Bandaging & Casting
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What is the advantage of a dry dressing? | show 🗑
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What bandaging material is most commonly used for a dry dressing? | show 🗑
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show | When a wound has a raw surface or is expected to have active drainage
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Why are frequent dressing changes not optimal? | show 🗑
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Under what conditions and for how long should post-op dressings be placed? | show 🗑
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What are the indications for Montgomery straps? | show 🗑
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How should adhesive tape (steri-strips) be applied and removed? | show 🗑
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show | Small lacerations, such as the scalp
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show | Tubular structures of changing diameter such as the calf or forearm
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show | No more than 24 hours, may result in skin maceration
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Which "support" material is the most versatile? | show 🗑
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show | For quick and initial mobilization of acute injuries, such as nondisplaced fractures and severe ankle sprains.
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show | Sump drains - attached to SUCTION
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show | 1. Free from dead tissue 2. Free and protected from infection 3. Moist at the wound surface (but not wet)
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What are the signs of an infected wound? | show 🗑
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In comparing plaster vs. synthetic casting material, which is: 1. cheaper 2. stronger 3. more water resistant 4. quicker to dry | show 🗑
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show | Allows for significant swelling and immobilization prior to application of a cast
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What are the indications for the following splints: 1. thumb spica 2. ulnar gutter 3. radial gutter 4. upper extremity posterior splints 5. lower extremity posterior splints | show 🗑
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What are the indications for the use of cast braces? | show 🗑
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show | 1. Stockinette 2. Webril (soft cotton roll) - tow to three layers, more over bony prominences 3. Plaster or fiberglalss bandages
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Name the pre and post splint checks | show 🗑
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What are common complications associated with casting? 1-3 | show 🗑
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show | 4. Nerve palsy/vessel compromise - requires immediate bi-valve of the cast through all material 5. Diffuse osteoporosis 6. Joint stiffness 7. Dermatitis or loose-cast syndrome
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