Bandaging Flashcards
What are some functions of bandaging?
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
In what situation should a bandage be immediately removed?
increased lameness or lameness becomes apparent
Why is it important that your bandages have no wrinkles?
Prevent pressure sores
When should bandages be changed?
If soiled, wet or slips
What is decreased circulation associated with in bandaging?
Snug placement
Where should the bandage be extended to?
Distal to the coronary band- make sure not too tight because the hoof capsule can slough off from decreased circulation
Which direction should the flexor tendons be wrapped to avoid risk of trauma?
Medially
What type of bandage is commonly used for subsolar abscesses?
Foot bandage
What is the most commonly used bandage in equine medicine?
Distal limb bandage
What are some examples of primary bandage materials?
telfa, curasalt, kerlix AMD, hydrogel, Ca alginate
Most common= Kerlix AMD and Telfa
Where is the primary bandage placed?
Directly on the wound
Sterile, non-adherent & porous
What are some examples of secondary bandage materials?
Cotton roll, sheet cotton, rediroll, brown gauze
What is the purpose of the secondary layer?
Prevents excessive compression and protects the limb
Absorbs exudate
What are some examples of tertiary bandage materials?
Vetwrap, elastikon
What is the purpose of the tertiary layer?
Seals and secures bandage
What percentage of overlap should all the layers have?
50% overlap
What is one of the most important things to remember when preparing to bandage?
WEAR GLOVES- should always be used when placing primary layer to avoid contamination
What direction should bandages be placed?
Bandage from the medial aspect of the limb, moving cranially around the lateral side
Where are distal limb bandages placed?
Extending from just below carpus/tarsus to below coronary band/heel bulb
When is a full limb/stack bandage indicated?
Large wounds, swelling/cellulitis, assist with coaptation for temporary fracture stabilization
Where are the landmarks for a full limb/stack bandage?
Extends from below coronary band to proximal carpus/tarsus
What is a stent bandage?
A bandage that is sutured over a wound or incision site
Works well for large granulating wounds you don’t have access to
When is a face/head bandage indicated?
Post-op tooth removal, post-op enucleation
When is an abdominal bandage indicated?
Commonly used for colic surgery or thoracic/abdominal wounds
What does a sweat bandage do?
Decreases edema- this is a distal limb bandage with potion
Remove and wash limb daily- can cause severe limb scalding
What topical medication works well to decrease edema and swelling?
DMSO
What is the goal of the robert jones bandage?
Preserves blood supply and supports the fracture
