Test II, JJ, KK Flashcards
1
Q
what is salem sump drain?
A
active
2
Q
toppers
A
pre sterilized, general incisions
3
Q
where do you place thoracic catheter box?
A
below table level so it can drain
4
Q
coude tip
A
navigate around structures, able to see under xray
5
Q
benzion
A
antimicrobial liquid that is dark
6
Q
what does stent pressure dressing reduce?
A
edema and hematoma formation
7
Q
what is an example of what salem sump drain is used for?
A
alcohol poisoning
8
Q
cholangiogram
A
removal of gallbladder
9
Q
pressure dressing
A
prevent dead space and edema
10
Q
contact layer dressing
A
non adherent, stays in contact with wound surface
11
Q
Malecot suprapubic catheter
A
put through abdomen through incision to bladder
12
Q
How to handle bullet
A
With hand, not instrument because that could mar object
13
Q
franklin silverman biopsy needle
A
obtain specimens of the liver, thyroid, kidney, prostate
14
Q
intermediate layer dressing
A
absorbent layer, storage area for secretion
15
Q
Who dictates the disposition of body part?
A
The surgeon
16
Q
indwelling catheter
A
stay in for a long period of time-constant drainage
17
Q
fixative
A
substance used to harden and preserve specimens
18
Q
example of what penrose drain would be used for
A
move spermatic cord for hernia
19
Q
what should you not put a specimen on?
A
raytex sponge- messes up sponge count
20
Q
foley 3 way catheter
A
goes into bladder, has extra port for medication or irrigation
21
Q
Fresh
A
Sent to pathology moistened with saline, no formalin
22
Q
adaptic
A
non adherent, contact layer
23
Q
specimen handling off field
A
CN
24
Q
Anaerobic specimen
A
Sent to pathology right away so oxygen doesn’t destroy it
25
outer wrap dressing
holds assembled components in proper position
26
collodian
liquid dressing that forms transparent protective film
27
rectal tubes
drain rectum
28
What do you not place preservatives on?
Calculi, teeth, limbs, tissue scheduled for cultures or FS
29
What is #12 knife blade used for?
Tonsils surgery
30
specimen
tissue, fluid, or foreign body removed from a patient
31
Pezzer suprapubic catheter
goes through abdomen to bladder, looks like a mushroom
32
Incorrect labeling
Devastating for patient, could lead to wrong treatment
33
jackson pratt closed wound reservoir
collects the fluid actively
34
special gauses
used for plastic surgery, burns, skin grafts
35
ace bandage
pressure and support
36
percutaneous needle biopsy
obtained from internal organ or solid mass with hollow needle inserted through body wall
37
how are surgical dressings applied?
sterile
38
circumferential
encases
39
Telfa
used against skin, non adherent
40
angiocath
thread into veins, IV
41
biopsy
tissue or fluid removed for diagnosis
42
wet to dry dressing
used if wound is infected or isn't stitched close
43
purpose of stent pressure dressing
produces pressure to keep the graft in contact with underlying tissue for healing
44
cholangiocatheter
inject dye
45
hemo vac closed wound reservoir
big surgeries, collects fluid
46
how is ace applied?
distal to proximal
47
drain sponge
placed around drains, cut slit in middle
48
Frozen sections care
Hand to pathologist
Send dry
Hand carried
49
what does xeroform gauze contain?
3% bismuth tribromophenate (antiseptic)
50
tube gauze
protects and secures digits
51
what is t tube?
passive
52
Calculi or teeth
Sent dry
| Send to lab or pathology before giving to patient
53
mastisol
liquid adhesive
54
ABD
pressure and drainage/absorption
55
band aid
small incision, laparoscopies
56
what is t tube for?
gallbladder, common bile duct
57
aspiration biopsy
fluid is aspirated through needle placed in lesion, joint, or body cavity
58
vaseline gauze
non adherent, used around chest tubes
59
nasogastric tube
nose to stomach, active
60
Robinson red rubber catheter
smooth rounded tip, temporary, drain bladder, doesn't need drainage bag
61
how does dermabond come off?
naturally during the healing process
62
elastoplast
for pressure, allows for expansion
63
frozen section
tissue or organ quickly frozen with liquid nitrogen
64
op site
protective film covering wound securing line, see through so that you can see the wound
65
specimen with a surgeon
confirm what the specimen is
66
microfoam
used on digits
67
culture
growth of living material and microbes in a prepared media
68
where is thoracic catheter placed?
intrapleural space in chest cavity
69
packing
method of filling a wound to absorb drainage or debride dead tissue
70
what is suctioning catheter?
active
71
bile bag
gets drained passively
72
what is the purpose of dressings?
protect patient from environment, environment from patient, absorption of drainage
73
#15 knife blade
Hands and feet
74
vag pack
packing
75
gloves for dressings
take off outer gloves
76
dermabond
liquid skin adhesive that forms microbial shield to protect wound
77
rule for ABD
blue side always facing up
78
purpose of drains
restore function, promote healing, diagnose
79
jackson pratt drain
drains fluid
80
bone marrow biopsy
needle placed into bone, either sternum or iliac crest
81
penrose drain
dependent drainage, always secured with something
82
what is penrose drain?
passive
83
What does the CN do with preparing the specimen?
