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Surgical Nursing FINAL
Terms in this set (27)
Proper sterilization depends on 3 things:
Proper pack preparation
Destruction of vegetative forms of bacteria, but not the spores on inanimate objects and surfaces
Substance that kills living organisms
Destruction of all organisms and spores on an inanimate object
Microorganisms can be introduced into a surgical side from outside sources
Contamination introduced from within the patient via their own bloodstream
When passing a loaded needle to a left-handed surgeon, the point of the needle should be facing which direction?
Squeeze while suspended above to drip lavage
"Moist tissue is happy tissue"
__________ infections are the most serious and difficult to cure. Every effort should be made to ensure that a prep for this kind of surgery is aseptic.
-Dorsal recumbancy, back legs pulled cranially
-Modified dorsal recumbancy, front legs pulled cranially
2 positioning methods for canine castration
Layer in contact with skin.
May be occlusive or non-occlusive.
Primary Bandaging layer
-Secures contact layer to wound
-Provides an absorptive layer
-Provides support to an extremity
-Can be used to apply pressure to a wound &compress any dead space preventing hemorrhaging
-Avoid pressure that could impede blood flow
Example: cast padding, roll cotton
Secondary bandaging layer
-Composed of porous adhesive tape or elasticized tape
-Provides protection to the padded secondary layer
-If outer layer becomes wet the entire bandage must be changed immediately
Example: vet wrap
Tertiary bandaging layer
What should a client watch for at home that may indicate a problem with a bandage, cast, or splint?
Toes monitored for swelling, warmth and color. Foul odor. Chafing. Dirty/wet.
Solution commonly used for flushing drains
tea-colored betadine solution
How long are penrose drains typically left in the patient?
A taper-point needle should be used:
to close delicate soft tissues (such as intestine)
What suture pattern offers the most strength of the incision line?
The necrosis of tissue around the suture site
4 wound classifications
6 phases of wound healing
Poor blood supply
5 wound factors that affect healing
volume to be infused
-open vs closed
-location of fracture on bone
-reducible vs non-reducible
5 parameters of fracture assessment
5 steps to bone repair
EXTEND ABOVE & BELOW THE FRACTURE OR INJURY
-ALWAYS WRAP DISTAL TO PROXIMAL
-NEXT COMPRESS TIGHTLY WITH CONFORMING ROLL GAUZE(AVOID EXCESS TWISTING OF THE LEG). STIRRUPS ARE REFLECTED ON TOP OF GAUZE LAYER
•VET WRAP IS THEN FIRMLY APPLIED
•PROTECTIVE TAPE CAN BE USED TO SECURE TOP &BOTTOM
•COMPLETED BANDAGE SHOULD FEEL SOLID & A "PING" SHOULD BE HEARD WHEN THE BANDAGE IS THUMPED-SOUND OF A RIPE MELON
-A SIMPLE PADDED BANDAGE
-LESS BULKY, USED TO REDUCE POST-OPERATIVE SWELLING OF LIMBS
-PROVIDES LITTLE OR NO SPLINTING OF THE LIMBS
-LESS PADDING IS USED IN THE 2nd LAYER
-CAST PADDING IS USED VS ROLL COTTON
Modified Robert Jones
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