Bandaging

Question 1

What are indications for bandages?

Answer 1

1. support suture lines
2. early wound management
3. management of granulation tissue
4. owner convenience

Question 2

What are the functions of pressure bandages?

Answer 2

1. obliterate dead sapce
2. reduce limb edema
3. control hemorrhage
4. control granulation tissue

Question 3

What are the function of support bandages?

Answer 3

1. mechanical
2. circulatory
3. immobliziation

Question 4

How does bandage affect wound environment?

Answer 4

1. pH and temperature effects–probably not true

2. topical medications

Question 5

What are the properties of ideal bandage material?

Answer 5

1. inexpensive
2. coformable
3. capable of desired function
4. free of particular matter
5. inert
6. gas permeable
7. easily sterilzed
8. aesthetically pleasing

Question 6

What are the three components of a bandage?

Answer 6

primary contact layer
secondary layer
tertiary layer

Question 7

What is the role of the primary layer

Answer 7

dressing

Question 8

What is the role of the secondary layers?

Answer 8

padding

absorption

Question 9

What is the role of the tertiary layer?

Answer 9

occlusive

Question 10

What are the different features that you want out of the primary layer?

Answer 10

1. sterile
2, maintain wound contact
3. conduct exudate (capillary)
4. adherent or non-adherent
5. occlusive or nonocclusive--nonocclusive better!

Question 11

What are the different types of adherent bandages?

Answer 11

dry to dry
wet to dry
wet to wet

Question 12

What is the most aggresive adherent bandage?

Answer 12

dry to dry

Question 13

What is the least aggressive adherent bandage?

Answer 13

wet to wet

Question 14

What is the role of dry to dry dresssings?

Answer 14

it is debriding dressing

1. open weave
2. remove exudate
3. remove dead tissue
4. remove superficial granulation tissue–good b/4 graft

Question 15

What is the role of dry to dry dresssings?

Answer 15

it is debriding dressing

1. open weave
2. remove exudate
3. remove dead tissue
4. remove superficial granulation tissue–good b/4 graft

Question 16

What is the role of wet to dry dressings?

Answer 16

1. debridement
2. reduces exudate viscosity–can liquefy insipated and dried exudate
3. enhanced capillary action
4. topical antibiotics–neomycin

for when the wound is starting to get cleaned up but there is still a lot of exudate

Question 17

What is the role of wet to wet dressings?

Answer 17

1. minimal debridement
2. enhanced capillary action
3. minimal adherence
4. high lfuid producing wounds

when get to the poiint where the wound is health, can do this–good for actively serous producing wounds, doesn’t pull granulation tissue off

Question 18

What is the role of nonadherent dressings?

Answer 18

1. gentle on tissue

Question 19

What are the types of non-adherent dressings? (occlusve etc)

Answer 19

1. occlusive
2. semi-occlusive
3. non-occlusive

Question 20

What are three types of non-adherent dressing (primary layer?)

Answer 20

1. petrolatum impregnated
2. tefla
3. polyethylene glycol

Question 21

What is the role of the secondary layer of a bandage?

Answer 21

1. absorption
2. pressure distribution
3. support

Question 22

What is the classic material for the secondary layer in large animal?

Answer 22

cotton

Question 23

What is the role of the tertiary layer?

Answer 23

1. pressure application

2. protection from the elements

Question 24

What are some materials used in the tertiary layer?

Answer 24

vetwrap

elastiplast

Question 25

How long is pressure present without elastics? with eleastics?

Question 26

what is tie over bandage/stent bandage?

Answer 26

do on places of body wehre hard to bandage. suture bandage on/suture loops and then lace loops together over the bandage and fix with umbilical tape

Question 27

What is a vacume bandage?

Answer 27

a suction apparatus with cotton dressing, catheteri, steridrape. suck drape down. good for trying to get graft to take

Question 28

why don't you put tape on tape?

Answer 28

could create a constricting band