Study guide

Question 1

how long after primary intention closure does a wound epithelialize?

Answer 1

48 hours

Question 2

when is a wound closed by tertiary closure?

Answer 2

4-6 days following incision (IF NO INFECTION IS PRESENT)

Question 3

when are sutures / staples usually removed?

Answer 3

7-10 days

Question 4

what are the 8 inhibitors of wound healing?

Answer 4

1. infection
2. ischemia
3. diabetes
4. malnutrition
5. anemia
6. steroids
7. cancer
8. radiation

Question 5

wounds have achieved 90% of tensile strength by what time frame?

Answer 5

6 weeks

Question 6

definition: langer lines

Answer 6

natural alignment of CT in dermis

Question 7

how are incisions made in relation to langer lines? why?

Answer 7

parallel

less scarring

Question 8

what are the 5 causes of post op infection?

Answer 8

1. wind (respiratory)
2. water (urinary)
3. walk (DVT)
4. wounds (infection)
5. wonder drugs (reaction)

Question 9

what is the most common cause of post op fever?

Answer 9

atelectasis

Question 10

which fluid has potassium in it? how much potassium is it?

Answer 10

LR

4 mEq

Question 11

what is the daily potassium requirement?

Answer 11

40-100 mEq per day

Question 12

what is the max amount of KCl that can be given through a PERIPHERAL IV?

Answer 12

10 mEq / hr

Question 13

what is the max amount of KCl that can be given through a CENTRAL line?

Answer 13

20 mEq / hr

Question 14

absorbable suture comes in what color package?

Answer 14

purple

Question 15

non-absorbable sutures comes in what color package?

Answer 15

green

Question 16

what are the non-emergency indications for chest tube placement?

Answer 16

malignant pleural effusion 
recurrent pleural effusion 
treatment with sclerosing agents or pleurodesis 
parapneumonic effusion or empyema 
chylothorax 
post op care

Question 17

what are the contraindications to placing a chest tube?

Answer 17

lung completely adherent to chest wall

risk of bleeding