Bandaging/Wound Healing Flashcards
Stages of Wound Healing
Inflammatory
Debridement
Repair
Maturation
Types of wound
- Abrasions
- degloving
- burns
- lacerations
- puncture wound
- crushing wound
- avulsion
Wound Classification
Clean
Clean/Contaminated
Contaminated
Dirty/infected
Factors affecting healing
Age
Nutrition
Immune status
Circulation
Infections
Stress
Other illnesses
Wound Lavage
removes debris
reduce bacteria
Use solution w/o antibiotics, soaps, antiseptic
wound debridement
Surgical removal of necrotic tissue
Removeal of foreign materials
use hypertonic solution (Sugar/honey)
Purposes for Bandages
Complications
Aid in wound healing
Prevents contamination
Wound debridement
Changes at least weekly with daily care
Complications
Skin/tissue necrosis
Dermatitis
Ineffective treatment
Vascular compromise
Layers
Primary Layer
- Direct contact with wound
- Debridement
- Deliver medication
- Seal wounds
- Transmit exudate to 2nd layer
- Teflon layer
Occulsive - Films, foams, hydrocolloids, hydrogel. Prevents moisture from getting in
Semi-occlusive - Retains moisture on wound surface and allows fluids into 2nd layer
Adherent - Provides debridement. on early stages of wound healing
Dry-Dry
Wet-Dry
Wet-Wet
Nonadherent - absorbs excess fluid from wound
Secondary Layer
- Aborsbs exudate
- Support
- Compression
- cotton wrap
Tertiary Layer
- Holds bandages in place
- Immobilzes
- Protects from environment
- Vet Wrap
Bandage Types
Modified Robert Jones Vs Robert Jones
Modified Robert Jones
- Most common
- Forelimb
- Hindlimb
- Protect wound
- Provide support
- Prevent swelling
50% overlap
Work distal to proximal
middle 2 toes is exposed
Robert Jones
- Distal limb fractures
- Immobilizes
- Supports
Primary layer (Optional)
Roll cotton (Large amount)
Vet wrap
Spints
- Plastic or Aluminum or molded (water activated fiberglass)
- Forelimb or Hindelimb
- Placed lateral or caudal
- Stability to fracture
Cast padding
rolled gauze
splint
rolled gauze
vetwrap
Spica Splint
Stabilizes Humerus and Femur
Splint is laterally placed over shoulder or hip
Schroeder-Thomas Splint
For distal limb fractures
Immobilizes elbow, carpus & Stifle, tarsus
Casts
For fractures below elbow or stifle
Stirrups
Stockinette
Cast padding
Rolled gauze
Cast material
Vetwrap
Ehmer sling
Prevent weight bearing of pelvic limb
Hip luxation
Acetabular fracture
Robinson Sling
Prevent weight bearing on hindelimb with some rage of tarsus and stifle motion