Large Animal Bandaging
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What are some indications for bandaging a large animal patient?
- support, even to a non-affected limb potentially
- immobilization - especially with casting
A _____ bandage is worse than no bandage at all.
What is the most common mistakes when bandaging and how do we avoid this?
- pressure points
- avoid wrinkles, excessive or uneven pressure, wadding, etc.
What is the average cost for a lower leg bandage?
How should we always wrap?
- around the backside towards the midine or as to pull the flexor tendons towards the midline
- start in the middle, go down, then back up to the tow
- wrap each layer in the same direction
- overlap each round 50%
On average, how often should we change a bandage?
- q12-24 hours with early wounds that have a large amounts of exudate
- q2-3 days otherwise or without support wraps
Horses produce excessive granulation tissue called _____.
What are the ideal bandage layers?
- sterile layer
- absorptive, protective, padding layer
- over wrap layer
Describe the sterile layer.
- non-stick (Telfa pad)
- antimicrobial or debriding agent
- light covering of roll gauze (Conform) - only serves to hold sterile layer in place
What are some examples of antimicrobials we can use for the sterile layer of padding?
- triple antibiotic
- silver sulfadiazine (SSD)
- povidine ointment
What are some examples of debriding agents we can use for the sterile layer?
- hypertonic saline gauze (Curasalt)
- calcium/zinc pad (Curasorb)
- activated carbon gauze
What are the purposes for the absorptive, protective layer? What is this layer held in place with?
- wicks exudate away from the wound
- protects the affected area
- provides support to the affected area
- allows pressure to be applied safely with the over wrap layer
- held in place with roll gauze
What are some materials we can use for the absorptive, protective layer of bandaging?
- cotton sheeting
- roll cotton
- military field bandage
- quilted wraps (cast padding often used in bandages with limited padding)
What is the over wrap layer?
- secures the bandage in place
- also serves as a protective function from the "elements" for the bandage and the animal
What are some materials we can use for the over wrap layer?
- duct tape
- additional elasticon at top under no tension provides positional security and eliminates debris
What are some common bandages?
- lower limb
- robert jones
- nect wrap
What is a foot bandaged used to treat?
subsolar abscesses and puncture wondes
What structure do we need to avoid pressure to when placing a foot bandage and how do we do this?
- avoid pressure to coronary band
- either extend bandage to fetlock or stop below coronary band and secure to hoof wall
What kind of wrap is important to use for a foot bandage?
waterproof over wrap
What makes a great protective/absorptive layer for a foot bandage?
small baby diapers
What is a fetlock bandage indicated for?
What is the most common bandage used for anything below the carpus/tarsus not including the foot?
lower limb bandage
Where to we place the lower limb bandage?
extends from just below carpus/tarsus to the foot
What support does the lower limb bandage provide?
provides support to collateral structures and keeps swelling down
What kind of pattern do we use when bandaging the carpal/tarsal and what does this prevent?
use a figure 8 pattern to prevent undue pressure to carpal and tarsal bone
What is the robert jones bandage?
full limb bandage
What is the robert jones bandage indicated for?
extensive wounds (especially if high on limb) and to provide immobilization for fractures
Which limb is it easier to place a robert jones bandage?
What do we use neck wraps for?
catheters or potentially wounds
Are we concerned about pressure when applying neck wraps?
not as much concern with pressure as with limbs
What kind of wrap do we use for neck wraps?
telfa +/- antimicrobial, pad of gauze, roll gauze and over wrap
What kind of bandage is unique in bovine? What does it do?
- claw block
- removes weight bearing from problem claw...also helps decrease contamination of site and is glued in place
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