Prepare and label the specimen to be sent to lab
84
passive
gravity
85
montgomery straps
used on frequent dressing changes
86
sump drain
used in the stomach
87
coban
used for pressure and support, sticks to itself
88
Webril
padding used with casting material over bony prominences
89
Salem sump drain
for stomach, emptying fluid
90
keys for specimen handling
keep moist
keep unlike specimen separate
keep right and left separate
91
What should you tell the pathologist?
If the patient is awake
92
ureteral catheter
used to drain the kidney, cystoscope, small tubing, collection bag
93
formalin or formaldehyde
solution commonly used as preservatives
94
nasal oxygen catheter
insert through nose, gives oxygen
95
how does a wet to dry dressing work?
wet put inside, dry put on top, when wet dries, it sticks to the tissue in the wound. Then you pull off and it removes dead tissue
96
blake drain
total knee
97
nasopharyngeal catheter
secretions, nose
98
Cancer staging
Extent of patients cancer
99
saratoga sump drain
deep wound drain
100
davol closed wound reservoir
squeeze ball to form negative pressure
101
Bonanno suprapubic catheter
drain bladder through skin, sharp
102
how to prepare for drain
insert tubing from inside out through skin
option of cutting tube in half
attach wound tubing to CWS chamber
close pour chamber
squeezing, pumping up balloon, or put together
103
fluffs
reduce edema (pressure), placed between two skin areas (padding)
104
fluoroscopy
xray
105
Cell washings
Introducing normal saline into area
106
bioclusive
hypoallergenic adhesive transparent dressing for burns, and pressure ulcers
107
splints
applied provides support and prevent of movement after injury
108
Stage IV cancer
Spread for other organs
109
bulky dressing
3 layer dressing with additional material added to intermediate layer
110
why are splints good?
allow for tissue inflammation/swelling because it doesn't encircle the limb
111
xeroform gauze
non adherent, packing of nostrils or vaginal canal
112
stockinette
padding and protects tissue under casting material
113
how is tissue removed for excisional biopsy?
skin incision
| endoscope
114
foley 2 way catheter
goes into bladder
115
Amputated limbs
Patient signs consent for disposal of limb
116
dressing wounds with drains
secure with pin or suture, or tape
117
smear
material spread thinly on a surface (like microscope slide)
118
how is a Bonanno suprapubic catheter put in?
poke through skin straight to bladder
119
where do all tissue/foreign bodies removed go?
pathology department
120
Permanent
Sent to pathology in formalin or normal saline
121
what is purpose of bulky dressing?
support wound, absorb excessive drainage, immobilize area
122
pathology
study of diseases
123
bronchial washings
cells collected from one or both bronchi by irrigation, fluid specimen, bronchoscope, from the upper airways
124
TNM
Extent of tumor
Extent of spread of lymph nodes
Presence of metastasis
125
foley catheter
uses balloons, drainage bags
126
How are cultures obtained?
In a sterile manner
127
what is thoracic catheter?
active
128
adhesive tape
doctors tape, used in positioning patient on OR table
129
what is frozen section used for?
rule out cancer
| determine adequate tumor margins have been dissected
130
Do you use preservative on ballets?
No
131
What is the #3 knife handle for?
All cases
132
Loss of specimen
Could need second procedure or cause delay in treatment
133
iodoform
non adherent used for packing
134
breast biopsy
needle localization done in xray department first
135
thoracic catheter
used after chest surgery
136
types of indwelling catheters
foley
2 way
3 way
137
Can specimens be labeled the same?
No, all separately
138
active
suction
139
what is cholangiocatheter used for?
common bile duct surgery
140
application for dressing
```
have dressing ready
wash and dry incision
apply dressing
remove sterile drapes
outer wrap applied
appropriate size
```
141
flogarty bilary balloon probe
balloon will pull stone out of duct because it goes past stone
142
Pink culture
Don’t use, this means oxygen go into it and it won’t work
143
handling of specimen in OR
CN and ST
144
what is stent pressure dressing?
saline soaked dressing held in place by suture material
145
what can broncial washings tell?
bleeding
fungal infection
lung cancer
146
specimen handling on field
ST
