Question 5

What is decreased circulation associated with in bandaging?

Answer 5

Snug placement

Question 6

Where should the bandage be extended to?

Answer 6

Distal to the coronary band- make sure not too tight because the hoof capsule can slough off from decreased circulation

Question 7

Which direction should the flexor tendons be wrapped to avoid risk of trauma?

Answer 7

Medially

Question 8

What type of bandage is commonly used for subsolar abscesses?

Answer 8

Foot bandage

Question 9

What is the most commonly used bandage in equine medicine?

Answer 9

Distal limb bandage

Question 10

What are some examples of primary bandage materials?

Answer 10

telfa, curasalt, kerlix AMD, hydrogel, Ca alginate

Most common= Kerlix AMD and Telfa

Question 11

Where is the primary bandage placed?

Answer 11

Directly on the wound

Sterile, non-adherent & porous

Question 12

What are some examples of secondary bandage materials?

Answer 12

Cotton roll, sheet cotton, rediroll, brown gauze

Question 13

What is the purpose of the secondary layer?

Answer 13

Prevents excessive compression and protects the limb

Absorbs exudate

Question 14

What are some examples of tertiary bandage materials?

Answer 14

Vetwrap, elastikon

Question 15

What is the purpose of the tertiary layer?

Answer 15

Seals and secures bandage

Question 16

What percentage of overlap should all the layers have?

Answer 16

50% overlap

Question 17

What is one of the most important things to remember when preparing to bandage?

Answer 17

WEAR GLOVES- should always be used when placing primary layer to avoid contamination

Question 18

What direction should bandages be placed?

Answer 18

Bandage from the medial aspect of the limb, moving cranially around the lateral side

Question 19

Where are distal limb bandages placed?

Answer 19

Extending from just below carpus/tarsus to below coronary band/heel bulb

Question 20

When is a full limb/stack bandage indicated?

Answer 20

Large wounds, swelling/cellulitis, assist with coaptation for temporary fracture stabilization

Question 21

Where are the landmarks for a full limb/stack bandage?

Answer 21

Extends from below coronary band to proximal carpus/tarsus

Question 22

What is a stent bandage?

Answer 22

A bandage that is sutured over a wound or incision site

Works well for large granulating wounds you don’t have access to

Question 23

When is a face/head bandage indicated?

Answer 23

Post-op tooth removal, post-op enucleation

Question 24

When is an abdominal bandage indicated?

Answer 24

Commonly used for colic surgery or thoracic/abdominal wounds

Question 25

What does a sweat bandage do?

Answer 25

Decreases edema- this is a distal limb bandage with potion

Remove and wash limb daily- can cause severe limb scalding

Question 26

What topical medication works well to decrease edema and swelling?

Answer 26

DMSO

Question 27

What is the goal of the robert jones bandage?

Answer 27

Preserves blood supply and supports the fracture