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Bandaging Test
Chapter 19
96
Medical
Post-Graduate
04/04/2012

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Term
Abrasion
Definition
an injury caused by rubbing or scrapping off skin
Term
anaphylactic
Definition
a severe, rapid multisystem allergic reaction
Term
chemical
Definition
a simple or compound substance used in chemical process

acid or alkaline
Term
electrical
Definition
charged with electricity; run with electricity
Term
foreign (body)
Definition
anything normally not found in a location. Example: dirt, splinters, etc
Term
friction
Definition
resistance of one surface to the motion of another rubbing it

a brisk rubbing
Term
immobilize
Definition
to keep out of action/circulation; stationary
Term
incision
Definition
a cut; a smooth cut
Term
moltem
Definition
melted
Term
laceration
Definition
a cut or tare
Term
puncture
Definition
a hole made by something pointed
Term
recurrent
Definition
returning at intervals
Term
shock
Definition
pulse becomes rapid and weak, blood pressure drops, and patient is pale and clammy
Term
splinter
Definition
a thin sharp piece of wood
Term
thermal
Definition
characterized by heat; heat activated
Term
superficial
Definition
on the surface
Term
what is a bandage
Definition
a strip of woven material used to wrap or cover a part of the body
Term
what is the purpose of a bandage
Definition
to apply pressure to control bleeding; to protect a wound from contamination; to hold a dressing in place; or to protect, support, or immobilize an injured part of the body
Term
t/f

do not apply a bandage directly over an open wound
Definition
t. applied a sterile dressing first
Term
to prevent irritation, do not allow the surfaces of two parts of the body to touch
Definition
t. a piece of gauze should be inserted in between
Term
apply bandage from proximal to distal part of body to aid in the venous return of blood to heart

t/f
Definition
f.apply from distal to proximal
Term
parethesia definition
Definition
loss of sensation, hurts, tingling, like ants, burning, numbness, pricking...
Term
if possible, fingers and toes should not be exposed

t/f
Definition
f. should be exposed
Term
why does fingers and toes need to be exposed when bandaging
Definition
to check for signs of an impairment in circulation if needed
Term
signs that indicate bandage is too tight
Definition
numbness, coldness pallor, cyanosis of nailbeds, swelling, pain, or tingling sensations
Term
if a bandage roll is dropped during the procedure, is not necessary to replace it because patient's do this at home all the time.
Definition
f. it should be replaced. obtain a new bandage and begin again
Term
type of bandages

explain aech
Definition
roller(long and soft, made of sterile gauze). unexpensive

elastic (made of woven cotton containing elastic fiber. Ex: Ace bandage. expensive, but can be used again if washed

triangular (made of muslin. used as a sling to provide support & immobilization to injured arm
Term
cravat
Definition
formed by bringing the point of the triangular bandage to the center of its base and then folding bandage lengthwise one or more times until desied width.
Term
Kling gauze
Definition
special type of gauze that stretches. conforms better to the body part than regular gauze
Term
5 P's to check circulation
Definition
pain
pallor
pulse
paralysis
paresthesia
Term
Always check circulation ______ to bandage
Definition
distal
Term
ROLL OVER !!!

HINT HINT HINT
Definition
ROLL OVER

HINT HINT HINT
Term
the type of bandage turn used depends on
Definition
body part to be bandaged and whether the bandage is used to support or immobilization or for holding a dressing in place
Term
about bandage circular turn
Definition
applied to uniform width: toes, fingers, head; each turn overlaps previous.
Term
about bandage spiral turn
Definition
applied to uniform circumference: fingers, upper arm, upper leg, chest, abdomen; each spiral is carried upward and overlap previous turn by one half to two thirds width of bandage
Term
about bandage spiral-reverse turn
Definition
applied part that varies in width: forearm, lower leg. Reversing each spiral turn allows smoother fit & prevents gaping. Each turn overlap previous by two thirds of the width of bandage
Term
about bandage figure-eight turn
Definition
used to hold a dressing in place or to immobilize injure joint. Slant turns. each turn overlap previous by two thirds of the width of bandage
Term
about bandage recurrent turn
Definition
series of back-and-forth turns used to bandage tip of fingers, toes, the stump of amputated extremity, or head.
Term
acclusive
Definition
place tape on each edge of dressing
Term
non-acclusive
Definition
place tape accross hand over dressing

