Handle Wounds & Bandage Basics

Card Set Information

Handle Wounds & Bandage Basics
2015-10-26 20:21:05
NDSU Vet vettech CT
CT&I 2015
1st/2nd/3rd intention healing and Bandaging basics such as what they do, considerations, and prepping
Show Answers:

  1. What does bandage protection do?
    protect the wound from trauma or contamination
  2. What does absorption do as a primary function of a bandage
    acts as a passage way and storage for sound drainage
  3. What are some types of wound drainage?
    • Blood
    • Serum
    • Purulent debris (pus)
    • necrotic tissue
  4. What does support do for a primary function of a bandage?
    • immobilize wound
    • allows for stress free healing
    • reduces pain
  5. 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.
  6. What does Pressure (a primary bandage function) do for wounds?
    • Controls hemorrhage
    • reduces dead space where transudate can collect
    • decreases hematoma formation
  7. What should you be careful about pressure?
    Cut off important circulation
  8. What should you always use when applying presser in a bandage?
    materials that have a 2 way stretch
  9. What is Debridement?
    removal of exudate & necrotic tissue
  10. How does self mutilation of a bandage might alert you of?
    • misplacement of bandage
    • animal will need a e-coller
  11. When bandaging, when do we pack a wound?
    • when there is a deep or infected wound
    • pack with gauze soaked in antiseptic
  12. How can Packing a wound interfere with healing?
    • won't allow skin to heal upwards correctly
    • needs to be removed at correct stages
  13. What are the 8 primary functions of a bandage?
    • Protection
    • Absorption
    • Support
    • Secure a Dressing
    • Pressure
    • Debridement
    • Discourage self mutilation
    • Packing
  14. What are the four big considerations when applying a bandage?
    • Appropriate material
    • Smoothness
    • Tightness
    • Owner Instruction
  15. Why is duct tape both good and bad?
    • Can keep moisture out (good)
    • Can trap moisture inside (bad)
  16. What happens is a bandage is to tight?
    • causes a tourniquet effect
    • cause swelling, gangrene, loss of limb
  17. Why is smoothness of a bandage important?
    to not irritate the skin or cause a lesion
  18. 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
  19. When should you choose an absorbent layer?
    • When exudate is present
    • change dressing as needed
  20. 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
  21. What is the main objective when prepping a wound for bandage?
    turn a contaminated site into a surgically clean site
  22. When cleaning (especially around a wound opening) what do you NOT want to do?
    add more debris to the wound
  23. 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
  24. What can you irrigate a wound with?
    • sterile saline
    • warm water
    • balanced electrolyte solution
  25. How many times can hydrogen peroxide be used?
    • 1 time
    • use to flush over wound
  26. What are some was of removing necrotic tissue forma  wound?
    • Surgical blade
    • dry to dry bandage
    • wet to dry bandage
  27. SHould debridement be preformed in an aseptic manner?
  28. What usually makes a wound look worse but helps aid in the healing process
  29. 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
  30. What is first intention healing?
    • Wound can be closed (primary closure)
    • can be closed w/ stitches or staples
    • No infectin
  31. When can sutures be removed?
    7-10 days
  32. What is second intention healing?
    • When wound edges can not close (open wound healing)
    • Can be open due to infection
  33. In 2nd intention when does healing start? When does wound contraction start?
    • Healing: 24 hrs
    • Contraction: 72 hrs
  34. When does 2nd intention healing stop?
    When edges meet
  35. 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
  36. Why would we have 3rd intension healing?
    when wound is infected with necrotic or contaminated tissue
  37. When do we close a 3r intension wound?
    after it is free of contaminated/necrotic tissue