Revision

Question 1

Why is it important a vet nurse knows common knowledge on surgical procedures

Answer 1

Know what to prepare
Know clinical signs
Provide specific post op care 
Provide specific advice to clients
Provide assistance during procedure (pre-empting the surgeons needs)

Question 2

Define Enterotomy

Answer 2

Temporary opening in the intestines

Question 3

Define gastrostomy

Answer 3

Permanent opening in the stomach

Question 4

Define arthroscopy

Answer 4

Endoscopic examination of the joint

Question 5

Define Cystotomy

Answer 5

Temporary opening in the bladder

Question 6

Define nephrectomy

Answer 6

Removal of a kidney

Question 7

Splenectomy

Answer 7

Removal of the spleen

Question 8

Orchidectomy

Answer 8

Removal of the testicles

Question 9

What’s the 4 stages of wound healing

Answer 9

1. Inflammatory stage
2. Debridement stage
3. Repair stage
4. Maturation

Question 10

Describe the inflammatory stage

Answer 10

Initiates inflammation
Produces heat, redness and swelling
Haemorrhage followed by haemostasis

Question 11

Describe debridement stage

Answer 11

Migration of white blood cells

Removal debris and foreign material

Question 12

Describe the repair stage

Answer 12

Capillaries migrate into scar tissue to produce granulation tissue

Question 13

Describe maturation stage

Answer 13

Repaired tissue is replaced by collagen

Scar tissue contracts

Question 14

Difference between first intention and second intention wound healing

Answer 14

First intention is primary wound healing or closure and occurs when the wound edges are not widely separated and held together by blood clots
Second intention is secondary wound healing or spontaneous healing, which heal by contraction and epithelialisation

Question 15

Describe wound dehiscence

Answer 15

The seperation of all layers of an incision or wound. Can result in break down of a wound all or part of its length

Question 16

4 factors that increase likelihood of wound dehiscence

Answer 16

Non sterile surgery or equipment
Wound not kept clean after surgery
Wound gets wet while healing
Suture have no held under the skin

Question 17

Define wound debridement

Answer 17

Removal of contaminated, necrotic, infected tissue and debris from a wound

Question 18

2 ways of debriding a wound

Answer 18

Surgical excision and enzyme debriding agents

Question 19

Describe suture materials you would consider suitable for suturing a clean Spey wound for each layer

Answer 19

Linea alba- vicryl suture 3/0 2/0 absorbable
Subcutaneous layer - vicryl suture 3/0 2/0 absorbable
Skin layer - 2/0 non absorbable pds suture