Bandaging Material

The _____ or ____ layer is applied _____ to the skin surface. it covers the wound to prevent further _______ and can hold any ______ ________ in place

The primary or contact layer is applied directly to skin surface. it covers the wound to prevent further contamination and can hold any topical medications in place

The ____ or ____ layer absorbs wound _________ , provides padding to _________, support and __________ the wound, and protects ______ ______.

The secondary or absorbant layer absorbs wound exudate, provides padding to cushion, support and compress the wound and protects bony prominences.

The ____ or _____ layer protects the bandage from the ______ ______, holds the ____ in place and ______ the area

The tertiary or supportive layer protects the bandage from the external environment, holds the bandage in place. and immobilizes the area.

The Tefla pad is a dressing that provides ______ healing environment without _____ to the wound. Non-adherence ____________ insult to the healing tissue during bandage changes. This dressing is a common go-to-dressing for ________ and ______ incisions.

________ Layer.

The tefla pad is a dressing that provides a moist healing environment without adhering to the wound. Non-adherence increases insult to the healing tissue during bandages changes. This dressing is a common go-to- dressing for wounds and surgical incisions.

Primary Layer.

Sodium Chloride dressing is a __________ ________ dressing designed to promote healing in __________ ________ or ________ wounds. The primary layer provides debridement with osmotic action while leaving the wound moist.

________ Layer.

Sodium Chloride dressing is a hypertonic saline dressing designed to promote healing in necrotic draining or infected wounds. The primary layer provides debridement with osmotic action while leaving the wound moist.

Primary Layer.

Zinc Calcium Alginate dressings are designed to react with _____ in wounds to create an ionic exchange and jump start the __________ process. The dressing absorbs ______ its weight in exudate.

________ Layer.

Zinc Calcium Alginate Dressings are designed to react with sodium in wounds to create an ionic exchange and jump start the epithelialization process. The dressing absorbs 20x its weight in exudate.

Primary Layer.

Silvasorb dressing features a ______ sheet which releases ___________ __________. the cavity dressing is ____ % water and can absorb up to ____ its weight in fluid.

________ Layer

Silvasorb dressing features a hydrogel sheet which releases antimicrobial silver. The cavity dressing is 20% water and can absorb up to 5 times its weight in fluid.

Primary Layer.

Kendall Foam Dressing is an ultra soft ______ foam that absorbs wound fluids, _____ and ______ wounds. Small pores limit migration of cells into foam.

___________ Layer.

Kendall foam dressing is an ultra soft hydrophillic foam that absorbs wound fluids, protects and cushions wounds. Small pores limit migration of cells into foam.

Primary Layer.

Bioclusive transparent dressing is a self- adhesive, ______-______ dressing with a ________ film coating. Used on wounds with ________ or ______ exudate. Transparency allows inspection of wound.

_______ Layer.

Bioclusive Transparent Dressing is a self-adhesive, semi-permeable dressing with a polyurethane film coating. Used on wounds with little or no exudate. Transparency allows inspection of wound.

Primary Layer

Kerlix AMD is a woven ______ roll that contains ______, a broad spectrum antiseptic against gram + and - bacteria, incuding multi resistant strains such as ____. Can be used as a ____ or ___ layer. When used as a ____ layer, it will _____ to the wound and provide ________ upon removal.

Kerlix AMD is a woven gauze roll that contains PHMB, a broad spectrum antiseptic against gram + and - bacteria including multi resistant strains such as MRSA. Can be used as a primary or secondary layer. When used as a primary layer, it will adhere to the wound and provide debridement upon removal.

Abdominal pads consist of a soft outer _______ layer and a _____ filler to absorb fluid. All four edges are ____ to prevent lint residue and leaking. Can be used as __________or ________ layer.

Abdominal pads consist of a soft outer nonwoven layer and a cotton filler to absorb fluid. All four edges are sealed to prevent lint residue and leaking. Can be used as a primary or secondary layer.

Gauze sponges are 100% ______ woven. Most often are used as a ____ layer but can be used as a ____ layer if ____________ and _________ of wound upon bandage change is desired. Often times used to _____ wounds during bandage changes.

