885245
Description
Mind Map by joanna_stopher, updated more than 1 year ago
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Created by joanna_stopher
about 11 years ago
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wound management: continued
- emergency treatment
- pressure cuffs and tourniques
- pressure cuffs
- apply proximal to appendicular wounds
- inflate 20-30mmHg higher than for normal bp
- should be on a max of 6 hours
- apply proximal to appendicular wounds
- tourniques
- not recommended unless limb is being amputated
- narrow tournique (penrose
drain) use for 3-5 mins at a
time
- wide band (5-10cm wide)
safe for max of 30mins
- not recommended unless limb is being amputated
- pressure cuffs
- pressure cuffs and tourniques
- assessment of bacterial infection
- swab wound after lavage (washing out)
- prescence of beta-haemolytic
strepcocci or 10^5 organisms/g
- prescence of beta-haemolytic
strepcocci or 10^5 organisms/g
- rapid slide test
- swab 1-2cm deep in wound with sterile cotton bud, rub swab over
1-2cm of microscope slide, bacteria present = don't close wound
- if staining gram-ve bacteria doesn't take up stain so stays pink
- if staining gram-ve bacteria doesn't take up stain so stays pink
- swab 1-2cm deep in wound with sterile cotton bud, rub swab over
1-2cm of microscope slide, bacteria present = don't close wound
- swab wound after lavage (washing out)
- control of contamination
- need to clean contaminated wound within 6 hours
- be sterile (gloves, hats, gowns etc.)
- cover wound with gel, saline covered swab, vaseline etc
- clip hair away
- flush with sterile salene, tap water, lactated ringers,
0.05% chlorhexidine (hibi), 0.01-1% povidine-iodine
- take bacterial swab for culture
- apply sterile dressing and bandage
- need to clean contaminated wound within 6 hours
- debridement - getting rid of debris
- wet to dry in SA (not equine) - cheap
- hydrosurgery - bursts of water
(new used in equine) more
effective than surgical removal
- vac therapy - animals wears it for
24hrs, vacuum that sucks it out
- autolytic debridement (body gets rid)
- surgical removal
- wet to dry in SA (not equine) - cheap
- Documentation
- wound mapping
- dimentions
- shape/outline
- type
- areas of infection, inflammation or necrotion
- dimentions
- progression
- areas of granulation
- areas of epithelisation
- take photos
- areas of granulation
- wound mapping
- closure
- dependant on
- level of contamination
- viability of wound tissues
- level of contamination
- primary
- immediate closure
- immediate closure
- delayed primary
- 2-5 days post injury
- 2-5 days post injury
- secondary
- after 5 days post injury
- after 5 days post injury
- second intention healing
- healing through granulation
- healing through granulation
- dependant on
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