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wound care
an essential part of management with great potential to impact the duration and extent of a patient recovery from surgery or traumatic injury.
Bandaging
is one of the most important techniques in giving first aid to anyone.
bandages
great for providing an environment which supports wound healing, as well as protection for the wound from contamination and flies, absorption of wound discharge, and reduction of limb swelling and limb movement.
1
Make sure the person is comfortable and tell them what you’re doing 2
2
work from the side of the injury so you do not have to lean across their body.
3
keep the injured part of the body supported in the position it will be in when the bandage is on
4
use the right size bandage_ different parts of the body need different widths of bandage to securely cover the injury.
5
avoid covering fingers or toes when bandaging a limb so you can easily xhexk the circulation
6
apply the bandage firmly, but not tightly and secure the end by folding it over and tying a knot in the end. you can also use a safety pin, tape or a bandage clip.
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as soon as the bandage is on, ask if it feels to tight and check the circulation by pressing on a fingernail or a piece of skin until it turns purple. if the color does not return straight away, the bandage may be too tight. limbs can swell up after an injury, s check the circulation every 10 minutes after you have put the bandage on.
triangular, crape, gauze, adhesive, special bandage
type of bandages
Roller bandages
are long strips of material. Basically there are two types of roller bandages
elastic roller bandage
is used to apply support to a strain or sprain and is wrapped around the joint or limb many times. It should be applied firmly, but not tightly enough to reduce circulation.
Cotton or linen roller bandages
are used to cover gauze dressings. They come in many different widths and are held in place with tape, clips or pins.
Tubular bandages
are used on fingers and toes because those areas are difficult to bandage with gauze. They can also be used to keep dressings in place on parts of the body with lots of movement, such as the elbow or knee.
Triangular bandages
are made of cotton or disposable paper. They have a variety of uses
circular, spiral, figure of eight, recurrent, and reverse spiral
basic bandaging forms
Circular bandaging
is used to hold dressings on body parts such as arms, legs, chest or abdomen or for starting others bandaging techiques.
spiral bandaging
are usually used for cylindrical parts of the body. An elasticated bandage can also be used to apply ——— ———-to a tapered body part. Despite the increasing diameter of the body part, the elasticity will allow the bandage to fit closely to the skin.
Figure-of-eight bandage
involves two turns, with the strips of bandage crossing each other at the side where the joint flexes or extends. It is usually used to bind a flexing joint or body part below and above the joint.
Recurrent bandaging
is used for blunt body parts consists partly of recurrent turns. The bandage is applied repeatedly from one side across the top to the other side of the blunt body part. To be able to fix the recurrent turns well, not only the wound, but the entire length of the blunt body part should be covered. Depending on the width of the bandage and the body part, successive turns either cover the preceding turn fully or partially.
Reverse spiral bandage
is a spiral bandage where the bandage is folded back on itself by 180° after each turn. This V-shaped fold allows the bandage to fit to the tapered shape of the body part all the way along. This type of bandaging is required when using non-elasticated bandages. The development of elasticated fixing bandages, which are applied to tapered body parts using the spiral technique, means that the reverse spiral technique is far less commonly used nowadays.
gauze or a flex roller
use this for for bleeding injuries of the forearm, upper arm, thigh, and lower leg.
flexible roller bandage
use this for bleeding injuries of the hand, wrist, elbow, shoulder, knee, ankle, and foot.
elastic roller bandage
use this for amputations, arterial bleeding and sprains.
50 mm
appropriate width of bandage for hand and fingers
75 mm
appropriate width of bandage loer arm, elbow , hand and foot
100 mm
appropriate width of bandage upper arm, knee, and lower leg
150 MM
appropriate width of bandage for large leg and trunk.
circular wrap
type of wrapping to end other bandage patterns, such as a pressure bandage, or to cover small dressings
spiral wrap
use this for a large cylindrical area such as a forearm, upper arm, calf, thigh. The spiral wrap is used to cover an area larger than a circular wrap can cover
spiral reverse wrap
use this to cover small to large conical areas, for example, from ankle to knee
figure of eight wrap
use this wrap to support or limit joint movemen ankle, or foot
spica wrap
use this wrap (same as the figure eight wrap) to cover a much larger area such as the hip or shoulder
recurrent wrap
use this for for anchoring a dressing on fingers, the head, or on a stump
Donut Bandage
is used to put pressure around an impaled object without putting pressure on the object itself.