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What are some indications for bandaging a large animal patient?
- wounds
- support, even to a non-affected limb potentially
- protection
- catheters
- immobilization - especially with casting
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A _____ bandage is worse than no bandage at all.
bad
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What is the most common mistakes when bandaging and how do we avoid this?
- pressure points
- avoid wrinkles, excessive or uneven pressure, wadding, etc.
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What is the average cost for a lower leg bandage?
$40
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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%
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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
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Horses produce excessive granulation tissue called _____.
proud flesh
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What are the ideal bandage layers?
- sterile layer
- absorptive, protective, padding layer
- over wrap layer
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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
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What are some examples of antimicrobials we can use for the sterile layer of padding?
- triple antibiotic
- silver sulfadiazine (SSD)
- nitrofurazone
- povidine ointment
- icthomol
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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
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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
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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)
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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
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What are some materials we can use for the over wrap layer?
- vetwrap
- coflex
- elasticon
- duct tape
- additional elasticon at top under no tension provides positional security and eliminates debris
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What are some common bandages?
- foot
- fetlock
- lower limb
- carpus
- tarsus
- robert jones
- nect wrap
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What is a foot bandaged used to treat?
subsolar abscesses and puncture wondes
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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
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What kind of wrap is important to use for a foot bandage?
waterproof over wrap
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What makes a great protective/absorptive layer for a foot bandage?
small baby diapers
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What is a fetlock bandage indicated for?
minor wounds
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What is the most common bandage used for anything below the carpus/tarsus not including the foot?
lower limb bandage
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Where to we place the lower limb bandage?
extends from just below carpus/tarsus to the foot
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What support does the lower limb bandage provide?
provides support to collateral structures and keeps swelling down
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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
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What is the robert jones bandage?
full limb bandage
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What is the robert jones bandage indicated for?
extensive wounds (especially if high on limb) and to provide immobilization for fractures
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Which limb is it easier to place a robert jones bandage?
front limb
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What do we use neck wraps for?
catheters or potentially wounds
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Are we concerned about pressure when applying neck wraps?
not as much concern with pressure as with limbs
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What kind of wrap do we use for neck wraps?
telfa +/- antimicrobial, pad of gauze, roll gauze and over wrap
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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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