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Dermatology > Laceration Repair > Flashcards

Laceration Repair Flashcards

1
Q

Which anesthetic type is used?

A

1% lidocaine w/ or w/o epinephrine

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2
Q

when would you use epinephrine

A

reduce bleeding
extend duration of action

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3
Q

what are the concerns for using epinephrine?

A

can cut off blood supply

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4
Q

what anesthetic is used for longer duration?

A

bupivacaine

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5
Q

what equipment is used to repair a laceration?

A

saline
30/60-mL syringe with splash guard
skin-cleansing agent
sterile gauze
local anesthetic
5/10-mL syringe
25/30-gauge needle
needle holder
Adson-brown forceps
suture scissors
suture material

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6
Q

Can Betadine be used to wash the inside of an incision or laceration?

A
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7
Q

Can Betadine be used to wash the inside of an incision or laceration?

A

No

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8
Q

Angle of needle for insertion of lidocaine?

A

10-20 degree-between the dermis and hypodermis

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9
Q

Describe injecting lidocaine with epi

A

Needle is fully inserted, pull back on plunger to avoid pushing lidocaine into vessel, then push lidocaine in as you withdraw the needle. Look for tissue to elevate and blanch from lidocaine with epi

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10
Q

What material is best used to irrigate and wash a wound?

A

sterile saline

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11
Q

What PPE’s should be used

A

sterile gloves
mask
face sheild

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12
Q

How do you hold the needle holder?

A
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13
Q

Where do you grasp the needle?

A

2/3 way down the needle

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14
Q

What angle is the needle on the needle holder?

A

90

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15
Q

What angle does the needle enter the skin?

A

90

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16
Q

Which is bigger-bite width or bite depth?

A

depth

17
Q

Which is better for healing-inversion or eversion of the skin?

A

eversion

18
Q

How should the surgeon be oriented with the incision or laceration?

A

parallel

19
Q

Do you hold the tissue with forceps while taking a bite of tissue?

A

no

20
Q

Do you grab the needle with your sterile gloved fingers after the first bite?

A

no

21
Q

How many times do you loop the suture material around the needle holder on the first throw of the surgeon’s knot?

A

2

22
Q

How many loops on the next 2-4 throws?

A

1 loop

23
Q

How long do you leave the tails?

A

1 cm

24
Q

Describe “rule of halves”

A

divide the lesion in half and begin suturing there then divide it in half again to put your next suture

25
Q

How would you Describe Spacing between sutures compared to the bite width?

A

equal

26
Q

Is the Betadine left on after finishing the suturing?

A

no

27
Q

List potential complications with a laceration repair

A

infection
tetnus
foreign body
wound dehiscence
unreccognized deep-structure injury
scar formation

28
Q

When should suture’s be removed?

A

face 3-5 day
high tenstion 10-14 days
back or scalp, or extremites 7 days

29
Q

List and describe aftercare

A

12-24 hours keep dry
cover laceration with nonadherent dressing
antibiotics
tetanus

Dermatology (11 decks)

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