Wounds, Bandaging, Casting Flashcards Preview

LA Sx scs RUSVM > Wounds, Bandaging, Casting > Flashcards

Flashcards in Wounds, Bandaging, Casting Deck (57)
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31

How is the sheet graft secured?

Along the wound margin with glue, sutures, or staples

32

What is the most common reason for skin graft failure in horses?

a. Motion

b. Fluid accumulation

c. Bandaging

d. Infection

d. Infection

33

You place a bandage. On days 1 and 2 there is no lameness and the bandage looks great. On day 3 the patient is lame. What should you do?

a. Patient is sore from surgery, as expected, continue monitoring

b. Patient likely kicked the wall and is now sore, recheck tomorrow

c. Give Bute toda and recheck tomorrow if not better

d. Remove bandage and reevaluate wound/incision site immediately 

d. Remove bandage and reevaluate wound/incision site immediately 

34

In which direction must you roll bandaging material on a limb?

Inwards- pullign flexor tendons medially 

35

What is used to secure primary and secondary bandage layers? 

Conforming roll gauze (Kling or brown)

36

How much should each of the bandage layers overlap?

a. 25%

b. 50%

c. 75% 

d. 100%

b. 50%

37

In order to protect the ________ distally and soft tissue structures proximally, ______ should extend from the tertiary layer on either side. Distally, the _____ ______ should be covered by the secondary bandaging material. 

Coronary band

Cotton

Heel bulb

38

When creating a stack bandage, which bandage is placed first?

Distal

39

What can you do to cover a wound that cannot be bandaged, for example near the hip?

Stent bandage

40

How often must a sweat bandage be changed and the limb washed?

a. Every 6 hours

b. Daily 

c. Every 48 hours 

d. When it is dry

b. Daily 

At least daily - tell clients q 12 hours

41

What type of PVC can you use for splinting?

Schedule 40

42

What's this?

Kimzey Leg Saver splint

43

If you are placing a bandage and splint for a radial fracture, Where will you place the palmar and lateral splints? Which side of the limb is most likely to open up due to the fracture becoming open?

Palmar: Heel to elbow

Lateral: Hoof to withers 

Medial

44

Fracture to which limb structure is the exception to the immobilization rule? Why?

Olecranon

The shoulder cannot be stabilized

Would make a stack bandage with a palmar splint to fix limb in extension

45

What can be used to stabilize radial and tibial fractures, as well as ruptured gastrocnemius,  in farm animals? 

Thomas-Schroeder Splint

Plus cast

NOT FOR EQUINE!!!

46

Which material is preferred for casting?

a. Plaster of Paris

b. Fiberglass casting tape

c. Clay 

b. Fiberglass casting tape

47

What are the 3 main complications of immbolization (e.g. through casting)?

Articular cartilage degeneration

Loss of bone density

Decreased muscle strength

48

How long should the stockinette be in relation to the cast?

2.5x longer

49

Where do you drill a hole when placing a distal limb cast?

Toe of the hoof wall

Then place Gigli wire through hole

50

Where do you start placing casting tape for a distal limb cast?

Proximally 

Down then up

51

Why is it important to incorporate the hoof into the cast for large animals?

To ensure maximal diversion of weight from the limb and ground forces away from the limb to the cast

52

What landmark do you use for the top of a distal limb cast?

Top of splint bones

53

Where is extra padding required on a distal limb cast? What are you protecting?

Top of the cast to protect sesamoid bones

Back of cast to protect flexor tendons

Bottom of the cast to protect the coronary band/beel bulbs

 

54

Why must you use a cast saw in perpendicular fashion?

 

It is an oscillating saw which will cut the skin if dragged down the limb

55

Why should a bandage be placed after cast removal?

Protect any wounds

Protect skin which is sensitive now

Provide some support

56

What is the most common reason for cast failure?

Poor placement

57

What is the most common clinical sign indicating cast failure?

Lameness