Flashcards in Surg 102--Review (Chapters 16 and 17) Deck (158):
Case planning is a _____ skill that develops with experience.
_____ combines knowledge of surgical procedure and surgical techniques.
Surgical procedures can be classified into _____ categories.
What are the five categories of case planning.
5. Replacement or Implantation
The results of a diagnostic procedure provide information about the nature of a _____ and the options available for _____.
Questions for planning diagnostic procedures includes, "What is the target _____ or _____?"
structure or tissue
Questions for planning diagnostic procedures includes, "What _____ will be used to perform the diagnosis?"
Questions for planning diagnostic procedures includes, "What _____ is needed for the planned technique?"
Questions for planning diagnostic procedures includes, "How will the information be _____?"
Questions for planning diagnostic procedures includes, "Is the procedure scheduled to take place in a _____ or in the _____?"
Questions for planning diagnostic procedures includes, "Will the surgeon need other _____ or _____ during surgery and are those available in the room?"
diagnostic films or reports
Questions for planning diagnostic procedures includes, "What kind of _____ will be required?"
In _____, tissue is remodeled or replaced for functional or aesthetic reasons.
In reconstructive surgery the procedure may be performed in a _____ or may require _____.
The goal of _____ is to restore function to a structure, organ, or system.
The type of _____ and the _____ involved determine what instruments or special equipment is needed.
Questions for reconstructive surgery includes, "What _____ are needed for the surgery?"
Questions for reconstructive surgery includes, "What _____ will be used?"
Questions for reconstructive surgery includes, "What _____ will be taken? What tissue will be selected?"
Questions for reconstructive surgery includes, "Does the procedure require more than _____ operative site?"
Questions for reconstructive surgery includes, "What is the _____ of the patient?"
Questions for reconstructive surgery includes, "Does the reconstruction require _____, such as special dressings, a rigid cast, or traction?"
Questions for reconstructive surgery includes, "If _____ are to be used, are they available?"
Questions for repair planning includes, "What will be _____?"
Questions for repair planning includes, "What _____ are needed?"
Questions for repair planning includes, "What _____ will be used to to make the repair?"
Questions for repair planning includes, "How will the repair be _____?"
held in place
Questions for repair planning includes, "Does the patient have recent _____ and _____?"
Questions for repair planning includes, "Will _____ be required?"
Questions for repair planning includes, "Is the repair area particularly _____?
_____ may involve tissue, an organ, or a foreign body?
Questions for removal planning includes, "What will be _____, and what _____ is involved?"
Questions for removal planning includes, "What surgical _____ will be used?"
Questions for removal planning includes, "Will a specimen be taken for _____ analysis?"
Questions for removal planning includes, "is the wound _____?"
_____ involves implantation of an organ or other anatomical structure that has lost function through disease or trauma.
An implant is usually a _____ or _____ prosthesis or medical device.
metal or synthetic
A _____ is an implant derived from the patient or from another person or an animal, or bio-synthetic material.
Questions for replacement or implantation planning includes, "What will be _____ or _____?"
replaced or implanted
Questions for replacement or implantation planning includes, "What _____ or tissue is involved?"
Questions for replacement or implantation planning includes, "What is the nature of the _____?"
Questions for replacement or implantation planning includes, "If _____ is to be removed, how will this be done?"
Questions for replacement or implantation planning includes, "How will the implant be _____?"
held in place
Specific instruments sets, equipment, and supplies needed for a procedure are listed on the _____.
surgeon's preference card
The data on the surgeon's preference card includes:
1. Instruments sets and special instruments required for the case
2. Special equipment
3. Suture preferences
4. Glove and gown size
5. Skin prep and draping routine
6. Intraoperative drugs, including dose and strength
7. Surgeon's individual techniques
Sterile supplies are opened in sequence from _____ to _____.
large to small
The _____ containing towels, drapes, and gowns is centered on the back table.
The basic pack is opened using _____.
