Unit 3- Bandaging

Question 1

Why bandage?

Answer 1

Compression reduces edema and controls hemorrhage, debrides wound, protects wound and drains, stabilizes fractures, immobilizes joints, absorbs exudate, vehicle for antiseptic

Question 2

Bandage Application

Answer 2

Use stirrups, wrap distal to proximal, use 50% overlap, use padding, leave tips of digits 3 and 4 exposed

Question 3

Fracture Stabilization

Answer 3

Immobilize joints above and below fracture, casts and splints used for fractures below stifle and elbow

Question 4

Stirrups

Answer 4

Anchors limb bandages, tape places on skin and adhered to tongue depressor, rotate stirrups and adhere to bandage before elastic of 3rd layer is applied

Question 5

Contact Layer

Answer 5

Wound dressing, debrides, delivers medication, absorbs exudate, and protects granulation tissue

Question 6

Absorbent Wound Dressing

Answer 6

Used for contaminated and infected wounds, foam absorbs large quantities of exudate

Question 7

Adherent Wound Dressing

Answer 7

Used for necrotic wounds to debride, wet to dry or dry to dry, change daily until granulation tissue appears

Question 8

Non Adherent Wound Dressing

Answer 8

Telfa pad used for healthy wound to cause little disruption to granulation tissue, change 3-7 days

Question 9

Occlusive Wound Dressing

Answer 9

Air and water tight seal maintains moist surface, used for partial thickness wounds without necrosis or infection

Question 10

Semi Occlusive Wound Dressing

Answer 10

Protects from outside liquids, hydrophilic foam

Question 11

Wet to Dry Dressing

Answer 11

Moist healing, primary layer is soaked in sterile saline, place dry gauze before next 2 layers

Question 12

Intermediate Layer

Answer 12

Holds primary dressing in place, absorbs exudate, supports, padding, decreases dead space

Question 13

Outer Layer

Answer 13

Stabilizes intermediate layer, conforming bandage and then elastic, protects, stabilitiy, immobilizes

Question 14

Elastikon

Answer 14

Adhesive elastic bandage

Question 15

Vetrap

Answer 15

Non adhesive elastic bandage

Question 16

Kling

Answer 16

Conforming layer

Question 17

Tie Over Bandages

Answer 17

Used on high tension wounds in highly mobile areas, hind end, upper extremities, inguinal, holds primary dressings

Question 18

Tie Over Complications

Answer 18

Skin necrosis, focal infection, suture loop failure

Question 19

External Coaptation

Answer 19

Casts, splints, bandages, or sling

Question 20

Temporary Fracture Support

Answer 20

First aid, robert jones bandage or modified reinforced robert jones

Question 21

Primary Fracture Support

Answer 21

Selected fractures, cast, modified reinforced robert jones

Question 22

Secondary Fracture Support

Answer 22

Aids surgical reduction and internal fixation, modified robert jones, reinforced modified robert jones, or slin

Question 23

Modified Robert Jones Bandage

Answer 23

Schanz, protects wounds, minimal compression, minimal immobilization and support, cast padding added to bandage

Question 24

Reinforced Modified Robert Jones

Answer 24

Additional support for fracture, add splint rod, fiberglass immobilizer, or thermoplastic splint to robert jones bandage between conforming and elastic layers

Question 25

Robert Jones Bandage

Answer 25

Emergency temporary stabilization, protects wounds, adds stabilization and immobilization, tissue compression

Question 26

Spica Splint

Answer 26

Femoral or humeral fractures, post operative immobilization

Question 27

Velpeau Sling

Answer 27

Prevents weightbearing on forelimb, stabilizes scapular fracture, post shoulder luxation

Question 28

Ehmer Sling

Answer 28

Prevents weightbearing on hindlimb with coxofemoral luxation, hock out and knee in

Question 29

Full Cast

Answer 29

Minimally displaced fracture of radius, ulna, tibia, or fibula, incomplete fractures, or adjunct fixation with internal, do not apply over skin wounds, vetrap over casting tape

Question 30

Bandage Application

Answer 30

Dry skin, place stirrups, place wool between toes, apply ointment and place primary layer, apply secondary layer with cotton roll or cast padding, apply conforming tertiary layer, attach stirrups, apply elastic bandage

Question 31

Signs of trouble

Answer 31

Foul odor, swollen or cyanotic digits, excessive discharge, pet mutilating, ADR, pain, fever, anorexia, depression

Question 32

Bandage Maintenance

Answer 32

Confine, keep clean and dry, assess toes BID, monitor, change every 12-24 hours for wounds, evaluate slings every day, change splints and casts every 2-3 weeks

Question 33

Strikethrough

Answer 33

Seeping through the bandage

Question 34

Surgical Drains

Answer 34

Allow removal of fluid or gas from a wound, can relieve pressure, enables monitoring, will incite inflammation

Question 35

Drain Materials

Answer 35

Latex, silicone, polyethylene, may affect healing

Question 36

Passive Drains

Answer 36

Rely on gravity or pressure differentials, fluid around tube, drainage related to surface area

Question 37

Active Drains

Answer 37

Applies suction

Question 38

Passive Drain Application

Answer 38

One exit decreases risk of ascending infection, exits wound

Question 39

Penrose Drain

Answer 39

Open system latex tubing that works by gravity and capillary action

Question 40

Placing Penrose Drain

Answer 40

Make stab incision on ventral exit location, pass drain from within, place percutaneous suture through proximal aspect, place tacking suture on exit, close wound, place bandage

Question 41

Drain reminders

Answer 41

Should never exit incision, should not lie directly under suture, percutaneous tacking sutures over buried tacking sutures, determine exit point, bandage over

Question 42

Jackson Pratt Drain

Answer 42

Radiopaque fenestrated tubing in deepest portion of wound, tube exits away from incision and wound closure, secure with purse string and finger trap