first aid chapter 10

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a dressing
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covers an open wound
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a dressing touches
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a wound
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1st thing a dressing should be
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sterile
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2nd thing a dressing should be
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larger than the wound
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3rd thing a dressing should be
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thick, soft, compressible so pressure evenly distributed
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4th thing a dressing should be
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lint free
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1st purpose of using a dressing
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control bleeding
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2nd purpose of using a dressing
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prevent infection and contamination
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3rd purpose of using a dressing
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absorb blood and wound drainage
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4th purpose of using a dressing
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protect the wound from further injury
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1st type of dressing
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gauze pads
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What are gauze pads used for?
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small wounds
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unless the package is opened, gauze pads
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are sterile
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adhesive strips
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used for small cuts and abrasions
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adhesive strips are a combination of
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sterile dressing and bandage
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trauma dressings
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large, thick, sterile, absorbent material
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when commercial sterile dressings not available
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improvise with a clean cloth free of lint, if time allows, iron it to sterilize it
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1st step in applying a sterile dressing
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wash your hands, wear exam gloves
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2nd step in applying a sterile dressing
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use dressing that extends beyond wound
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3rd step in applying a sterile dressing
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cover the dressing with a bandage
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a bandage should be clean
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but need not be sterile
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1st thing a bandage can be used for
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hold a dressing in place over a wound
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2nd thing a bandage can be used for
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prevent or reduce swelling
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3rd thing a bandage can be used for
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provide support & stability for a joint or extremity
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1st sign a bandage is too tight
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blue tinge of fingernails or toenails
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2nd sign a bandage is too tight
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blue or pale skin
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3rd sign a bandage is too tight
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coldness of the extremity
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4th sign a bandage is too tight
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inability to move fingers or toes
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5th sign a bandage is too tight
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pulse felt before bandaging, but not after
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do not apply a bandage
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directly over a wound, put a dressing on it first
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do not bandage so tightly
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it may restrict circulation
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do not bandage loosely
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dressing may slip
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do not leave
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loose ends
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do not cover fingers or toes
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unless injured
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do not use elastic bandages
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over a wound, they may be applied too tightly
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do not apply circular bandages
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around the neck
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do not start a roller bandage
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above the wound, start it below, and work up
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a square knot is preferred because
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it is neat and can be easily untied
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1st type of bandage
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roller bandages
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2nd type of bandage
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self-adhering, comforting
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self-adhering, comforting bandages
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come as rolls of slightly elastic, gauzelike material
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elastic-roller bandages
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used for compression on sprains, strains, & contusions
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elastic bandages are not usually
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applied over dressings covering a wound
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triangular bandages
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best used as an arm sling
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a triangular bandage folded over like a cravat
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used to hold splints in place
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adhesive tape
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often used to secure roller bandages and small dressings in place
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adhesive strips are used
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for small cuts and abrasions
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when peeling off tape from hairy skin
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pull in the direction that the ends of the hair are pointing
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a cravat bandage can be applied onto
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head, forehead, ear, eyes, arm, leg or hand
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4th step in applying a sterile dressing
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place the middle of the bandage over the dressing
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when wrapping a roller bandage around the head
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keep the bandage near the eyebrows, and low on the back of the head
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1st step to apply a cravat bandage to an arm or leg
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wrap the center of the bandage over the dressing
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2nd step to apply a cravat bandage to an arm or leg
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with one end, make one turn going up, and one going down
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3rd step to apply a cravat bandage to an arm or leg
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tie the bandage off over the dressing
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1st step applying a cravat to the palm
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fill the palm with bulky dressing or pad and close fingers over it
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2nd step applying a cravat to the palm
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wrap one end across the fingers and the other around the wrist
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3rd step applying a cravat to the palm
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tie the bandage off at the wrist
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1st step for the spiral method of applying a roller bandage
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start at the narrow part of arm or leg, wrap upward toward the wider part to make bandage more secure
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2nd step for the spiral method of applying a roller bandage
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make 2 straight anchoring turns with the bandage
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3rd step for the spiral method of applying a roller bandage
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make a series of turns, progressing up arm or leg
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4th step for the spiral method of applying a roller bandage
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finish with 2 straight turns and secure the bandage
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1st step for the figure eight method of applying roller bandage
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bend the elbow or knee slightly, make 2 straight anchoring turns, over the elbow point or kneecap
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2nd step for the figure eight method of applying roller bandage
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bring the bandage just under the joint and make one turn, covering 1/2 to 3/4 ths of the bandage from 1st turn
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3rd step for the figure eight method of applying roller bandage
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bring bandage just under the joint, make 1 turn around the lower arm or leg, covering 1/2 to 3/4 of 1st straight turn
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4th step for the figure eight method of applying roller bandage
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continue alternating turns in a figure eight manner
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5th step for the figure eight method of applying roller bandage
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finish by making two straight turns, and secure the end
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1st step to wrap ankle or foot using figure eight method
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make 2 straight anchoring turns with the bandage around the foot’s instep
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2nd step to wrap ankle or foot using figure eight method
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make a figure 8 turn by taking bandage diagonally across the front of the foot, around ankle, then across the foot and under the arch
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3rd step to wrap ankle or foot using figure eight method
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make several figure 8 turns, overlapping previous one by 3/4 of the width of the bandage, advance up the leg
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4th step to wrap ankle or foot using figure eight method
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finish with 2 straight turns around the leg, and secure the bandage
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2 ways to securely fasten a roller bandage
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1. apply adhesive tape 2. use safety pins to secure the bandage
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1st step in the loop method
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reverse direction of the bandage by looping it around the thumb or finger, and continue to opposite side of body part
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2nd step in the loop method
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tie ends together
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1st step in using the split-end method
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split the bandage lengthwise for about 12 inches, then tie a knot to prevent further splitting
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2nd step in using the split-end method
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pass the ends in opposite directions around the body part and tie
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1st step to applying an adhesive strip
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remove the wrapping, hold the dressing pad faced down
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2nd step to applying an adhesive strip
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peel back but do nott remove protective strips
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3rd step to applying an adhesive strip
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pull away protective strips, press ends and edges down
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to make an adhesive bandage snug on chin, knee, elbow
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cut adhesive parts lengthwise but not the pad

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