Wrapped basins are opened in the _____.
Anticipate the need for _____ for supplementary instrument trays, and orthopedic components as needed.
After the case has been opened, the surgical technologist performs the _____.
After the surgical scrub, the ST re-enters the surgical suite (without contaminating the hands or arms) and proceeds to _____.
gown and glove
Immediately after gowning and gloving, the ST must organize the sterile items an the _____ and _____.
back table and Mayo stnd
As you first approach the pile of sterile equipment, do not move anything until you have a _____.
During sterile setup, increase the size of the _____.
sterile working area
Before organizing and preparing supplies, increase the size of the _____.
To increase the size of the sterile field _____ first.
drape the Mayo stand
During sterile setup avoid _____ around from one place to another.
During sterile setup try to handle an item only _____.
During sterile setup prepare items that are _____ of the procedure first.
needed at the beginning
During sterile setup try avoid doing _____.
several things at once
During sterile setup _____ and _____ strategically.
think and act
During sterile setup using a _____ to all setups improves efficiency.
Instruments should be placed in a _____.
If instrument trays must be stacked, place _____.
heavier ones on the bottom
When organizing instruments make sure you know each instruments _____ or _____ location.
specific or general
The _____ is used for instruments and supplies that are needed frequently during surgery.
Supplies are exchanged from the _____ to the _____ as the case progresses.
back table to the Mayo stand
The best method to setup the Mayo stand is the method _____.
that works best for the individual
Some health facilities use a _____ for the Mayo stand so that personnel taking over at shift changes or breaks know the location of all supplies and instruments.
The Mayo stand should be kept _____ and _____.
clean and orderly
Irrigation and soaking solutions usually are distributed after _____ or just before _____.
the case is underway
the case begins
Solution are distributed into _____, _____, or a _____.
basins in a ring stand, a solution warmer, or a slush basin
Medications are distributed into _____ on the back table.
_____ are responsible for ensuring that no item is left in a patient.
All team members
The active responsibility for the surgical count lies with the _____ and _____.
scrub and circulating nurse
Every surgical sponge is sewn or impregnated with a _____.
Laparotomy sponges are usually moistened with _____ before use.
All instruments are passed in their _____ position unless the surgeon request otherwise.
When passing instruments they should be oriented _____ so the the person using the instrument does not have to re-position it or look away from the operative site to receive it.
Used laparotomy and Raytec sponges are dropped into the _____.
_____ are placed on a small container or towel on the back towel or on a separate prep table near the back table.
As additional sponges are needed during surgery, they are counted _____ the scrub receives them.
as soon as
During surgery, tissue, fluid, or objects often are removed for _____
It is the _____ duty to correctly identify, with the surgeon, the tissue of origin, the orientation of margins for malignancy, and the correct side.
Anything removed from a patient is a _____.
_____ is the removal of tissue or cells for analysis by a pathologist.
_____ biopsy is used when a large, deep section of tissue is required for analysis.
_____ uses a long, fine needle to aspirate (suction) small pieces of tissue from a tumor.
Fine-needle aspiration (FNA)
_____ is similar to FNA, but a large-bore, hollow trocar or needle is used to collect tissue.
_____ is performed during flexible endoscopic procedures.
During a brush biopsy a fine brush is used to collect cells on the surface of _____.
mucous membrane tissue
Suture materials are used to _____ tissues while healing takes place.
Sutures are used to _____ blood vessels or tubal structures.
Suture material is made from _____, _____, _____, and _____.
synthesized chemicals, animal protein, metal, and natural fibers
The _____ the suture is made of is one of the factors that determine how and where the suture is used in the body.
What are the two main structural categories of suture?
monofilament and multifilament
_____ is a single continuous fiber made of a polymer chemical that is extruded and stretched.
_____ is many filaments that together form one strand of suture.
What are the two types of multifilament suture?
twisted and braided
Multiple fibers twisted in the same direction.
