Handle Wounds & Bandage Basics
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What does bandage protection do?
protect the wound from trauma or contamination
What does absorption do as a primary function of a bandage
acts as a passage way and storage for sound drainage
What are some types of wound drainage?
- Purulent debris (pus)
- necrotic tissue
What does support do for a primary function of a bandage?
- immobilize wound
- allows for stress free healing
- reduces pain
How does a secure dressing do for wound healing?
Ensures contact to wound the antibiotics, poultices, or packing in deep wounds for the allotted treatment time.
What does Pressure (a primary bandage function) do for wounds?
- Controls hemorrhage
- reduces dead space where transudate can collect
- decreases hematoma formation
What should you be careful about pressure?
Cut off important circulation
What should you always use when applying presser in a bandage?
materials that have a 2 way stretch
What is Debridement?
removal of exudate & necrotic tissue
How does self mutilation of a bandage might alert you of?
- misplacement of bandage
- animal will need a e-coller
When bandaging, when do we pack a wound?
- when there is a deep or infected wound
- pack with gauze soaked in antiseptic
How can Packing a wound interfere with healing?
- won't allow skin to heal upwards correctly
- needs to be removed at correct stages
What are the 8 primary functions of a bandage?
- Secure a Dressing
- Discourage self mutilation
What are the four big considerations when applying a bandage?
- Appropriate material
- Owner Instruction
Why is duct tape both good and bad?
- Can keep moisture out (good)
- Can trap moisture inside (bad)
What happens is a bandage is to tight?
- causes a tourniquet effect
- cause swelling, gangrene, loss of limb
- CHECK IT OFTEN!
Why is smoothness of a bandage important?
to not irritate the skin or cause a lesion
What is the bandage material found in the middle of a band aid called? Whats it made of?
- A telfa pad
- cotton w/ a nonadhesive outer layer
When should you choose an absorbent layer?
- When exudate is present
- change dressing as needed
What is some information to include in your owner instruction?
- Basic care
- sign of bandage failure
- how to discourage chewing/licking
- how to remove or when to come back in
What is the main objective when prepping a wound for bandage?
turn a contaminated site into a surgically clean site
When cleaning (especially around a wound opening) what do you NOT want to do?
add more debris to the wound
What can you do to prevent more debris from getting in the wound while cleaning?
Add a water soluble lube to the wound so debris can easily wash out
What can you irrigate a wound with?
- sterile saline
- warm water
- balanced electrolyte solution
How many times can hydrogen peroxide be used?
- 1 time
- use to flush over wound
What are some was of removing necrotic tissue forma wound?
- Surgical blade
- dry to dry bandage
- wet to dry bandage
SHould debridement be preformed in an aseptic manner?
What usually makes a wound look worse but helps aid in the healing process
When wound closure is possible skin edges need to be clean as possible and fresh. WHat must you do?
- Wet can freshen edges
- Clean to lower chances of infection
- Clean with providone-iodine scrub
What is first intention healing?
- Wound can be closed (primary closure)
- can be closed w/ stitches or staples
- No infectin
When can sutures be removed?
What is second intention healing?
- When wound edges can not close (open wound healing)
- Can be open due to infection
In 2nd intention when does healing start? When does wound contraction start?
- Healing: 24 hrs
- Contraction: 72 hrs
When does 2nd intention healing stop?
When edges meet
What is 3rd intention healing
Delayed closure of primary skin layer to allow bottom layer to heal
3-6 days after cleaning and debridement but before granulation tissue forms
Why would we have 3rd intension healing?
when wound is infected with necrotic or contaminated tissue
When do we close a 3r intension wound?
after it is free of contaminated/necrotic tissue
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