Gauze sponges are 100% woven. Most often are used as a secondary layer but can be used as a primary layer if adherence and debridement of wound upon bandage change is desired. Often times used to clean wounds during bandage changes.

I

Cushioned with small pores

D

Use with no exudate

H

Use for debridement

B

Gram +, -, MRSA

G

Contains silver

C

Promotes replacement of epithelial cells

C, E, F, G

Use if high exudate

A

Non-Adherent, maintains moist wound environment

Roll cotton is an _______ rolled cotton padding. It is highly _____ and has the ability to _____ and ____ to the body. It can be easily ____ into smaller sizes. It provides ______ and ability to _____ fluid in the secondary layer.

________ Layer.

Roll cotton is an autoclavable rolled cotton padding. It is highly absorbable and has the ability to shape and cling to the body. It can be easily torn into smaller sizes. It provides padding and ability to absorb fluid in a secondary layer.

Secondary Layer.

Non- Sterile sheet cotton is useful for ______ on limbs. It should not be placed against _____ _____, as it is not sterile and slightly abrasive. it provides protective _____ and _______ and is very ______. Because it is slightly stiffer than the rolled cotton ir provides more ________.

________ Layer.

Non sterile sheet cotton is useful for padding on limbs. It should not be placed against open wounds, as it is not sterile and slightly abrasive. it provides protective padding and support and is very absorbable. Because it is slightly stiffer than the rolled cotton, it provides more immobilization.

Secondary Layer

Cast padding provides _____ between the skin and ______ part of casts. It absorbs _______ and allows skin to _______. It prevents _____ and ______. This product is not very elastic and makes alot of _____ in areas uneven in _____, like ________. It is also commonly used to secure _____ layers in bandages as it is not very _______.

________ Layer.

Cast padding provides cushion between skin and fiberglass part of casts. It absorbs moisture and allows skin to breathe. It prevent sores and chafing. This product is not very elastic and makes alot of folds in areas uneven in diameter, like joints. It is also commonly used to secure primary layers as it is not very abrasive.

Secondary layer.

Another type of cast padding is called _______. It is more ______ and _____ than the cast padding. It ____ _____ meaning it clings to itself to create a __________ surface underneath a cast and does not ________ on itself.

________ Layer.

Another type of cast padding is called specialist. It is more elastic and conforming than the cast padding. It self bonds meaning it clings to itself to create a smooth surface underneath a cast and does not fold on itself.

Secondary layer.

Rolled gauzes are used as a ______ or _______ layer and are made of loosely woven cotton (_____ or _____ ______) or cotton polyester (________ or ________ ________) which clings to itself. ______ _____has moderate stretch and is usually ____ abrasive than cling gauze.

They are ideal for holding ______ or ______ padding in place. Can also be a ____ layer but primarily a tertiary layer.

Rolled gauzes are used as secondary or tertiary layers and are made of loosely woven cotton (cling or cling gauze) or cotton polyester (conform or conforming gauze) which clings to itself. Conforming gauze has moderate stretch and usually less abrasive than cling gauze.

They are are ideal for holding sponges or cotton padding in place. Can also be a secondary layer but primarily a tertiary layer.

What is the purpose of the secondary layer?

The secondary layer absorbs exudate, compresses wound, and provides protection for both the wound and surrounding tissue.

Which secondary bandage materials would work best to protect bony protuberances?

We often pad _____ the protuberance not ____ it to prevent pressure sores by redistributing the pressure from the bandage.

Any of the cotton paddings would work well.

We often pad around the protuberance not over it to prevent pressure sores by redistributing the pressure from the bandage.

What secondary layer bandaging material would you use if you were trying to create a layer to specifically prevent the spread of gram+ bacteria from a traumatic, infected wound to a sterile surgical site nearby?

Kerlix AMD will decrease bacteria from being able to spread to sterile surgical incision.

Vet Wrap is a ____-_____ bandage with ____ quality which provides pressure and ___ support. It is typically used over _____ such as _____ or ______ pads and in that case it can be pulled tight. Sometimes it is also used be _____ on skin to secure an _____ _____ in dogs, in this case cannot be pulled ______.

