LP 5-6 Flashcards
(144 cards)
1
Q
cellulitis
A
acute infection of skin tissue
2
Q
drainage of absess
A
class 4
3
Q
difference between inflammation vs. infection
A
pus is present in infection
4
Q
ruptured appendix
A
class 4
5
Q
laceration
A
cut or tear
6
Q
craniotomy
A
class 1
7
Q
swelling
A
buildup of fluid
8
Q
example of class 2
A
appendectomy cholecystectomy bowel resection
9
Q
chronic wound
A
extended period of time ie- diabetes
10
Q
what is incision chosen for?
A
exposure least trauma wound closure
11
Q
inguinal hernia
A
oblique
12
Q
I & D
A
class 4
13
Q
cutting
A
cutting trocar
14
Q
cutting needles
A
skin eyes
15
Q
muscles of the abdominal wall
A
transverse abdomis
external/internal oblique
linear alba
rectum abdominis
16
Q
can a classification change?
A
yes during the procedure
17
Q
example of class 1
A
plastic ortho eye neurological
18
Q
keloid
A
raised scar
19
Q
intentional wound
A
surgical wound
20
Q
most common surgery
A
laparotomy
21
Q
what suture is used to ligate vessels?
A
silk
22
Q
thermal
A
heat, cold, chemical
23
Q
cicatrix
A
normal scar formation
24
Q
contusion
A
bruise
25
closed wound
skin remains intact
26
first intention phase 1: lag phase
lasts 3-5 days after injury
27
most commonly used gauge for suturing skin?
3-0 or 4-0
28
abdominal hysterectomy or C section
pfannenstiel
29
fistula
draining tunnels form between two organs
30
example of class 3
colon resection with fecal spillage appendectomy with appendicitis
31
aneursym
longitudinal midline
32
influence choice of needle
size of suture tissue type accessibility of area preference customer of hospital
33
first intention phase 2: healing
3-20 days post op fibroblasts multiply and bridge wound edges
34
longitudinal midline incision
vertical xiphoid to pubis midline
35
class 2
infection: 8-11% minor break in sterile technique
36
laparoscopic gastric bypass
class 2
37
prolene
monofilament nonabsorbable
38
eyed needles
must be threaded, dispense 2 at a time
39
intraluminal EEA
anastomose tubular structures in GI tract
40
gangrene
death of an organ or tissue
41
class 1
infection: 1-5% incision made under ideal surgical conditions no entry to GI, respiratory, biliary or GU
42
open fracture
class 3
43
tensile strength
ability to resist rupture
44
surgiclip
occlude small structure, vessel
45
should you use silk moist?
no
46
fibrinogen
combines with thrombin to form fibrin during clotting
47
contracture
interference with the circulation from pressure
48
chemical
acid
49
complicated wound
tissue lost or destroyed
50
what color is prolene?
blue
51
surgical gut
rapid absorption in infection
52
appendectomy
McBurney RLQ
53
external factors influencing wound healing
drug therapy fluid balance
54
endogenous
in body
55
what do injured tissue release?
histamines
56
delayed full thickness injury
burns or scalding injuries
57
esphogaus, thoracic cavity
thoracoabdominal incision
58
restoration of appearance to tissue
minimal scarring
59
rocky davis muscle splitting incision
appendectomy transverse alternate to mcburney
60
first intention
minimal post op swelling minimal scar
61
traumatic wound
accidental wound
62
fascitis
inflammation of connective tissue
63
GIA linear stapler
inserts 2 straight, parallel rows of staples into tissue
64
can a wound be incisional and excisional?
yes
65
spring or french eye needles
suture forced through the springs
66
surgical entrance
skin incision incise subq control bleeding put skin knife aside incise fascia separate muscle peritoneum incised lengthen incision control bleeding abdomen is open
67
second intention
process of granulation wound isn't sutured
68
healing first intention
21 days
69
what is a wound?
any tissue that has been demaged
70
non cutting
taper blunt
71
factors influencing third wound healing
any contamination of the wound could lead to an infection
72
spinal needle
prevent trauma and loss of fluid
73
restoration of continuity
wound closed and tissue approximated
74
radiation increases blood supply
FALSE
75
lateral position, kidney
thoracoabdominal
76
restoration of tissue strength
may take a year to regain original tissue strength
77
what does infection indicate?
pathogenic organisms
78
joint
class 1
79
extravasation
discharge of blood from vessel
80
ligating clips
81
dead space
wound edges haven't been closely approximated
82
heart and redness
increased blood flow
83
upper quadrant oblique
liver, gallbladder
84
example of class 4
appendectomy-ruptured appendix wound debridement
85
phagocytosis
cleaning up the wound
86
factors influencing first wound healing
age nutritional obesity
87
body's natural protective response to injury
inflammation
88
proud flesh
excessive granulation tissue
89
excisional wound
removal of tissue, organs
90
third intention
delayed primary closure deep, wide scar
91
when is the classification of the wound recorded?
at the end of surgical procedure
92
paramedian rectus incision
vertical
93
upper/lower transverse incision
horizontal incision above or blow umbilicus on either side
94
what is added to chromic suture?
salt solution
95
suture used for drain stitch
silk or nylon
96
vessels loops
retract vessels
97
evisceration
splitting of wound with abd organs protruding
98
CEEA
rectum into colon and staples
99
hysterectomy
class 2
100
example of traumatic wound
burn, cut, laceration
101
2 classifications of a wound
intentional traumatic
102
clean wound
wound edges approximated and secured
103
what shouldn't be used in infection?
silk
104
contaminated wound
dirty object damages integrity of skin
105
GIA linear stapler
106
abrasion
scrape
107
class 4
infection: 27-40% open traumatic wound \>4 hours
108
trocar needle
tendon ligaments cervix
109
example of chronic wounds
pressure sores decubitus ulcer
110
simple wound
skin integrity destroyed
111
fibrin
responsible for the semisolid character of a blood clot
112
thrombin
clot formation
113
class 3
infection: 15-20% open traumatic wound \<4 hours major break in sterile technique
114
TA linear stapler
insert 2 straight staple lines
115
exogenous
not in body
116
what happens when nerves are cut?
redness edema heat pain
117
when do disruptions happen in post op healing?
5-10th day
118
first intention phase 3: maturation
14 days up to 12 months gains tensile strength
119
ischemia
insufficient supply of blood to an organ
120
factors influencing second wound healing
dissection technique direction/length of incision
121
point
taper,, cutting, trocar
122
pain
pressure exerted by edema
123
mastectomy
class 1
124
dehiscence
splitting open of surgical wound
125
complications during healing
hemorrhage hematoma infection
126
skin stapler
approximate skin edges during closure
127
occlusion banding
closing off of an artery
128
intraluminal EEA
129
blunt needle
liver kidney
130
qualities of a good needle
quality carbon steel strong enough rigid sharp
131
treatment at bedside for wound disruption
prepare patient to return to OR
132
inflammatory response
localizes infection eliminates toxins prevents pathogens from spreading repair damaged tissue
133
intra op wound care
aseptic technique antibiotic therapy
134
how many days for third intention?
14 days post op
135
adhesions
abnormal attachment of two surfaces that are normally separate
136
post op wound care
wound drains dressings packing
137
TA linear stapler
138
puncture
penetrating wound
139
scalpel cuts tissue
vessels are cut cells are damaged
140
taper
peritoneum muscle fascia
141
gastrectomy
paramedian rectus LUQ
142
signs of inflammation
heat redness swelling
143
incisional wound
intentional cut through intact tissue
144
chevron incision
below rib cage whole width of the abdomen approx. 24-30 inches
