How to change the dressings for cats and precautions, cat care skills!

Methods and precautions for changing the dressings for cats, and cat care skills! For cats, open trauma, soft tissue infection, incision and drainage, surgical incision infection, etc., due to local histopathological reactions, the wound will experience ooze, suppuration, necrosis or tissue defects, and should be treated appropriately. This treatment includes checking the wound surface, removing pus and necrotic tissue, placing or removing drainage to replace dressings and bandaging, etc. This process is called dressing change, also known as changing dressings or applying medicine.

1. Purpose of the medicine change

1. Observe the wound; 2. Remove necrotic tissue; 3. Clean the wound; 4. Unobstructed drainage; 5. Promote tissue growth.

Principles: 1. Aseptic principle; 2. Clear inactivated necrotic tissue; 3. Maintain and promote granulation growth; 4. Promote wound healing

2. Preparation before changing the dressing

1. Fully understand the size and depth of the wound, the amount of gauze filled in the wound cavity, whether the drainage substance is removed or replaced, whether it needs to be expanded or rinsed, whether stitches or sutures are required, etc. First check whether the required dressings, equipment, medicines, etc. are complete. Special supplies should be prepared, such as configuring antibiotic solutions for wound surface application, local anesthetic blades required for expansion, long blood vessel forceps probes for deep wounds, special drainage tubes for replacing supraplegia cystostomy, etc. For the patient's mental state, systemic condition and possible situations during the dressing change, you should know in detail and prepare well.

2. Sterile preparation: Generally, the dressing changes are required to be done half an hour after morning care or cleaning of the dressing room. It is best to change the dressings in the dressing room. Wear a mask and hat, and take the patient to the dressing room to observe the wound condition (removing the gauze in the direction of the wound, and uncovering it vertically can easily cause the wound to crack again), evaluate the required equipment, the number and type of dressing, and then wash your hands and prepare the items for the dressing. Generally, two sterile curved plates, two tweezers, alcohol cotton balls, etc. When holding the equipment, the tweezers must be head down and cannot be raised. First, clamp the tweezers in the middle of the curved plate, put gauze on the top, and the alcohol is placed on both sides of the curved plate. First, clamp the iodine cotton balls and then clamp the alcohol cotton balls (if you clamp the alcohol with residual tweezers, the alcohol clips the iodine cotton balls will dilute the iodine, affecting the disinfection effect).

3. Operation: Take the outer auxiliary material by hand, then use tweezers to remove the inner layer. If sticking, use a salt water cotton ball to moisten it and then uncover it. Two pairs of tweezers, one touches the skin, and the other touches the auxiliary materials (don't touch the two pairs at all times). Disinfect and gently dip the wound and suture mouth, and then (cleaned wounds) return to the shape from the inside to the outside, with more than two alcohols, and the range should exceed the gauze covered. The gauze covers the gauze faces downward, and the gauze covers eight layers or more (generally, one piece of gauze block is four layers). The adhesive cloth should be glued in the direction of the leather pattern and vertically with three strips, with both sides pressed and one in the middle. Finally wash your hands (protect yourself).

4. Order: clean first and then pollute, simple first and then complicated. The same is true for multiple wounds in a patient.

3. Change frequency of dressing

In principle, the auxiliary materials should be changed

1. General wounds: within 24 hours of the first time, every 2-3 days/time afterwards;

2. Special wounds: 3-5 days/time after breast surgery;

3. After skin grafting: 7-9 days/time;

4. Gastrointestinal fistula: 2-3 days/time;

5. In summer, change every day and apply alcohol yarn;

4. Dressing selection

The growth of wounds is mainly the growth of granulation tissue, which requires a relatively moist environment, so the dressing can be used in the first few days to keep the wound relatively moist. In the later stage, the growth of wounds is mainly the growth of keratin. At this time, the wound needs a relatively dry environment, so the dressing should be as thin as possible while playing an isolation role. In addition to protecting the wound from external contamination, dressings also have a certain drainage effect. Therefore, when changing the dressing, you should ensure that the dressing and the wound are closely attached, especially when the wound is lower than the surrounding area.