Term
| What instrument is used to apply a high-frequency electric current to biological tissue as a means to cut, coagulate, desiccate, or fulgurate tissue? |
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Definition
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Term
| When using a Bovie, what is an important part of pt prep? |
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Definition
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Term
Which scalpel blade is used for large incisions like
to open the abd or chest? |
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Definition
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Term
Which scalpel blade is used for finer work like
excision of skin lesions? |
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Definition
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Term
| What are the MAJOR goals of wound suturing? |
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Definition
Elimination of dead space
Even distribution of tension along suture lines |
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Term
| What type of sutures are absorbable? |
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Definition
Chromic catgut
Vicryl (Dexon similiar)
PDS
Monocryl |
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Term
| As far as suture thread size, what does the larger the # mean? |
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Definition
| larger the # the thicker the thread |
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Term
| What does the 0 following a suture # mean? (Example 2-0, 3-0 and 4-0) |
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Definition
| These are your smaller sutures; the higher the prefix digit, the smaller the suture |
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Term
| Which sizes of suture is used for ophthalmologic & microvascular work? |
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Definition
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Term
| What is the largest suture size? |
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Definition
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Term
| Which suture size is used on face? |
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Definition
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Term
| What is used to close scalp lacs? |
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Definition
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Term
| What sutures are used on the trunk and extremities? |
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Definition
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Term
| What sutures are used for deep tissues? |
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Definition
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Term
| What are the advantages of monofilament sutures when compared to multifilament sutures? |
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Definition
less tissue drag
do not have interstices that may harbor bacteria |
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Term
| What are the disadvantages of monofilament sutures when compared to multifilament sutures? |
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Definition
Impaired handling and difficulty knot tying
Are broken easier |
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Term
| Which type of suture is made of a single strand of material? |
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Definition
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Term
| Which type of suture is several strands of suture that are braided or twisted together? |
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Definition
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Term
| What are the advantages to multifilament sutures? |
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Definition
more pliable and flexible
easier handling and knot tying (more secure knots) |
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Term
| What are the disadvantages to multifilament sutures? |
|
Definition
high capillarity (place for bacteria to grow)
rough passage through tissue |
|
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Term
| What can be done to multifilament threads to reduce capillarity and ease in tissue passage? |
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Definition
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Term
| What term means the process by which fluid and bacteria are carried into the (wound) interstices of multifilament fibers? |
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Definition
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Term
| Where should multifilament sutures NOT be used? |
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Definition
| Shouldn't be used in contaminated and/or infected sites |
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Term
| Which suture material is commonly used in Internal GI layer? |
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Definition
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Term
| What is the duration of tensile strength of Chromic catgut sutures? What is it made of? |
|
Definition
| 5 days; Submucosa of sheep’s intestine |
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Term
| What type of suture material is used for Internal layer of GI anastamoses; small-vessel ligature; subcuticular skin? |
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Definition
|
|
Term
| What is the duration of tensile strength of Vicryl? |
|
Definition
|
|
Term
| What type of suture material is used in facial closures? |
|
Definition
|
|
Term
| What is the duration of tensile strength of PDS? |
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Definition
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Term
| What type of suture material is used for subcuticular skin? |
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Definition
|
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Term
| What is the duration of tensile strength of Monocryl? |
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Definition
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Term
| Which type of suture is used for Skin closure; drains? |
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Definition
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Term
| Which type of suture is used in cardiac; tendon? |
|
Definition
| Braided synthetic polyesters |
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Term
| Which type of suture is used on the sternum? |
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Definition
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Term
| What suture closing form is described as high-strength surgical glue? |
|
Definition
| Cyanoacrylate - Surgical Adhesive |
|
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Term
| When can Cyanoacrylate be used? |
|
Definition
Lacerations in areas of low skin tension, with easy to approximate edges
In wounds that are clean, Simple (non-mucosal) and < 8 cm |
|
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Term
| Can you use Cyanoacrylate on mucosal surfaces? |
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Definition
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Term
| Can you use Cyanoacrylate on an easy to approximate, low tensile area with a laceration of 7mm in length? |
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Definition
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Term
| What can be applied by the pt on a suture to aids in ↓ suture tract epithelialization (crusting)? |
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Definition
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|
Term
| When should face or neck sutures be removed? |
|
Definition
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|
Term
| When should scalp or body sutures be removed? |
|
Definition
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|
Term
| When should extremity sutures be removed? |
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Definition
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|
Term
| What % of a newborn's wt is water? |
|
Definition
|
|
Term
| What % of an adults wt is water? |
|
Definition
|
|
Term
| What % of an elderly adult's weight is water? |
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Definition
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|
Term
| What amount of TBW is ICV? |
|
Definition
|
|
Term
| What amount of TBW is ECV? |
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Definition
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Term
| What makes up the majority of ECV? What makes up the other portion? |
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Definition
Interstitial fluid (IF) is ¾ of ECV
Plasma is ¼ of ECV (or 5% of TBW) |
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Term
| What is a major determinant of capillary oncotic pressure? |
|
Definition
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Term
| What phenomenon is described as Fluid “hides” in tissue & cavities due to ↑ capillary permeability (“capillary leak”)? |
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Definition
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Term
| Where is "Third Spacing" normally found? What are stimulators of third spacing? |
|
Definition
| LE and sacral area; Stimulated by Trauma, Major surgery, Intra-abd infections |
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Term
| What are the components in normal saline? |
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Definition
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Term
| What are the crystalloid solutions? |
|
Definition
Normal saline (NS) (0.9NS)
Lactated Ringer’s (LR) (RL)
Hypertonic saline |
|
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Term
| What are the colloid solutions? |
|
Definition
5% albumin solution
Purified plasma protein fraction
Hydroxyethyl starch solution |
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Term
| Which general type of IV solution are used as volume expanders? |
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Definition
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Term
| Which general type of IV solution are used to Provide sustained volume expansion, for acute, severe hemorrhage & large volume loss? |
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Definition
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Term
| What should be used for resuscitation? |
|
Definition
Isotonic crystalloid solution is the only choice
NS or LR |
|
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Term
| What type of IV solution should be avoided during aggressive resuscitation? |
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Definition
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Term
| Which type of K replacement has rapid onset and is preferred? |
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Definition
|
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Term
| What are the signs characteristic of Hypocalcemia? |
|
Definition
| Chvostek sign, Trousseau sign, |
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