Wound Management Overview

True (A)

external tension relieving

<p>Axial pattern flaps include a direct cutaneous artery and vein at the base of the flap, providing better perfusion compared to pedicle flaps.</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>Pre-suture surgical incision site = Incising and pre-stretching the skin 24 hours before surgical procedure Adjustable sutures = Use of buttons or stents to tighten sutures over time Walking sutures = Continuously placing sutures in a circular motion to remove dead space Skin stretchers = Axial pattern flaps or tissue expanders that stretch the skin over time</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Relaxing incisions allow wound closure with reduced tension on the primary wound.</p> Signup and view all the answers

<p>Using a garden hose to flush the wound (B)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Semi-occlusive (C)</p> Signup and view all the answers

<p>Non-absorbable monofilament suture, placed 5mm from the cut edge.</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

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<p>The tertiary bandage layer holds the other layers in place and protects the wound from external bacterial colonization.</p> Signup and view all the answers

<p>cotton</p> Signup and view all the answers

<p>Tie-Over Bandage = Wounds in inaccessible areas Pressure Bandage = Control hemorrhage, edema, and excess granulation tissue Robert Jones Bandage = Immobilization, large/thick bandage, helpful with transportation Spica Splint = Immobilization of the shoulder Ehmer Sling = Post hip reduction or acetabular fractures Velpeau Sling = Post shoulder/forelimb procedures</p> Signup and view all the answers

<p>Pulse rate (C)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Stopping the bleeding.</p> Signup and view all the answers

<p>Staphylococcus aureus (C)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>within 30 days of procedure or within a year of implant</p> Signup and view all the answers

<p>Chlorhexidine Gluconate</p> Signup and view all the answers

<p>Superficial SSI = Infection occurring in the skin or subcutaneous tissue Deep SSI = Infection occurring in the muscle and fascia Organ/space SSI = Infection of an anatomically manipulated part Antimicrobial prophylaxis = Preventive treatment to reduce infection risk</p> Signup and view all the answers

<p>Contaminated (C)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>overnight with water access</p> Signup and view all the answers

<p>hypoproteinemia</p> Signup and view all the answers

<p>Dehydration = IV fluids Anemia = Blood transfusion Electrolyte imbalances = IV fluids +/- electrolytes Hypoproteinemia = Colloids</p> Signup and view all the answers

<p>Deep closure (B)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Sterile towel clamp (A)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Does what I’m doing compromise my own or patient’s safety?</p> Signup and view all the answers

<p>Nonabsorbable vertical mattress sutures</p> Signup and view all the answers

<p>information</p> Signup and view all the answers

<p>Primary Healing = Wound heals directly with minimal scar tissue Delayed Secondary Healing = Wound heals after infection or delayed closure Proud Flesh = Excess granulation tissue that obstructs healing</p> Signup and view all the answers

<p>Wettodry bandage (D)</p> Signup and view all the answers

<p>instrument table</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Non-absorbable monofilament (C)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Excessive granulation tissue formation</p> Signup and view all the answers

<p>communication</p> Signup and view all the answers

<p>Bone sequestration = Dead/infected bone piece potentially harming blood supply Cellulitis = Severe edema with small wound causing lameness Drainage = Removal of dead space to prevent exudate accumulation Wound debridement = Removal of non-viable tissue from a wound</p> Signup and view all the answers

<p>Both A and B (B)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Hypotension</p> Signup and view all the answers

Remove benign tumor plus 1cm of normal tissue around it.

For malignant tumors, remove the tumor plus more than 2/3cm of normal tissue.

Cartilage and collagen-dense tissues do not require excision due to their resistance to neoplasia.

Suture the incision site 24 hours before to stretch the skin for better closure.

Sutures that can be tightened over time, using buttons or stents.

Axial pattern flaps are preferred for large wounds for better perfusion.

Place sutures closer on convex and farther on concave to avoid puckering.

Made adjacent to a wound to reduce tension during closure.

Decreases bacteria and provides extra padding; examples include splints and pads.

Holds the bandage in place and protects from bacteria; examples include Vet wrap.

Controls minor hemorrhage, edema, and excess granulation tissue.

Used post hip reduction to prevent pelvic limb weight bearing.

A large, thick bandage used for immobilization and during transport.

Check for cleanliness, dryness, odor, and toe temperature.

Used for inaccessible wounds, held together by heavy string.

Stop the bleeding immediately for effective wound care.

If not vaccinated in >12 months, give toxoid and anti-toxin.

Vaccinated < 2 months = no booster; > 2 months = booster needed.

Use non-absorbable monofilament sutures like Ethilon or Polypropylene.

Always inform owners about the risk of wound opening.

Dead/infected bone can harm blood supply; requires removal.

Drainage prevents dead space and exudate accumulation.

Excessive can create hypoxic bandage environment; avoid bandaging.

Ensure second witness present, document all discussions.

Factors affecting surgical outcomes in horses, such as age and size.

Categories of wounds based on contamination and technique used.

No infection or technique breaks, remains sterile.

Major technique break with gross spillage; high infection risk.

Horses require overnight fasting with water access before surgery.

Specific techniques used for closing wounds to minimize tension.

Make incisions parallel to skin tension lines for better healing.

Most important question to ask: Does this compromise safety?

An infection occurring at the surgical incision site, often caused by endogenous microbes.

An infection that develops in anatomic parts manipulated during surgery, must occur within 30 days or a year of implant.

Use of antibiotics before surgery to prevent infections.

An antiseptic agent preferred over Povidone Iodine for skin preparation before surgery.

The process of clipping and disinfecting skin around surgery site to minimize infection risk.

Using a towel clamp to secure the prepuce of male dogs to prevent tissue trauma.

The tips of towel clamps are non-sterile if placed through the skin.

Soiled sponges should not be placed back onto the instrument table to prevent infection.

Ultrasound can provide information but is not definitive in diagnoses.

Delayed healing can occur if wounds are not examined daily.

Wet-to-dry bandages are used for a few days, then the wound should be left open.

Absorbable sutures should be used for muscle layers to ensure proper healing.

Nonabsorbable sutures, like vertical mattress sutures, are used on the skin for strong closure.