Lab1- Wound Care N Bandaging

Question 1

Hemostasis

Answer 1

Stop bleeding

Question 2

Goals of managing wounds

Answer 2

Hemostasis
Clean and prevent further contamination
Promote healthy wound bed
Close wound if possible

Question 3

Steps of wound care

Answer 3

1. stop blood flow
2. Obtain history
3. Complete PE
4. Clip and prep wound
5. Lavage
6. Select healing method
7. Surgery and prescription

Question 4

3 tenets of stomping blood flow

Answer 4

Pressure, elevation, bandaging

Question 5

What does “mechanism of injury” mean ?

Answer 5

How did the injury occur

Question 6

If it’s a bite wound you must

Answer 6

Obtain vaccination history of patient and animal that bit the patient

Question 7

Things that could affect white blood count and cause slow healing

Answer 7

FIV, chemotherapy, hypothyroidism

Question 8

While assessing a wound you must identify

Answer 8

Type; age, extent, presence of infection

Question 9

How to aspirate for pus

Answer 9

Attach needle to syringe, insert needle where abscess suspected, draw small amount of fluid, examine

Question 10

What you should do before clipping hair around wound

Answer 10

Fill wound with KY jelly, sterile lube, or petroleum jelly

Question 11

To lavage a wound use a ____ cc luer lock syringe w a _____G needle

Answer 11

35cc, 19G

Question 12

To lavage a wound, you could use ___% saline

Answer 12

0.9%

Question 13

To lavage a wound, you could use a chlorhexidine solution of ____%
Add _____ mL chlorhexidine solution to a 1 L bag 0.9% swine

Answer 13

.05%

Add 25 mL to a 1 L bag

Question 14

To lavage a wound, you could use povidone iodine solution ___%
Add ____ mL to a ___L of 0.9% saline

Answer 14

.1%

Add 10mL to 1L

Question 15

Part helpful to lavaging that stops and starts water flow

Answer 15

3-way stopcock

Question 16

First intention wound healing-

Answer 16

Clean wounds less than 8 hours old

After lavaging, veterinarian closes with sutures

Question 17

Second intention wound healing

Answer 17

Used for contaminated or infected wound
Wound left open after debriding
A drain may be placed
Will fill w granulation tissue

Question 18

3rd intention wound healing

Answer 18

Wound sutured after granulation tissue has formed

Question 19

Who selects the healing method?

Answer 19

Veterinarian

Question 20

Draining tracts

Answer 20

Routes thro which pus or excusable is attempting to drain

Question 21

What is surgical debridement (steps)

Answer 21

Removal of necrotic or devitalized tissue, pus, and debris

Trim edges until viable edges

Question 22

Dependent drainage

Answer 22

Used gravity to drain from a higher to lower level

Question 23

What are analgesics

Answer 23

Pain meds

Question 24

Who does medicine administration

Answer 24

The tech usually

Question 25

Bandages reduce edema. What does edema mean

Answer 25

Swelling

Question 26

Bandages reduces hemorrhage | What does hemorrhage mean

Answer 26

Bleeeding

Question 27

Bandages eliminate dead space. What does dead space refer to

Answer 27

Air or fluid filled pockets that form in the tissue when wounds heal on outside before the inside

Question 28

Excudate

Answer 28

Drainage or discharge

Question 29

Bandage purposes

Answer 29

Debride wounds, keep clean, deliver med, keep wound warm, stabilize fractures, reduce hemorrhage and edema, eliminate dead space, absorb exudate

Question 30

Components of a bandage: layer that touches wound

Answer 30

Primary or contact layer

Question 31

Viscosity refers to

Answer 31

Thickness

Question 32

A dry adherent primary layer should be used for

Answer 32

Low viscosity (thin, watery) exudate

Question 33

A wet primary layer should be used for

Answer 33

Smaller amounts of viscous (thick) exudate

Question 34

A non adherent primary layer is used for

Answer 34

Covering granulation tissue

Question 35

Example of non adherent primary layer

Answer 35

Telfa pad

Question 36

Which bandage component? Used for absorption

Answer 36

Intermediate or secondary layer

Question 37

Which bandage component? Provides stabilization

Answer 37

Outer or tertiary layer

Question 38

Bandages should be changed when?

Answer 38

Daily or when strike through occurs ( exudate or blood soaks thro)

Question 39

Which bandage type? Temporary support for fractures and ligament tears prior to surgical repair. Only for fractures distal to knee or elbow

Answer 39

Robert Jones

Question 40

Which bandage type? For soft tissue injuries only. Cast Padding or cotton gauze used instead of roll cotton (less supportive)

Answer 40

Modified Robert Jones

Question 41

Which bandage type? Support for fractures and ligament tears. May be incorporated into Robert Jones

Answer 41

Splint or cast

Question 42

Term for reopening of wound

Answer 42

Dehiscence