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Chapter 10 Bandaging Wounds

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Bandaging Wounds

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Chapter 10 Bandaging Wounds

  1. 1. Chapter 10 Bandaging Wounds
  2. 2. Dressings (1 of 2) • A dressing covers an open wound and touches the wound. • Whenever possible, a dressing should be: • Sterile • Larger than the wound • Thick, soft, and compressible • Lint free
  3. 3. Dressings (2 of 2) • Purpose of a dressing: • Control bleeding • Prevent infection and contamination • Absorb blood and drainage • Protect wound
  4. 4. Types of Dressings (1 of 2) • Gauze pads • For small wounds
  5. 5. Types of Dressings (2 of 2) • Adhesive strips • Small cuts and abrasions • Trauma dressings • Large, thick, absorbent
  6. 6. Improvised Dressings • Should be: • Clean • Absorbent • Soft • As free of lint as possible
  7. 7. Applying a Sterile Dressing • Wash hands and wear exam gloves. • Hold dressing by one corner and place over wound. • Do not slide over wound. • Do not touch dressing. • Cover with bandage.
  8. 8. Bandages (1 of 2) • Should be clean but need not be sterile • Can be used to: • Hold a dressing in place • Apply direct pressure • Prevent or reduce swelling • Provide support and stability for an extremity or joint
  9. 9. Bandages (2 of 2) • Signs that a bandage may be too tight: • Blue tinge on fingernails or toenails • Blue or pale skin color • Tingling, loss of sensation • Coldness • Inability to move fingers or toes • Inability to feel a pulse that could previously be felt
  10. 10. Types of Bandages (1 of 3) • Roller bandages • Various widths, lengths, and types of material • Self-adhering, conforming bandages • Elastic, gauzelike
  11. 11. Types of Bandages (2 of 3) • Gauze rollers • Nonelastic cotton • Elastic roller bandages • Provide compression
  12. 12. Types of Bandages (3 of 3) • Triangular bandages • Slings • Cravats • Adhesive tape and strips
  13. 13. Applying a Cravat Bandage to the Head (1 of 2) • Place middle of bandage over the dressing and wrap around the head.
  14. 14. Applying a Cravat Bandage to the Head (2 of 2) • Cross the two ends snugly. • Bring ends back around and tie knot.
  15. 15. Applying a Cravat Bandage to the Arm or Leg (1 of 2) • Wrap center of bandage over the dressing.
  16. 16. Applying a Cravat Bandage to the Arm or Leg (2 of 2) • Turn one end going up the extremity and the other end going down. • Tie bandage over dressing.
  17. 17. Applying a Cravat Bandage to Palm of Hand (1 of 2) • Fill palm with bulky dressing or pad, and close fingers. • Wrap one end around fingers, other around wrist.
  18. 18. Applying a Cravat Bandage to Palm of Hand (2 of 2) • Wrap bandage, crossing over fingers and around wrist. • Tie bandage at the wrist.
  19. 19. Applying a Roller Bandage Spiral Method (1 of 2) • Make two straight, anchoring turns.
  20. 20. Applying a Roller Bandage Spiral Method (2 of 2) • Make overlapping crisscross turns. • Finish with two straight turns and secure.
  21. 21. Applying a Roller Bandage Figure-Eight Method (1 of 7) • For elbow or knee: • Make two straight turns over joint. • Make one turn above joint, overlapping the first turn.
  22. 22. Applying a Roller Bandage Figure-Eight Method (2 of 7) • For elbow or knee (cont’d): • Make one turn below joint, overlapping first straight turn. • Continue alternating turns.
  23. 23. Applying a Roller Bandage Figure-Eight Method (3 of 7) • For elbow or knee (cont’d): • Finish with two straight turns to secure end.
  24. 24. Applying a Roller Bandage Figure-Eight Method (4 of 7) • For hand: • Make two straight turns around palm. • Carry bandage diagonally across back of hand, around wrist, and back across palm.
  25. 25. Applying a Roller Bandage Figure-Eight Method (5 of 7) • For hand (cont’d): • Make several figure-eight turns, overlapping each. • Finish with two straight turns around wrist; secure end.
  26. 26. Applying a Roller Bandage Figure-Eight Method (6 of 7) • For ankle: • Make two straight turns around instep. • Make figure-eight turn across front of foot, around ankle, and under arch.
  27. 27. Applying a Roller Bandage Figure-Eight Method (7 of 7) • For ankle (cont’d): • Make several figure-eight turns, overlapping each turn and advancing up the leg. • Finish with two straight turns around leg; secure end.
  28. 28. Securing Bandages (1 of 5) • Adhesive tape • Safety pins • Clips provided with bandage
  29. 29. Securing Bandages (2 of 5) • Loop method: • Reverse direction of tape by looping around thumb or finger and work backward.
  30. 30. Securing Bandages (3 of 5) • Loop method (cont’d): • Encircle body part with the looped and free ends and tie ends together.
  31. 31. Securing Bandages (4 of 5) • Split-tail method: • Split end of bandage lengthwise. • Knot to prevent further splitting.
  32. 32. Securing Bandages (5 of 5) • Split-tail method (cont’d): • Pass ends in opposite directions around body part and tie.
  33. 33. Applying an Adhesive Strip • Remove wrapping, and hold by protective strips. • Peel back protective strips, and place on wound. • Pull away protective strips, and press ends and edges down.

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