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vt17 > surgical assisting > Flashcards

surgical assisting Flashcards

(52 cards)

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1
Q

when is manual bladder expression contraindicated

A

abdominal trauma, cystotomy, pyometra, urethral obstruction

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2
Q

when is isopropyl alcohol contraindicated as rinsing agent

A

open wound, mucus membranes, electrocautery surgery or laser used for incision

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3
Q

study ringed instrument anatomy

A

tip(jaws, box lock, shank. ratchet, ring handle

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4
Q

no 3 scalpel blades

A

10,11,12,15 small animals

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5
Q

no 4 scalpel blades

A

20-23 large animals

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6
Q

10

A

general surgery

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7
Q

11

A

“stab” incisions (arthroscopes)

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8
Q

12

A

suture removal , declaw sx

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9
Q

15

A

delicate incisions (opthalmic sx)

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10
Q

tail docking

A

hanging limb prep

return to dam asap

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11
Q

feline onychectomy

A

amputation of nail and 3rd phalynx
litter substitute nonclay
analesia 4 plus days bandages typically in place 24 h patient monitored additonal 8-12

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12
Q

celiotomy AKA laporotomy

A

large are prep, dorsal recumbancy
incision location : ventral midline, paramedian, paracostal, parapreputial
abdomonal bandage post op

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13
Q

gastrointestinal surgery

A

ventral midline laporotomy

post op: introduce water first, if no vomit highly digestable and bland for q 2-4 h gradually increase amount

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14
Q

ovariohysterectomy

A

incision slightly caudal to umbilicus

post op ensure patient has succesfully urinated prior to release

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15
Q

canine orchiectomy

A

incision on midline between scrotum and prepuse

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16
Q

feline orchiectomy

A

pluck scrotal hair
positioning is docs preferance dorsal rec. or lateral recumb,
incison made through scrotum over testicle
alternative liter

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17
Q

cesarean delivery

A

shave prior to anesthesia if possible

post op return neonates to dam asap , encourage nursing, send patients home asap

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18
Q

cystotomy

A

post op radiographs iv fluids continued urinary catheter often left in dwelling monitor urine production and gross appearance

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19
Q

perineal urethrostomy

A

sternal recumbancy
post op monitor urine prod. and gross appearance
alternative litter 7-10 days

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20
Q

scrotal urethrostomy

A

dorsal recumbancy all same as orchiectomy and post op same as pu

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21
Q

umbilical hernia

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A

ventral midline laparotomy

22
Q

inguinal hernia

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A

abdominal organs and or tissue protrudes through inguinal canal most common in female canines

23
Q

diaphragmatic hernia

Study These Flashcards
A

dorsal recumbancy with cranial end elevated
prep abdomen and thorax prepare for thoracocentesis
post op supplemental o2 via oxygen cage or nasal infusion monitor SpO2

24
Q

lumpectomy

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A

removal of mass

25
masectomy
lateral or dorsal recumbancy dependant on location | post op abdominal bandage 48-72 h , drain maintenance
26
abcess repair
wide surgical prep | post op drain management
27
orthopedic surgery
hanging limb prep
28
amputation of limb
post op bandage 24-48 h warm compresses to aid in prevention of seromas or hematomas
29
spinal surgery
wide surgical prep at least 2 vertebral spaces cranial and caudal cervical- dorsal recumbancy thoracolumbar -ventral recumbancy post op if non ambulatory indwelling catheter or manual expression 4-5 x day turn around frequently padded bedding
30
post op patient care incision evaluation
1-2 x day / 10-14 days monitor for: | edema, discharge, redness, erythema, heat, missing sutures , dehiscence the parting of sutured sides of a surgical wound
31
towels and drapes applied
performed by sterile surgical assistant placed one at a time lateral, near, lateral far, cranial, caudal avoid shaking , flipping roll edge over hand never adjust towards incisions secure with towel clamps place fenesrated drape
32
limb draping
limb suspended with tape circumferance of limb shaved towels placed at base of limb circulating nurse cuts tape presents to surgeon surgeon grasps in steril stockinet unrolls to cover foot limb is placed through fenestrated drape
33
personnel sx prep
cap to cover all hair mask minimal jewelry wash hands and forearms clean under nails with pick rinse hands higher than elbows avoid touching anything apply antiseptic to hands and forearms scrub all 4 sides of each finer hand arm move medially to proximally if contamionated start over
34
gowning and gloving
grasp gown by neckline lift out step back ...
35
asisting in sx
never reach across sterile field if wet not sterile minimize moving and talking . scrubbed in personnel pass back to back or front to front always face the sterile field do not leave room
36
handling ringed instruments
held in dominant hand tips of thumb and ring finger in rings 1st 2 fingers guide instrument if ratcheted lock on first notch when grasping
37
thumbforcep
held like chopsticks
38
passing instruments
into open hand, handle end first , firmlyl loaded scalpel hand point blade toward self pronate hand ringed; tip up, rings down, 1st ratchet loked curve toward thumb
39
skin tissue handling
aspetic not sterile, avoid touching when scrubbed in , different instruments used on skin and deeper tissues
40
incison with scalpel
least trauma and least scarring to tissue
41
incision with electrocautery/laser
longer healing time, reduced resistance to infection, much less hemorrhage
42
handling hollow organs
control of luminal contents ;clamping organ, stay sutures , securing manually
43
hemostasis spongs
maintain visibility, limit blood loss, use blotting motion ,
44
electrosurgery
must remove blood or fluid prior to use | cautions; ensure contact between patient and grounding plate contraindicated with flammable antiseptis like alcohol
45
chemical cauterization
hemostasis by denature proteins
46
laser surgery
must wear appropriate wavelength specific eye protection at all tims , laser warnign signs must be posted at door to OR non reflective material placed over OR windows plume evacuator , shielded endotracheal tubes
47
lavage
irrigation and suction of incision wound body cavity ot hollow organ
48
lavage fluid used
physiologically neutral same pH and electrolyte concentration as plasma isotonic warmed o body to prevent hypothermia
49
lavage technique
bulb syringe, large syringe, sterile bowl, avoid wetting drapes and towels
50
poole tip
multiple small fenestrations avoid clogging | composed of metal abdominal / thoracic sx
51
yankauer tip
small, precise tip, composed of tip, orthopedic, neurosurgery
52
frazier tip
small precise tip, composed of metal orthopedic sx nuerosx

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