stavljanje povoja i drenova
TRANSCRIPT
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Bandages and Drains
Mike Conzemius, DVM, PhD
Diplomate ACVS
Iowa State University
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Bandages Wound dressings
Padded/support bandages Robert Jones, bobby jones
Splints/Casts
Spica
full cast, half cast, metal rod reinforced bandage
Slings Velpeau, Ehmer, Hobbles, Robinson
Pressure bandages
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Wound Dressings contact layer
adherent dry to dry; wet to dry; wet to wet
nonadherent
semiocclusive or occlusive
padding layer
absorption of fluid, secure contact layer,obliterate dead space
support layer
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Bandage Principles
stirrups leave access to two toes
distal to proximal even amount of padding
even tension when applying supportlayer
bandage care
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Padded/Support Bandages
immobilization of fractures prior to surgery reduction of postoperative edema
Robert Jones Bandage heavily padded with cotton
immobilization at or below elbow or knee
Spica splint
immobilization above elbow or knee
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Full Cast
Cut before finishing
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Robert Jones
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Robert Jones Bandage
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Spica Splint
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Pressure Bandages
control hemorrhage, edema, deadspace
apply from distal to proximal
apply evenly
leave access to tips of toes
12-24 hours, 30-50 mmHg
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Tourniquet
Start distal
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Slings Velpeau Sling
forelimb immobilization scapular fracture
Ehmer Sling
hindlimb immobilization
craniodorsal hip luxation
Robinson sling hindlimb not weight bearing sling
Hobbles
ventral hip luxation
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Bandage Care
check toes BID; change if swollen or cold
keep clean and dry; change if wet
change if odor develops
change if patient traumatizes bandage change if patient anorexic, depressed, fever
change if limb function worsens change every two weeks
every patient/owner gets written instructions
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Drains
eliminate dead space open fracture
eliminate established collection of fluid or gas
peritonitis, pleuritis
prophylactic elimination of fluid or gas that
may form for contaminated procedures
total ear canal ablation
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Drain Classification
passive drains fx by gravity, overflow
separate incision sites and through space
penrose, sump, triple lumen
active drains
apply negative pressure
open (pump) or closed (tube) suction
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