Bandaging And Casting Flashcards
What is the function of bandage?
Wound/incision
Secure dressings
Inhibit excessive granulation tissue
Reduce swelling, movement, edema
Support - assist in temporary stabilization of fractures
Decrease dead space
Reduce post-op hemorrhage/edema
Prevent contamination
A bandage is placed over a wound. Day 1 and 2, there is not lameness. Day 3, the patient is lame. What should you do?
A. The patient is sore from procedure, this is normal
B. Patient likely kicked the wall and is now sore, recheck tomorrow
C. Give Bute today and recheck tomorrow if not better
D. Remove bandage and evaluate wound/incision site immediately
D. Remove bandage and evaluate wound/incision site immediately
What can you cause if you wrap a bandage too tight?
Inhibit circulation
Soft tissue injury (tendon damage)
Pressure sores
How would you bandage a subsolar abscess?
Open abscess— don’t soak
Closed abscess — magna paste in diaper with duct tape and secured with elasticon
T/F: when placing a distal limb bandage, it should not extend past the coronary band
False
Bandage should extend distal to the coronary band to protect it
What are examples of primary layers?
Telfa Curasalt (hypertonic dressing) Kerlix AMD Hydrogen Calcium alginate
Examples of secondary layers?
Cotton/supporting layer
Cotton roll (pound cotton)
Sheet cotton
RediRoll/CombiRoll
Secured with brown gauze
What is the function of the secondary layer
Provide support and padding
-prevent excessive compression and protect the limb
Absorbent for exudate
Purpose of tertiary layer?
Secures previous layers
Rigidity/support to bandage
Helps protect bandage from contamination
Pay attention to where tertiary layer ends
Materials used in tertiary layer?
Vetrap/Coflex
Elastikon
Elasoplast
Placed with no tension
When would you use a full limb/stack bandage?
Large wounds
Swelling /cellulitis
Coaptation for temporary fracture stabilization
A full limb bandage extends from where to where?
Extends from below the coronary band to proximal of carpus/tarsus
How do you place a stack bandage?
Add primary layers as before.
After placing distal secondary layer (cotton sheeting), “stack another cotton roll above, covering the proximal aspect of the first cotton.
Secure with brown gauze
What is a stent bandage
Bandage suture over a wound / incision site
“Tie over”
Create suture “loops” to string umbilical tape through secure bandage
When placing a bandage, layers should be applied so tendons are pulled (laterally/medially)?
Medially
— minimizes risk of tendon injury secondary to bandage placement
Bandage should be placed from medial aspect of limb, moving cranially, then lateral and caudal