Suturing

Question 1

Clean wound

Answer 1

Surgical

Question 2

Clean-contaminated

Answer 2

Surgical like appy

Question 3

Contaminated

Answer 3

Trauma

Question 4

Dirty and infected

Answer 4

Abscess, FB, infected surgical

Question 5

Phase 1 response to injury

Answer 5

Day 1-5
Increased blood flow to area
Inflammatory
Controls bleeding with increased clotting

Question 6

Phase 2

Answer 6

5-14
No strength
Collagen formation= scar

Question 7

Phase 3

Answer 7

Maturation/remodeling

14 days-1 year

Question 8

Do not close wound up n extremities or trunk over

Answer 8

12 hours old

Question 9

Bacteria on skin doubles

Answer 9

Every 6 hours

Question 10

Mammal bites should be put on

Answer 10

Augmenting prophylactic

Question 11

Factors affecting would healing

Answer 11

DM
Renal insufficiency
Marfan’s
Immune compromised 
Nutrition
Obesity
Meds
Smoking
Temp
Blood supply
Infection

Question 12

Clean wounds with

Answer 12

NS

Low pressure

Question 13

Don’t clean wounds with

Answer 13

Alcohol based products

Question 14

Always do what with suspected FB

Answer 14

Probe with curved object

Question 15

Tetanus shot for

Answer 15

“I don’t know”
Anyone older than 7= every 5 years
Tetanus prone would= 5 years if not just every 10

Question 16

Duration of local

Answer 16

30 mins to 6 hours

Question 17

Amides

Answer 17

Lidocaine
Mepivacaine
Bupivicaine

Question 18

Esters

Answer 18

Procaine
Cocaine
Tetracaine

Question 19

Alternatives to local

Answer 19

Diphenhydramine

Benzoyl alcohol

Question 20

Why does local burn?

Answer 20

It’s acidic

Question 21

What do you buffer local with

Answer 21

Bicarb

Question 22

Lidocaine 1%=

Answer 22

10mg/mL

Question 23

2% lidocaine =

Answer 23

20 mg/mL

Question 24

Onset of lidocaine

Answer 24

2-5 mins

Question 25

Lidocaine max dose Max dose with Epi

Answer 25

5mg/kg 7mg/kg

Question 26

Bupivicaine concentration Max dose

Answer 26

0. 25% 0. 5% 2mg/kg Max with epi 3mg/kg

Question 27

Bicarbonate buffer ratio

Answer 27

Lidocaine 1ml bicarb+ 9mLs lido Bupivicaine 1mL bicarb+ 19mLs bupivicaine

Question 28

Why use epi in local?

Answer 28

Vasoconstriction Prolongs anesthetic agent Decreases systemic absorption

Question 29

When not to use epi in local

Answer 29

Wounds with circulatory compromise Digital anesthesia in PAD Pregnancy

Question 30

When to remove sutures in face

Answer 30

3-5 days

Question 31

Remove sutures on scalp

Answer 31

7-10 days

Question 32

Suture removal Arms

Answer 32

7-10 days

Question 33

Suture removal Trunk and legs

Answer 33

10-14 days

Question 34

Suture removal Hands and feet

Answer 34

10-14

Question 35

Suture removal palms and soles

Answer 35

14-21

Question 36

Suture removal joints

Answer 36

14 days consider splinting

Question 37

What is goal of suturing

Answer 37

Approximate don’t strangulate

Question 38

Abx ointment

Answer 38

For 24 hours on face sutures Using more than 24 hours increases scar formation

Question 39

Protect lac from sun

Answer 39

6-12 months

Question 40

Interrupted sutures

Answer 40

Most often used

Question 41

Horizontal mattress

Answer 41

Distributing tension over greater area

Question 42

Figure 8

Answer 42

X under skin Tie off bleeder Tube securing

Question 43

If wound is already infected

Answer 43

Abx

Question 44

When to follow up with infection prone wound

Answer 44

48-72 hours

Question 45

When to follow up with wound

Answer 45

S/s of infection | N/V

Question 46

Glue

Answer 46

4-5 coats equal 4.0 suture tensil strength No ointments or creams No areas with hair Eyebrow or scalp