___________ bandage.

Vet wrap is a self adherent bandage with elastic wuality which provides pressure and firm support. It is typically used over padding such as cotton or gauze pads, and in that case it can be pulled tight. Sometimes it can also be used directly on skin to secure IV catheter in dogs in this case it cannot be pulled tight.

Tertiary bandage.

White tape has a ______ cloth backing and rubber based _____. It is also known as ____ tape. It is used for almost _____ in vetmed. In humans it is used where _____ _____ is required.

___________ bandage.

White tape has a cotton cloth backing and rubber based adhesive. It is also known as athletic tape and is used for almost anything in vet med. In humans it is used where rigid taping is required.

Tertiary bandage.

Elastikon is an ______ tape which ______ around ______ to bandage areas. It can be used to keep a ____ layer in place (no______ applied) but most commonly it is used to maintain ____ around the _____ bandage. It is also used to secure ________ over a bandage.

Elastikon is an elastic tape which molds around hard to bandage areas. It can be used to keep a primary layer in place (no pressure applied) but most commonly it is used to maintain pressure around the secondary bandage. It is also used to secure splints over a bandage.

Tegaderm film is a transparent, ________ (made from _____ plastic) wound _______ which can be used to cover and _______ dressings or wounds or can cover ______ sites. It is not ______ but conforms to skin.

Tegaderm film is a transparent, occlusive (made from impermeable plastic) wound cover which can be used to cover and protect dressings for wounds or cover catheter sites. It is not breathable but conforms to skin.

Ioban is an ______, _______-impregnated wound or surgery site cover that slowly releases _______ onto the skin and provides continous broad spectrum _______activity. It can provide a sterile _______ field surrounding a _______ site or it can be used as a _______ layer.

To assure _______ to the skin, an additional _______ is applied to skin first. Dont leave in place for a _______ _________ or it will be _______to get off.

Ioban is an adhesive, iodine -impregnated wound or surgery site cover that slowly releases iodine onto the skin and provides continuous broad spectrum antimicrobial activity. It can provide a sterile working field surrounding a surgical site or it can be used as a tertiary layer.

To assure adherence to the skin, an additional adhesive is applied to skin first. Dont leave in place for a long time or it will be hard to get off.

Left- Cling

Right-Conforming

Which is cling gauze which is conforming gauze?

F

Elastikon

I

Used almost for anything in vet med

D

Best used as a primary layer

B

Vet wrap

H

Cotton Cling

G

Cushioned primary bandage

E

More elastic than cotton cling

C

Used inside a cast

A

Often used with IVs

B (E, F, H, I also!)

Dont pull tight when no padding is used underneath.

Surgicel is ______ regenerated _______ used for _________. It is used to control bleeding when ________ or other conventional methods are ______. It is ___ based.

Surgicel is oxidized regenerated cellulose used for hemostasis.It is used to control bleeding when ligation or other conventional methods are impractical. It is plant based.

Vetspon are _____, water ______ porcine _____ sponges used for ______. they are malleable and applied to control ____ bleeds during _____. Gelatin is more effective at inducing clots than _______.

Vetspon are absorbable, water insoluble porcine gelatin sponges used for hemostasis. They are malleable and applied to control oozing bleeds during surgery.

Gelatin is more effective at inducing clots than cellulose.

Ultrafoam collagen sponges enhance _____ _______ and the release of _____ which accelerate _____ formation. They are made of soft and absorbable _________ and are used to maintain hemostasis. Collagen is more effective at inducing ____ than gelatin or cellulose.

Ultrafoam collagen sponges enhance platelet aggregation and the release of proteins which accelerate clot formation. They are made of soft and absorbable collagen and are used to maintain hemostasis.

List the three sponges used to control bleeding and the composition.

Surgicel-Cellulose

Vetspon-Porcine gelatin

Ultrafoam- Collagen

List hemostatic sponge composition in order of effectiveness

Cellulose< Gelatin < Collagen

What is the purpose of the primary bandage layer?

Primary or contact layers provide a desirable wound environment. They can contain or hold wound medications in contact with the wound .

Give examples of tertiary bandage layers.

Cling/Brown gauze. Conforming gauze, vet wrap, elastikon, Ioban, Tegaderm.