Take home test Flashcards Preview

Minor Surgery Final > Take home test > Flashcards

Flashcards in Take home test Deck (31)
Loading flashcards...
1
Q

usual instruments found in surgical pack

A
Needle driver
scissors
scapel
forceps
Hemostat
Gauze
2
Q

List at three surgical use of hemostat

A

Not for holding needle

  • Retrieving foreign bodies
  • clamping bleeding vessels
  • clamping tourniquet
3
Q

what is the best pre surgical antiseptic

A

betadine

4
Q

advantages of iodine

A
  • inexpensive
  • super effective
  • broad spectrum antimicrobial
  • can use to sterilize surgical
5
Q

disadvantages

A
  • 2 minutes of contact time
  • don’t last for long time
  • Quickly inactivated by organic materials , blood
  • allergies/intolerances
6
Q

what is meant by sterile field

A
  • can never get completely sterile or organism

- more like few germs

7
Q

risk factors that can determine change of infections

A
  • virulence of bacteria
  • strength of patients immune system
  • number of microorganisms entering wound
  • type of wound
8
Q

what should you include in the description of procedures section 6

A
  • size of lesion
  • amount of anesthesia/bicarbonate
  • skin prep
  • suture type, number, location, size
  • amount of blood lost
  • duration of procedure
9
Q

which class of anesthetics is primarily metabolized by the liver?

A

Amides

- primarily metabolized by endoplasmic reticulum in live. use in caution in patients with impaired liver function.

10
Q

early warning of anaphylaxis

A
  • sensation of warmth/flushing
  • itching
  • light headedness
  • sudden fatigue
  • sense something isn’t right
11
Q

why add epinephrine to local

A
  • decrease bleeding make surgery easier
  • prolong duration of anesthesia by reducing absorption at injection site
  • decrease amount anesthesia needed. decrease systemic toxicity
12
Q

Phases of wound healing

A

Phase 1 : Inflammation 0 - 5 days
Phase 2: Proliferation 5 - 3 weeks
Phase 3: contraction 3weeks -2 years

13
Q

debridemet

A
  • take out old necrotic tissue
  • make smooth edges and allows good approximation
  • reduce risk of infection
14
Q

dead space

A

space remaining in tissue after surgery,

allows accumulation of blood or serum hematoma

15
Q

Why use Marcaine over lidocane

A

Marcaine has longer duration of action

16
Q

why undermine

A
  • reduces tension to reduce scarring
17
Q

3-0 surgery

A

General body, under tension

18
Q

4-0

A

general body, under tension,

19
Q

5 -0

A

face or head
small wounds or with no tension
extremities

20
Q

6-0

A

Face or head,

small wounds with no tension

21
Q

criteria for choosing anesthetic for toenail

A

NO epinephrine

22
Q

pros of 30g needle

A

minimal pain on incertion

23
Q

cons of 30g needle

A

Diameter is smaller or takes longer to inject anesthesia

24
Q

how does autoclave work

A

Pressure/steam

  • 14lbs sq inch
  • 30 minutes
  • 250 degrees R
25
Q

Concerns when using betadine

A
  • iodine allergies

- wash off after

26
Q

infiltration

A
  • 25-30 g needle

- inject around/withing the skin in the area to be removed or treated

27
Q

Field block

A

DO not inject in lesion
- the two Vs - inject proximal and move distal while injecting
do not locate specific nerves

28
Q

Digital block

A

Attempt to locate specific nerve

  • inject webbing in and around digital nerve
  • no epinephrine
29
Q

first intention healing

A

sutureing the edges together

30
Q

second intention

A

wound left open or splits open and its not allowed to heal

31
Q

third intention

A

leave open intentionally then suture/close later