Bandaging

Question 1

What are the layers done in bandaging, and what are their purposes?

Answer 1

1. Primary layer → touches the wound
2. Secondary layer → padding, conforms to shape
3. Tertiary layer → to secure & protect bandaging underneath

Question 2

What are the 2 types of bandages we use as part of the Primary Layer? What do each do? What are some types of each?

Answer 2

• Adhering → can help debride; Dry-to-dry, Wet-to-dry
• Non-Adhering → maintains moist environment; occlusive, semi-occlusive

Question 3

What can you use as the Secondary Layer when bandaging?

Answer 3

cast padding, roll cotton, conforming gauze

Question 4

What are the types of tape used for the Tertiary Layer of bandaging?

Answer 4

• adhesive
• self-adhesive

Question 5

How does a Dry-to-dry bandage work?

Answer 5

applied dry → absorbs low viscosity fluid from wound → can help debride → change once dry again

Question 6

How does a Wet-to-dry bandage work?

Answer 6

applied while moist w/ NaCl, LRS, or sterile water + antiseptics → helps dilute highly-viscous excess exudate → can help debride → change once dried out

Question 7

What are the differences between occlusive & semi-occlusive non-adherent bandages?

Answer 7

• occlusive = nothing gets out, used for minimal exudate w/ granulation tissue → should be changed less frequently
• semi-occlusive = air/moisture can get out, used for moderate/copious exudate → should be changed frequently

Question 8

What are the indications for the Robert Jones bandaging technique?

Answer 8

• immobilization (prevent movement)
• hemorrhage control (stop bleeding)
• control edema (stop swelling)

Question 9

How does the Robert Jones bandaging technique work?

Answer 9

use firm, evenly distributed pressure to wrap wounded limb → pressure is created within bandage → pressure/support promotes wound healing

Question 10

What are the indications for the Modified Robert Jones bandaging technique?

Answer 10

• immobilization with splint
• wound protection
• post-Op

Question 11

What are the indications for chest and/or abdominal bandaging techniques?

Answer 11

• wounds
• chest tubes
• rib fractures (minimize rib movement)
• high intra abdominal pressure → stops hemorrhage

Question 12

Which other bandaging techniques can be used to immobilize joints & bones?

Answer 12

• Ehmer sling
• Velpeau sling

Question 13

Which other bandages prevent weight-bearing by a patient?

Answer 13

• Ehmer sling
• Velpeau sling
• 90-90 flexion
• Carpal flexion

Question 14

Which other bandage technique prevents contracture of the quadriceps in a patient?

Answer 14

90-90 flexion