IDC MED PROCEDURES 10030

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silentthero  on May 11, 2011

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IDC MED PROCEDURES 10030

Stocking list of sterile packs is dependent on what?
the IDC and what procedures are to be performed
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Stocking list of sterile packs is dependent on what? the IDC and what procedures are to be performed
What is defined as a sterile boundary and/or surface to place sterile supplies or equipment? Sterile field
What are The most common areas used for IV therapy? the hands and arms
How do you classify MEDEVAC categories? Same as Triage categories
What is the first thing you ask prior to any procedures? Ask about allergies
What are the indications for needle Cricothyroidotomy? C-SPINE TRAUMA
Suction should not exceed how long? 15 seconds at a time
How do you measure the NG tube? Using the NG tube as a ruler, measure the distance from the nose to the earlobe, then measure the distance from the earlobe to the xyphoid process
What are the contraindications to Venous cut-down? Injuries to vessels proximal to the cut down site, Unstable fracture proximal to the site
What are the contraindications for urethral catheterization? Suspicion of urethral trauma caused by Male with pelvic or saddle-type injury, "High riding" prostate, PERINEAL HEMATOMA, Blood at the meatus
What should be your fluid selection for I.V cathiterization with someone who is diabetic? Normal Saline 0.9% NaCl
What is defined as the Number of and type of wounded exceed the med dept's ability to effectively treat them all at once? Mass Casualty
Using a scalpel with an #11 blade, what is the surgical Cricothyroidotomy precedure? make a 2cm vertical skin incision over the cricoid membrane, gently incise through the cricoid membrane
When applying a splint to an extremity, you should always stabilize what? the joint above and below the injury
What is the site for a chest tube? inbetween the 5th and 6th rib along the mid axilary line
What are the indications for venous cut downs? Poor peripheral sites for IVs, HYPOVOLEMIC SHOCK in which rapid volume replacement through a large cannula is needed
What are the contraindications for using an NPA? SEVERE NASAL FX, Basilar skull fractures
What is a common systemic complication of I.V. catheterization? SEPSIS, Pulmonary Thromboembolism, Air embolism, Catheter-fragment embolism
Which venous cut down site is Anterior/superior to the medial malleolus and is the Preferred site for procedure? Ankle-Saphenous vein
What are the contraindications for I.V. catheterization? Trauma to or proximal to the area, Scarring from IV drug usage, Non-visible/palpable veins
With a chest tube, why do you want to Ensure tract is formed over the rib? Avoids damaging the neurovascular bundle that runs under the rib
If a Pleur-evac is not available, what can be attatched to the end of the chest tube? A glove secured to the end of the chest tube and cut a hole in one of the fingers to act as a one-way valve
What are the purposes of splinting? PREVENT FURTHER SOFT TISSUE INJURY, Pain relief, and Immobilize injuries
What kind of splint should be used for a suspected femur fx? Hare/Kendrick traction splint or securing to spine board
How do you check that the NG tube is in place? Aspirate with 60cc syringe for gastric contents and reinstill. Inject 30cc of air while auscultating stomach in the epigastric region
What are the indications for urinary catheterization? 1. Monitoring of intake and output in the
critically ill or injured patient
2. TO RELIEVE ACUTE URINARY RETENTION
3. To obtain urine for lab studies (sterile)
4. In some cases when there is loss of bladder
control
What portion of the body shall never be shaved? the eyebrows
What is Defined as a loss of sensation that makes a person insensible to pain with or without a loss of consciousness? Anesthesia
For an oral laceration, what suture material should be used? 3-0 silk; Scalp injuries - 3-0 suture material or bigger, ensure that you get all layers of skin
(staples are a good choice for scalp wounds)
Face 5-0 or 6-0 non-absorbable material
Routine closure - 4-0 material (nylon)
All concentrations of what solution damage fibroblasts? Hydrogen Peroxide
What type of anestesia Consists of the subcutaneous infiltration of a small area of the body with a desensitizing agent? Local block (regional)
What is important to know n treating an abscess? the anatomical structures underlying the abscess
Iodoform serves what two purposes? Prevents the incision from closing
Provides adequate drainage of the abscess
What drags are used when patient's life in danger and they must be moved quickly? Clothes
ANKLE
Blanket
Sheet
Proir to needle thoracentesis, how should a pt be sitting with a Pneumothorax? Allow patient to remain in the position of comfort (normally sitting)
What is the time frame for suture removal? Face- 5-6 days(replace sutures with steri-strips using tincture of benzoin to hold in place), Extremities- remove after 5-8 days(if over a joint remove after 10 days), Scalp- 7-10 days, Trunk- 5-8 days, Back/feet- 10-14 days

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