Bandaging Flashcards
Why must a bandage be smooth?
Avoid soft tissue damage
What should you do with a bandage if the patient becomes lame or their lameness increases?
Remove bandage immediately and reevaluate wound
Which direction should a bandage be placed?
Pull flexxor tendons medially
What are consequences of a bandage that is too tight?
Circulation compromise, soft tissue injury, pressure injuries
What are foot bandages used for?
Subsolar abscesses
Where should you extend a distal limb bandage?
Distal to coronary band
This layer is placed on the limb loosely b/c nothing is protecting the soft tissue underneath it
Primary layer
Which bandage layers are secured with conforming roll gauze?
Primary and secondary layers
Tefla, Curasalt, Kerlix AMD, hydrogel, and Ca alginate are examples of which bandage layer?
Primary
Sterile non-adherent, porous layer placed directly on the wound
Primary layer
Cotton roll, sheet cotton, RediRoll/CombiRoll are examples of which layer?
Secondary
How do you secure the secondary layer of a bandage?
Conforming (brown) gauze
Provides support and padding to prevent excessive compression and protect the limb
Secondary layer
Absorbent for exudate
Secondary layer
Provides rigidity and support for the bandage and helps protect bandage from contamination
Tertiary layer
50% bandage overlap
All layers
Where does a distal limb bandage cover?
Below carpus/tarsus to below coronary band
Seals bandage at top and bottom and prevents dirt and debris from entering
Elastikon
Used for large wounds, swelling/cellulities, or for temporary fracture stabilization
Full limb/stack bandage
Where does a stack bandage cover?
Below coonary band to proximal carpus/tarsus + another roll covering up to elbow
Bandage sutured over wound or incision site via suture loops and umbilical tape
Stent bandage
Which direction should flexor tendons be pulled when placing a bandage?
Medially
Why do you want to pull flexor tendons medially when placing a bandage?
Minimizes risk of tendon injury
Indicated post-colic surgery or for thoracic/abdominal wounds
Abdominal bandage
What bandages are used to decrease edema?
Sweat bandages
How often should a sweat bandaged be removed to was limb?
At least daily
Why does a sweat bandage need to be changed so often?
Can cause skin scalding
Bandage that is 2x the size of the limb and preserves blood supply and supports the fracture but isn’t really used anymore
Robert Jones bandage
What size white tape must you use to secure splints to a bandage?
2” or larger
Aligns leg w/dorsal aspect and straightens all the joints into place
Kimzey leg shaver splint
What gait provides the best stability and most comfort when considering use of a splint?
Walking on their toes
Used for fracture stabilization for transportation and reduce/eliminate flexion/extension of joints
Splints
When should a dorsal splint be placed on the dorsal aspect of the limb?
Carpus and below
What is the splint placement rule for fracture stabilization?
Immobilize a joint below and a joint above the fracture
Can use RJ bandage, palmar splint form heels to elbow, or lateral splint from hoof to withers for this type of fracture stabilization
Radial fracture
If the olecranon is fractured, can the horse bear weight on the affected limb?
No
Stack bandage w/palmar splint from heels to top of elbow is used for what type of fracture stabilization?
Olecranon fracture
How does a plamar splint and stack bandage secure an olecranon fracture?
Fix carpus in extension so horse can bear weight
How do you stabilize a tibial fracture?
Splint from hip to ground
Used for radial and tibial fracture stabilization and gastrocnemius ruptures in younger farm animals
Thomas-Schroeder splint
Maintains limb in extension and immobilizes the elboq
Thomas-Schroeder splint
