bandaging

use to remove necrotic tissue and exudate when removed

◦Usually sterile gauze, used in early stages of wound healing

Adherent

◦Gauze place over wound with an absorbent wrap holding in place

Removal painful because dead tissue is adhered to the bandage

Dry-to-dry dressings are used when loose necrotic tissue is evident

◦Applied wet, absorbs the material from the wound

◦Saline or chlorhexidine can be used to moisten bandage

Wet-to-dry dressings are used for wounds with dried exudates

Wet-to-wet dressing are used on wounds with large amounts of exudate

◦Absorb fluid easily, can be used to heat wound which enhances capillary action

◦Removed wet and cause less pain

◦Negative aspect, there is little wound debridement because decrease adhesion to necrotic tissue

A ___________ is in direct contact with the wound bed but does not firmly adhere to it. It is imperative to use a nonadherent primary layer once granulation tissue has formed or epithelialization has begun.

nonadherent primary layer

◦Used when granulation tissue is starting to form

◦Minimize injury during bandage change

◦Moisture retaining bandages maintain a warm and moist environment

◦Improve epithelization and assist in debridement

◦Commercial products on the market

Nonadherent bandages

◦Provides extra absorbency to draw fluids away from the wound and adds padding for support

◦Generally gauze bandaging is used, Kling

Secondary layer

◦Holds primary and secondary layers in place

◦Generally made up of adhesive tape, elastic bandages, Vetrap and a conforming stretch gauze

Tertiary layer

Reasons for bandaging

◦Post ocular surgery

◦Repair of an aural hematoma

◦Ear surgery

◦Secure a jugular catheter or pharyngostomy tube

Head and Neck

Reasons

◦Secure gastrostomy tube

◦Radical mastectomy

◦Extensive wounds or dissection of the abdominal region

abdomen

__________ can be used to temporarily immobilize limbs distal to the elbow or stifle joint. This bandage relies on an extremely thick secondary layer such as cast padding or cotton.

The Robert Jones bandage

___________ uses a much thinner secondary layer and often is referred to as a soft-padded bandage

The modified Robert Jones bandage•Distal limb bandages are often used to protect wounds and to stabilize bone or joint injuries. Splints, casts, and slings are used to provide further stability to orthopedic injuries or to prevent weight bearing.

___________are often used to protect wounds and to stabilize bone or joint injuries. Splints, casts, and slings are used to provide further stability to orthopedic injuries or to prevent weight bearing.

Distal limb bandages

This bandage relies on an extremely thick secondary layer such as cast padding or cotton.

The Robert Jones bandage

Reason

◦Immobilization of fractures

◦Wound protection

◦Stabilization for fluid therapy

limbs

Reason for bandaging

◦Secure chest drains

◦Protect large thoracic wounds

◦Spinal surgery

Thorax

______________ is in direct contact with the wound bed but does not firmly adhere to it. It is imperative to use a nonadherent primary layer once granulation tissue has formed or epithelialization has begun.

A nonadherent primary layer

use of sugar and honey

decreases swelling

help with wound healing

Precautions

◦If respiration becomes impaired, bandage should be removed or cut to loosen immediately

thorax

Dyspnea

trouble breathing

apnea

no brearthing

Tachypnea

fast breathing

bradypnea

slow breathing

orthopnea

difficulty breathing when lying down

Precautions

◦Careful not to incorporate the prepuce in male dogs

◦Should be kept clean and dry from urine and feces

abdomen

Dehiscence

Bursting open of a wound, especially a surgical abdominal wound

modified robert jones is basically

shanz soft padded bandage

spica splint

semi-rigid splint bandage that immobilizes the elbow or shoulder.

◦Non weight bearing sling type bandage to support the shoulder joint after surgery

◦Velpeau Sling

◦Non weight bearing sling type bandage used to support the hind limb after reduction of hip luxation

◦Ehmer Sling

◦Can be applied to hind limbs to prevent excessive abduction after hip luxation reduction

hobbles