Bandaging and Drains Flashcards
Every wound is unique and should be addressed _____________.
individually
Bandaging
* Plays an important role in wound __________.
* What can happen to unbandaged wounds?
1. ____________
2. _________ wound healing, which is wound _________.
4. Higher incidence of ________.
management, Desiccation, Delayed, dependent, infection
Why Bandage?
- ___________/Applies _________.
- Reduces _______ and ______ space
- Controls __________.
- _________ wound
- Protection from… * _______
- __________
- Contamination * ________
- Protects _______
- Stabilizes ___________
- Immobilization/movement ________ * Joints
- Absorption of ______
- Vehicle for ________
Compression, pressure, edema, dead, hemorrhage, Debrides, Trauma, Desiccation, Irritants, drains, fractures, restriction, exudate, antiseptic
Bandage Application
1. Use ________
2. Wrap from _______ to ______
- Wrap towards ________ aspect of limb (think of unrolling a carpet)
- Apply all layers in the _______ direction
3. Apply bandage material with ______ tension-____% overlap
4. Use adequate _________ and avoid ________.
- Not enough padding = pressure _____
5. If leaving digits exposed leave tips of digits __ and ___
6. If too ______ will fall off and if too ______ will cause damage
7. For fracture stabilization bandage must _________ joints ______ and _____ fracture
- Keeping bandages above and below joints also prevents ________
8. ______ and ______ are typically used for fractures below stifle and elbow
9. ________ and _______ require rigid support
stirrups, distal, proximal, medial, same, even, 50, padding, wrinkles, sores, 3, 4, loose, tight, immobilize, above, below, rubbing, Casts, splints, Fractures, luxations
Bandaging-Stirrups
1. Stirrups
- _________ tape
- Tongue __________
2. Used to ________ limb bandages
* ___ strips of surgical adhesive tape are placed on healthy skin
* ________ ends are adhered to a tongue depressor
* Once the ____, ______ , and ________ bandage of the ____ layer are placed the ______ end of each stirrup is removed from the tongue ______ and rotated ____ degrees at its ______.
* ______ tape and adhere to bandage ______ elastic bandage of ____ layer is placed
Porous, depressors, anchor, 2, Distal, 1st, 2nd, conforming, 3rd, free, depressor, 180, base, Fold, before, 3rd
The Contact (Primary) Layer is dressing that is in _______ contact with wound. This layer is also called “________ dressing.”
direct, Wound
What are the functions of the contact/primary layer?
1. _________ necrotic wound
2. Deliver ___________
3. ________ exudate
4. ________ granulation tissue
- _____-_________ dressing
Debride, medication, Absorb, Protect, Non adherent
The choice of material for the contact/primary layer depends on…
1. _________ or ________ of wound
2. _______ of wound healing
3. _________ of exudate
4. _________/_________
Presence, absence, Stage, Amount, Necrosis, infection
Absorbent wound dressing is used in the following situations:
1. __________ and _________ wounds
2. Absorb ______ quantities for exudate
3. ________ dressing
Contaminated, infected, large, Foam
Adherent wound dressing is used in the following situations:
1. _______ wounds
2. Wounds that require ______________
3. _____ to _____/ _____ to _____ bandage
Necrotic, debridement, Wet, dry, dry, dry
Non adherent wound dressing is used in the following situations:
1. __________ wound with granulation tissue
2. Less disruption to _________ tissue
3. ______ pad
Healthy, underlying, Telfa
Occlusive wound dressing is used in the following situations:
1. _____ and __________ tight seal -> maintains moist wound surface but prevents water vapor transmission
2. ________ thickness wounds without ______ or ______
Air, water, Partial, necrosis, infection
Semi occlusive wound dressing is used in the following situations:
1. Allows the wound to “_________” but is protecting it from _______ liquids
2. ____________ foam = common
breathe, outside, Hydrophilic
Applying an Adherent Contact Layer is typically used on _____ and _______ wounds and/or wounds that need _________. This is for _______ term use only b/c see wound healing process _____.
open, necrotic, debridement, short, early
tissue that is devitalized has no blood suply to moisture in gauze will move to dry gauze adn remove gross stuff away. If there was blod supply, would not see movement. Use saline.
Adherent contact layers must be changed _______ = once a daily or ____ = twice daily until __________ tissue begins to appear.
