CP11

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kelleeeh
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29653
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CP11
Updated:
2010-08-11 20:53:12
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CP11
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CP11
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  1. 2 Types of surgical wounds:
    • Incision - cutting in
    • Excision - cutting something out
  2. 6 Types of traumatic wounds:
    • Closed - bruise
    • Open - open wound
    • Simple - no loss of tissue
    • Complicated - tissue lost or destroyed, foreign object inside
    • Clean - smooth cut
    • Contaminated wound - Object in the wound
  3. What is the infection rate for wound Class I?
    • 1 - 5%
    • No break in aseptic
    • Elective
    • Example: Breast biopsy, thyroidectomy, hip replacement
  4. What is the infection rate for wound Class II?
    • 8 - 11%
    • GI, GU, Respiratory tract
    • Minor or no break in aseptic
    • Hysterectomy, Pneunoectomy
  5. What is the infection rate for wound class III?
    • 15 - 20%
    • Feces, Major break in aseptic
    • Gun shot wound to abdomen
  6. What is the infection rate for wound Class IV?
    • 27 - 40%
    • Bacteria in wound before surgery
    • Pus and drainage
    • Incision and drainage of excess
  7. What are the phases of wound healing for 1st intention wound?
    • Wound closes from the inside out
    • 1 Lag/inflammatory phase - Day 1 - 5
    • 2 Proliferation - 2 weeks
    • 3 Maturation/Differention - Months
  8. What kind of forcep should be used to handle tissue when closing a wound?
    • Toothed forcep - Adson
    • Don't use smooth forceps- crush tissue due to greater grasping pressure
  9. What is the inflammatory process?
    • Pain (dolor)
    • Heat (calor)
    • Redness (rubor)
    • Swelling (tumor)
    • Loss of Function (functio laesa)
  10. Factors Influencing Wound Healing:
    • Age - Pediatric/Geriatric
    • Nutrition
    • Disease
    • Smoking - Vasoconstrictor
    • Radiation
    • Immune Deficiency - HIV/Cancer Patients
  11. What is dishiscens?
    Wound popping open
  12. What is Evisceration?
    hanging out
  13. What is adhesion?
    wound stuck to something else
  14. What is Herniation?
    Cuts circulation off to something, popping out
  15. What is a fistula?
    Opening that should be there/open on both ends
  16. What is a sinus tract?
    Elongated channel in the body that allows fluid to pass through
  17. What are the 2 basic types of sutures?
    • Monofilament: Prolene, Nylon, Catgut, PDS, Monocryl
    • Multifilament: (braided or twisted) Silk, Vicryl, Braided Polyester
  18. Characteristics of monofilament sutures:
    • More difficult to handle
    • Require more knots
    • Difficult to tie
    • Preferred for closing an infected wound
  19. What should you always do when using prolene sutures?
    Wet the doctors hands
  20. What is ethibond?
    Braided polyester sutures
  21. Characteristics of multifilament sutures:
    Reactive and prone to infection
  22. How are knots tied in sutures?
    Tied outside the body and pushed into the wound with knot pushers
  23. What determines characteristics of needles?CP
    • Eye
    • Point
    • Body
    • Shape
  24. What should a cutting needle point be used for?
    • Tough tissue - Skin
    • Reverse
    • Side - Opthamology
  25. What should a tapered needle point be used for?
    • Delicate tissue - Bowel, artery
    • Tapercut
  26. What should a blunt needle point be used for?
    Kidney, Liver
  27. CP
    Cutting Point
  28. CT
    Circle Taper
  29. CTX
    Circle Taper X-Large
  30. CV
    Cardiovascular
  31. FS
    For Skin
  32. FSL
    For Skin Large
  33. KS
    Keith Straight
  34. MO
    Mayo
  35. OS
    Orthopedic Surgery
  36. PS
    Plastic Surgery
  37. RB
    Renal (artery) Bypass
  38. S
    Spatula
  39. SH
    Small Half (circle)
  40. TF
    Tetralogy of Fallot
  41. UR
    Urology
  42. MH
    Medium Half
  43. Layer Closure for Abdominal Wounds
    • Peritoneum
    • Fascia
    • Muscle
    • Subcutaneous
    • Subuticular
    • Skin
  44. What is a skin stapler?
    Requires 2 adsons to hold skin together
  45. What is a linear stapler?
    • Cuts in a line
    • Can be reloaded
  46. What is a chronic wound?
    Wound that persists for an extended period of time
  47. What is first intention?
    Primary Union
  48. What is Second Intention?
    Granulation
  49. What is Third Intention?
    Delayed Primary Closure
  50. What is tensile strength?
    How much stress something can endure
  51. What is cicatrix?
    Normal scar formation
  52. What is friable?
    Easily torn
  53. What is a Kleoid Formation?
    Occurs most often in dark skinned patients
  54. What are drains?
    Devices that remove unwanted fluids or gases from the body
  55. What factors affect choice of suture?
    • Age
    • Weight
    • Thickness of tissue
    • Edema
    • Metabolic factors
  56. What is chromic gut?
    • Collagen treated with chromium salts to delay rate of absorbtion
    • 90 day absorbtion rate
  57. What is swaged?
    Bent or curved
  58. What is ligated?
    Put back together with suture
  59. What is a primary suture line?
    Sutures placed for first intention healing
  60. What is a secondary suture line?
    Sutures to support the primary suture line
  61. What are vessel loops?
    Silicone strips that can be placed around veins arteries, etc for retracing and isolating
  62. In what order are items counted in surgery?
    SSI - softs, softs, instruments

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