Chapter 8

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Chapter 8
2011-11-20 20:28:47
Hemotasis Emergency situtations

test 11/21/11
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  1. Often used in place of suture ligatures when many small vessels need to be ligated n a short period of time.
    applied either from a manually loaded applicator or from any of several preloaded disposable applicators.
    Ligating clips
  2. Caustic pencil for cerviclor nasal bleeding
    silvr nitrate
  3. oxidized cellulose removed from vessels/nerves prior to closure
    Surgicel or Nu-Knit
  4. Bovine enzyme applied directly to site never injected IV
  5. What is the drug of choice in treating hypermetabolism.
  6. A pathological process in the body that occurs when blood begins to coagulate within the body.
    Disseminated intravascular coagulation (DIC)
  7. Prevents bleeding and promotes clotting used as buttresses overthe suture line.
    Purpose of a Pledget
  8. Used to stop excessive bleedng from trauma by applying pressure t a bloo vessel.
    Used on exremities to keep the operative site free of blood.
    Provides better visualizaton and reduces operative time.
  9. Chest tube device
    Water seal
  10. Passive drain placed in CBD
  11. ____ Consists of a single-use ttanium blade attached to a handpiece and a portable generator.
    Does not cause charing of the tissue or produce a smoke plume.
    Damage to adjacent tissue is minimal grounging pad notneeded.
    Ultrasonic (Harmonic) scalpel
  12. Sudden loss of consciousness
  13. Pulse less than 60 and symptomatic
  14. No pulse; start CPR
  15. Abnormal brain electrical activty (focal, grand mal, petit mal)
  16. What is the primary use of kitners and peanuts?
    Bluntly dissect tissue
  17. Refers to any type of abnorml heart rhythm
    cardiac dysrhythmia
  18. The destruction of erythrocytes
  19. The arrest of the ecape of blood through natural or artifical means
  20. From the same species
  21. Gavity drain uses capillary action.
  22. active closed drainage "grende"
    Jackson Pratt
  23. active closd round collection device
  24. Utilizes ai to displace fluid
  25. From oneself
  26. arise in motor or sensory areas of the brain.
    focal seizures
  27. Thermal burns; flash blindness; poor immune response
    Dirty radiological bomb
  28. Rhinorrhea, dyspnea; seizure; paralysis
    Nerve agent
  29. Skin blisters, burns; dyspnea; conjunctivitis
    Mustard gas (vesicant)
  30. Pulmonary edema
    Phosgene (chocking agent)
  31. Cryotherapy, electrosurgery, bipolar, harmonic scalpel, LASER
    Thermal hemostatic devices
  32. Smallpox and anthrax
    most likely bioweapons
  33. Skin lesions; flu-like symptoms; yspnea; high fever; shock
  34. Neuroparalysis (nausea and vomiting); blurred vision; slurred speech; dysphagia
  35. Fever; aches; pain; malais; painful vesicular/pustular skin rash caused by variola major
    small pox
  36. sewen over the hole in the vessel andexert outside pressur over the small needle holes to prevent bleeding and promote clotting
    how a pldget is used
  37. four main blood type groups
    A, B, AB, O
  38. from pt. eiter stored or cell saver autotransfusion
  39. specific type of reaction occurs with Rh mismatch
  40. Donated from another; requires type and cross match.
  41. to prevent venousstasis and deep vein thrombosis.
    sequential stockings
  42. collagen kept dry prior to placment
  43. vasoconstrictor mixed with gelfoam or soaked sponges
  44. Gelatin powdr o pad deposits fibrin
  45. if blood products not to be used immediately, they should be stored in a refrigerator at a temperature between what?
    1-6 degrees C
  46. A lifethreatening acute pharmacogenic disorder, developing during or after anesthesia.
    Usually triggered by an aesthetic agent, such as halothane, enflurane, or isoflrane
    Malignant Hypertermia (MH)
  47. Used to apply pressure on bleeding areas or vessels and to absorb exess blood or body fluids
  48. The aspiration of fluid by mechanical means. Used intraoperatively t clear the surgical site of blood and body fluids.
  49. antigen found in RBCs of most people
    Rh factor
  50. occurs when imsmatched blood is given (mild to anaphylactic shock)
    tranfusion reaction
  51. Universal recipient
    Type AB
  52. Universal donor
    Type O
  53. The act of manually providing chest compressions and ventilatins to pts in cardiac arrest in an effort to provide oxygenated blood to the brain and vital organs.
    CPR- Cardioulmonary resucitation
  54. Loss of consciousnes with convulsive body movement
    Grand mal
  55. Occurs without warning; very short in durations; stare into space
    petit mal
  56. Treated with epinephrine for extreme cases
    anaphylactic shock
  57. Platelets adhere to subendothelium of vessel walls:
    Platelets reease ADP;
    Release of ADP causes further layers of platelets to adhere;
    Pltelet aggregate forms (hite thrombus);
    Permanent thrombus form after clotting factor reaction.
    Phases of the clotting process
  58. Silver nitrate, epinephrine, thrombin, avitene, gelfoam, surgi-cel
    Chemical hemostatic devices
  59. Genetically determined blood group antigen that is present on the surface of erythrocytesof some indviduals; present antigen= positive; absent=negative
    Rh (rhesus) factor
  60. What is a pledge made of?
  61. Used to compress the walls of vessels and to grasp tissue.
    Most commonly used is the hemostat
  62. strands of suture material used to tie off blood vessels.
    Ligature or ties ("stick ties")
  63. Approximately how long should you leave the tail for monofilament suture? and why?
    • 1/4 inch.
    • To enhace the knot's security
  64. What i the main role of the STSR in the instance of cardiac arrest in the surgical setting?
    Protect the sterile field from contamination during the resuscitation efforts.
  65. seizue present witha sudden change in consiousnessaccompanied by the pt. making a series of movements or statement that seem out f place or bizarre.
  66. ligating clips, suture, stick tie, bone wax, sponge stick/pressure, pledget, deBake vascular clamp, hemostat, tourniquet
    Mechanical hemostatic devices
  67. Teh act of sucking up air or fluids throught a device, such as a tonsil suction tip
  68. MH may be diagosed with a ____ ____ taken under a local anesthetic.
    muscle biopsy
  69. ______ is actually one of the last signs seen in a MH crisis
    eleveated body temp.
  70. refined and sterilized beeswax
    on cout edges of bone as a mechanical barrier to seal off oozing blood.
    should be softeed by kneading prior to use.
    Bone wax.
  71. Pt. airway
    Circulation, pulse
    Hemostasis maintained for severe blood loss
    chest injuries
    shock; fallen blood pressure
    wound protectioon/closure
    comfort for pt.
    condtions in order from 1-10 of treatment