Once granulation tissue noted, switch to _________ dressing
* Dry to dry dressing
–> Wet to dry dressing
- Moist wound healing
- Primary layer in direct contact with wound (ex.gauze) soaked in sterile saline
- Place dry gauze and then continue with 2nd and 3rd bandage layers
SID, BID, granulation, nonadherent
Debridement is ____-________ so it will remove healthy and nonhealthy tissue. _________ when removed.
non-selective, Painful
A Non Adherent Contact Layer is used on _______ wounds, typically over _______ lines or ______ wounds with _________ tissue. This layer is a _______ and __________ dressing that helps _______ moisture at wound site to promote _______ wound healing. This layer must be changed every __-___ days (depends on how _____ the bandage is; if gross by day ___ CHANGE).
Typically we start with an ________ contact layer first after we’ve done our initial debridement and then move to a ____-________
clean, suture, open, granulation, semi, occlusive, retain, moist, 3-7, gross, 2
adherent, non adherent
The Intermediate (Secondary) Layer holds the _________ dressing in place, keeping it in _______ with the wound. The 2 nd layer should not be in _______ contact with
wound and completely covers _______ layer.
primary, contact, direct, primary
The intermediate (secondary) layer functions to:
- Absorption of ________
- ________/_________
- Provides _________/___________
- Contributes to decreasing ?
- Holds __________ layer
exudate, Support, stabilization, padding, compression, dead space, contact
The outer (Tertiary) Layer __________ the wrap of intermediate layer. Must apply ____________ bandage first followed by _______ bandage
Functions:
1. Protection from _________
2. Holds bandage in place (________) and holds other layers
3. Adds to ___________ that our ________ layer established.
stabilizes, conforming, elastic
environment, stability, immobilization, second
Tie Over Bandages are used on…
1. Wounds in highly _______ areas
2. Wounds that are difficult to _______ ( _______ tension)
3. Wounds near ______ end, ______ portions of __________, ________ area
4. Maintain their position during ________
5. Hold various _______ dressings in place
- ___ to dry dressings and non ________ dressings most common
6. Place suture loops far enough from _____ of wound
7. Complications
- Skin ________
- _________ infection around suture sites
- Suture loop _______.
mobile, close, high, hind, upper, extremities, inguinal, motion, primary, Wet, adherent, edge, necrosis, Focal, failure
External Coaptation is the use of (4) to stabilize fractures or luxations or protect wounds.
casts, splints, bandages, or slings
Name the two forms of Temporary Support –> first aid
- Robert Jones Bandage
- Modified reinforced Robert Jones (uses splints)
Name the two forms of Primary Support -> for selected fractures
- Cast
- Modified reinforced Robert Jones (splints)
Name the two forms of Secondary support-> aid to surgical _________ and internal _________ (ones directly after surgery)
reduction, fixation
- Modified Robert Jones
- Reinforced modified Robert Jones
- Slings
The Modified Robert Jones (Schanz) Bandage protects ______ tissue wounds; not ideal if _____ issues b/c animal is still able to place ______ on it. It provides _______ tissue compression, minimal _________ and ______.
soft, bone, weight, minimal, immobilization, support
What materials do you need for a Modified Robert Jones bandage?
modified robert jones bandage
Materials:
* Porous tape/cast padding/conforming bandage/elastic bandage.
What materials are needed for a robert jones bandage?
Robert Jones Bandage
- Porous tape/cotton roll/conforming bandage/elastic bandage
- Quite bulky
What materials do you need for a spic splint?
Spica splint
- Porous tape/cotton roll/conforming bandage/rigid support (cast material vs splint rod)/elastic bandage
What can be seen here?
Velpeau Sling/Bandage
What bandage can be seen here? What materials do you need for this bandage?
Ehmer Sling/Bandage
* Materials:
* Conforming bandage
* Elastic bandage
* Abduction (hock out) and cause internal rotation of the femur (knee in)
What type of bandage can be seen here? What materials do you need?
Full cast
- Materials:
- Porous tape/stockinette/cast padding +/-
conforming bandage/casting tape - Vetrap placed on top of casting tape
What can be seen in the image below?
Drains
What can be seen in the image below?
placing a penrose drain
two forms of entry for ascending infection
drain is not exciting at most gross aspect
excoriation becuase drain wans’t placed in right location and ?
jackswon pratt
tube being placed wrong way
Remove syringe adapter from butterfly (22,25) and then place bandage as you would normally. Can be used as a drain
