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RUSVM Surgery LAB > Bandages > Flashcards

Flashcards in Bandages Deck (28):
1

What is layer?

Layer directly contacting wound or patient surface

2

T/F: the secondary layer should never contact the wound

True

3

What are the functions of the secondary bandage layer?

Absorb and hold drainage from wound

Provide support or immobilization

Decreased dead space

Reduce edema

Control hemorrhage

Holds primary dressing in place

4

What materials can be used for secondary layers?

Rolled cotton

Cast padding

Gauze pads

Rolled gauze

5

How will you apply the secondary layer?

Leave 3-4 digits exposed if possible
Overlap approx 50%
Apply distal to proximal on limbs
Should never contact wound (will adhere)
Bandage in normal functional angle unless otherwise indicated

Change before exudate reaches tertiary layer (bacterial strike through)

6

What products can be used for a tertiary layer?

Elasticon
Vet wrap

7

What are methods used to prevent slippage of bandages?

Stirrups
Tape overlay
Torso strap
Tie over bandage
Patch bandage
Fur incorporation

8

What type of anchoring method is used on limb bandages and uses 2 strips of tape on the skin and wraps back over the outer bandage.

Stirrups

9

What type of adhesive method is used on the torso/abdomen and engages bandage and a circumferential strip

Tape overlay

10

What adhesive method makes a figure 8 around the forelimbs?

Torso strap

11

What type of bandage can be used in areas that are not amenable to circumferential bandages?

Tie over

Lose interrupted sutures around peripheral
Cover with dressing which is then held in with umbilical tape

12

When is a patch bandage used?

To protect incision lines post op

Areas that cannot place a circumferential bandage

13

What method can you use to secure a tail bandages ?

Fur incorporation

Last layer incorporates fur

14

What is a modified Robert jones bandage ?

Porous tape - used for stirrups

Cast padding - secondary layer (rolled gauze with even pressure, distal to proximal, stirrups are adhered to this layer)

Conforming bandage
Elasikon/vet wrap

15

If you are making a reinforced modified Robert jones bandage.. where will you add your support material (eg plastic splints)

In-between secondary layer ( roll gauze) and tertiary (elasticon) layers

16

What is a Robert jones bandage ?

Similar to modified Robert Jones but uses roll cotton instead of cast padding gauze

17

What is the indication for a Robert jones bandage?

Temporary stabilization of a fracture distal to elbow or stifle

18

What type of splint provides immobilization of upper extremities and is used for fracture/luxation of shoulder or hip?

Spica splint

19

How do you make a spica splint?

Cotton roll extends from limb and around the trunk

Conforming bandage compresses cotton

Aluminum rod fitted down limb and over the back

Secured with tertiary layer

20

What are indications for a velpeau sling?

Create a non-weight bearing forelimb

Immobilization after reduction of shoulder luxation
Primary stabilization for some scapular fractures

21

How do you make a velpeau sling?

Carpus and elbow wrapped in moderate flexsion

Wrap cast padding and conforming gassed

Follow around torso with elasticon or vet wrap

22

Indications for an Ehmers sling?

Non weight bearing hindlimb

23

What are the indications for a pelvic limb sling?

Non weight bearing hind limb
Limited motion

Tibial or femoral fracture repair
Post-op coxofemoral or stifle surgery

24

How is a pelvic limb sling placed?

2-4 inch belly band as anchor

Sling made with 2-3inch porous tape, 4x longer than limb to paw
Fold adhesive sides
Secure to belly band and below stifle

25

Indications for full leg casts?

Certain fractures
Or adjunct following internal fixation/arthrodesis

26

When is a full leg cast contraindicated ?

Wounds
Significant inflammation
Femur or humerus

27

What materials are required for a full leg cast?

Stockinette +/-
- wick away moisture
-protect skin

Cast padding
-dont exceed 2 layers

Plaster cast or synthetic fiberglass

28

What is a bivalved cast?

Cast made and cut in two and secured

Allows for frequent cast changes and wound managment