NOT along with hand
Term
how is a bee stinger removed
Definition
by scraping the site with a sharp object
Term
when is anti-rabies serum required following an animal bite?
Definition
when the animal cannot be tested or observed for rabies
Term
name the 3 types of burns, and give examples of each
Definition
thermal (fire, hot water, stoves)

chemical ( inhalation, ingestion)

electrical (wires, lighting)
Term
what is the first priority in the treatment of burns
Definition
stop the burning process
Term
Strain
Definition
Injury to a muscle or muscle group
Term
Sprain
Definition
Ligament injury at a joint
Term
Which of the following is placed directly over a wound

bandage
ointment
dressing
wrap
Definition
dressing
Term
what is used to treat sprains, strains, and bruises
Definition
cold
Term
which type of cutting wound is most difficult to suture
Definition
laceration
Term
which type of bandage is used for an injury to the palm of hand
Definition
figure eight
Term
involves epidermis, dermis, and subcutaneous. No blisters, but white leathery tissue
Definition
third degree burn
Term
involves epidermis, and part of dermis. Leakage of plasma and electrolytes. Blisters. Mild edema and pain
Definition
second degree burn
Term
involves epidermis. Moderate-severe pain. Sunburn or contact with boiling water or steam may cause it
Definition
First degree burn
Term
burn has spread through subcutaneous tissue into the muscle and bone
Definition
fourth degree burn
Term
minor burn
Definition
less than 2% BSA 3rd degree

less than 15% adults and 10% children 2nd degree
Term
moderate burn
Definition
cover 2%-10% of BSA 3rd degree

15%-25% adults and over 10% children 2nd degree
Term
major burn
Definition
more than 10% of BSA 3rd degree

more than 25% adults 20$ children 2nd degree
Term
partial thickness
Definition
first degree burn
Term
full thickness
Definition
third degree
Term
deep full thickness
Definition
fourth degree
Term
treating first degree burn
Definition
cold water and a dressing to protect the area
Term
treating second degree burn
Definition
treat for shock, remove jewelry, drink plenty fluids, cover the area
Term
treating for third degree burn
Definition
If over 10%(major burn)-surgery, IV fluids, meds for pain, tetanus antitoxin
Term
mobility devices are often used for all of the following except:

temporary support following pain
balance
after surgical surgery
arthritis
Definition
abodominal surgery
Term
which type of sling can be used to suppor an arm that was damaged due to a stroke

triangle
strip
buckle
pulley
Definition
buckle
Term
handle of a cane should be level with patient at
Definition
just below hip level
Term
Lofstrand cruth would be used for
Definition
long term rehab
Term
Patient with sprained wrist and broken ankle would use which mobility device
Definition
platform crutches
Term
injury to fingers or toes or an amputation
Definition
recurrent turn bandaging
Term
injury on arms or legs
Definition
open or closed spiral bandage
Term
wound on palm or back of hand
Definition
figure eight bandaging
Term
injury to forehead, ears, or eyes
Definition
cravat made from tiangular bandage is used hold the dressing in place
Term
bandage used to keep a dressing in place over a large head wound or burn
Definition
triangular bandage
Term
easiest and quickest way to bandage arms, legs, fingers, and toes
Definition
tubular gauze bandage
Term
ROM definition
Definition
Range-of-Motion
Term
patients who cannot engage in strenuous exercise do what to improve ciculation and flexibility and promote muscle tone
Definition
ROM
Term
any body action involving muscles, joints, and natural directional movements such as abduction, adduction, flexion, rotation, pronation, etc
Definition
ROM
Term
arm sling is usually used to
Definition
support arm after fracture or injury to shoulder or arm
Term
triangular bandage may be made from
Definition
muslin
Term
arm sling should be tied to one side and never over the spine

t/f
Definition
t
Term
why should the hand be elevated in a sling
Definition
to assist the return of circulation and void swelling
Term
complete reliance device
Definition
wheelchair
Term
ability to twist and bend
Definition
flexibility
Term
gait
Definition
manner of walking
Term
quad-base & single-tip
Definition
a type of cane
Term
range of motion
Definition
extent of movement
Term
how should a cane fit
Definition
arm hanging naturally at the side and elbow flexed at 25-30 degree angle
Term
why is quad-base less trouble for elderly patients
Definition
it's four feet provide a more stable base
Term
the cane should swing forward with
Definition
the injured extremity
Term
crutches should be positioned at
Definition
2 to 3 inches below the axilla
Term
crutches mobility description
Definition
stand on uninjured foot, while swinging the injured leg and crutches forward
Term
weight of body when using crutches should be on

why
Definition
hands and never on the axillary area

because over time, nerve damage can be caused
Term
how many different gait or step patterns could be used with crutches
Definition
3
Term
step patters of cruthes
Definition
4-point gait: R crutch, L foot
3-point gait: both crutches, R foot, L foot
2-point gait: matches crutch to oppsite foot
1-point gait:
Term
a walker is useful for those who cannot use
Definition
crutches
Term
a gait belt should be used when
Definition
helping a pt from and to a wheelchair
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