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Clinical Procedures2
Bandaging
| Question | Answer |
|---|---|
| What are the two main reasons bandages are applied? | cover soft tissue wounds and to stabilize a fracture |
| What are the three layers to a bandage? | primary, secondary, tertiary |
| What are some examples of the primary layer? | telfa pad, wet to dry gauze, dry to dry gauze, hydrogels, hydrocolloids, polyurethane film or foam, tegaderm, adaptic |
| What is the difference between an adherent primary layer and a nonadherent primary layer? | adherent primary helps with debridement of wounds while nonadherent primary is used when there is granulation tissue already forming |
| What is the main purpose of the secondary layer of a bandage? | absorbs and holds exudate and provides some immobilization and support |
| What is the main purpose of the tertiary layer of a bandage? | it is the outer, protective layer that keeps the other layers in place and is the layer that exerts the most pressure on the leg |
| What are examples of secondary layers of a bandage? | roll cotton or cast padding |
| What are examples of tertiary layers of a bandage? | vetrap, elastikon |
| What is the purpose for using a wet to dry bandage? | helps debride a wound, the moisture helps to dilute exudate and debris on the wound, and wicks it out to the dry gauze. Once the wet gauze dries it sticks to the wound and the bandage is changed and pulls off debris and dead skin |
| Which layer do we watch for strike-through? | tertiary-bandage has to be changed if this is seen |
| What direction should you put a bandage on an appendage? | distal to proximal |
| Which toes should we be able to see after putting a modified Robert jones on? | 3 & 4 |
| What are the first two pieces of tape called on a bandage? | stirrups |
| Distal limb bandages are not appropriate for fractures above the ___________ or the ___________. | elbow stifle |
| What is the difference in a Robert Jones bandage and a modified Robert Jones? | RJ has more padding |
| The prefabricated splints that we have in our program are called what? | spoon splints |
| On what sides of the limb are the stirrups placed? | medial and lateral |
| In what situations are spica splints used? | forelimb or pelvic limb with the limb extended, splint is on the lateral aspect of limb and curves over shoulder or pelvis; used mostly for dislocated elbows once they have been replaced to keep joint stable |
| Which sling is used when an animal has luxated hip replaced? | ehmer sling |
| Is the Velpeau sling used on the forelimb or pelvic limb? | forelimb |
| What does the Velpeau sling do? | keeps the leg in a non-weight bearing position to immobilize all of the joints of the leg; used most often for when the shoulder joint has been replaced after luxating |
| What can be used on the tip of a tail as part of a bandage? | syringe case |
| How can you tell if the bandage is too tight by looking at the toes? | If the bandage is too tight the toes will separate from each other, change colors, and if the bandage is wet at the toes from the animal licking or chewing at it. |
| What are some indications that a bandage is too tight or has slipped? | foul odor, increased lameness, biting at the limb |
| A cast is split on the ______________ and ________________ surfaces to prevent injury to flexor and extensor tendons with the cast saw. | medial lateral |
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spoitevint
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