Multiple fibers that are intertwined.
Sutures made of multifilament strands moisture and holds body fluids called _____.
wicking or capillary action
If bacteria are present, suture materials with high capillarity are able to retain and spread infection by means of the _____.
Suture with _____ is preferred in surgery when the risk of infection is high.
Some multifilament suture is coated to reduce _____ and _____.
tissue drag and wicking
The size of the suture is based on its _____.
The greater the diameter of suture, the _____ the designated size.
The _____ indicates the sutures outside diameter.
USP numbering system
Stainless steel suture historically has used the _____ sizing system.
Brown and Sharp (B&S)
The _____ of suture refers to the amount of force needed to break the suture.
Suture material becomes _____ to _____ weaker when knotted.
10% to 40%
Suture material vary in strength when exposed to _____.
The presence of _____ affects the strength of most suture materials.
Sutures must be _____ to maintain tensile strength.
uniform in diameter
_____ describes how the suture reacts in the presence of body tissue.
Both _____ and _____ are available in natural and synthetic form.
absorbable suture and nonabsorbable suture
The ideal suture would be one that retains its _____ throughout the healing period and the _____ when healing is complete.
The ideal suture does _____.
Absorbable, protein-based suture is attacked by _____ lysosomes that digest the suture.
Absorbable synthetic sutures are degraded by _____.
_____ is a chemical reaction that occurs in the presence of water.
All sutures, except _____, can degrade if infection is present.
_____ is an extremely inert monofilament suture.
_____ smooth surface makes it popular for plastic, ophthalmic, and vascular surgery.
Polypropylene has a high _____ and is used for retention sutures, particularly in abdominal wall closure.
Polypropylene can be used when _____ is present and can be left in place for _____ periods.
Polypropylene is _____ or _____ in color and is available in sizes 10-0 to 2.
clear or blue
Suture manufactured with the suture pre-attached is called a _____ or _____.
swaged or atraumatic suture
A nearly seamless connection between the needle and the suture and also allows faster suturing with minimal tissue trauma.
Swaged (Atraumatic) Suture
In _____, the suture can be detached from the needle by pulling it straight back from the swage.
A _____ is one with a needle swaged to each end.
This type of suture is used for circular tissue, such as in ophthalmic surgery, or for hollow structures, such as blood vessels or the intestine.
One suture-needle combination is provided per pack.
One suture package contains multiple pre-cut strands of suture.
Multiple suture strands
A spool of suture material is wound into a round reels.
One package contains many suture-needle combinations in detachable format.
multiple suture-needle combinations
One pack contains a single suture strand with a needle attached at each end.
A _____ is a single long suture length that is anchored at one end of the tissues.
-Does not allow the surgeon to make adjustments in aligning the wound edges, which tend to pucker when a continuous (running) suture is used
-Easy to place, high tensile strength, less potential for causing wound edema and impaired cutaneous circulation
_____ are individually placed, knotted, and cut.
The _____ is used for cosmetic closure and in pediatric patients.
This technique brings the skin edges together in close approximation and no suture material is visible from the outside.
This technique produces a very fine scar or no scar.
The _____ is a special continuous suture technique for closing the end of a tubular structure, such as the appendix, its most common application.
The _____ provides added strength to a running suture line.
This technique equalizes the tension between each loop of the suture and provides increased hemostasis on the wound edges
_____ are a type of interrupted technique used to provide additional support to wound edges in abdominal surgery.
Plastic or rubber bolsters, or small length of tubing, are threaded through the suture to prevent it from cutting into the patient's skin.
The cut tissue edges are in direct contact.
A wound that is not sutured must heal by _____.
_____ is a process in which an infected or a contaminated wound is treated and the wound space is packed to prevent serum accumulation and to protect against its environmental exposure.
Chemical or mechanical removal of necrotic tissue after infection or trauma.
Separation of the layers of a surgical wound.
The protrusion of abdominal viscera through a wound or surgical incision.