Surgery
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Face and Neck: leave suture in for: | 3 – 5 days
🗑
|
||||
| Trunk: leave suture in for: | 7 – 10 days
🗑
|
||||
| Upper extremities: leave suture in for: | 10 – 12 days
🗑
|
||||
| Lower extremities: leave suture in for: | 12 – 16 days
🗑
|
||||
| Do not close: | deep puncture wounds, human bites, grossly infected wounds (wounds should heal by secondary intention)
🗑
|
||||
| Wound closure: at 3-4 days if wound not infected: | delayed primary closure
🗑
|
||||
| Maximum dose lidocaine | 7mg/kg with epi, 4.5 mg/kg w/o epi
🗑
|
||||
| Keep sutures in longer in pts with: | steroids, immunosuppression, poor nutrition
🗑
|
||||
| Suture size: chest | 6 or 7
🗑
|
||||
| Suture size: abd closure | 0 to 3
🗑
|
||||
| Suture size: skin | 2-0 to 5-0
🗑
|
||||
| Suture size: CABG | 6-0 to 8-0
🗑
|
||||
| Plain gut vs chromic: | Plain gut is more rapidly absorbed than chromic
🗑
|
||||
| Least reactive non-absorbable sutures | Nylon and polypropylene
🗑
|
||||
| Nylon sutures | High tensile strength, low tissue reactivity, excellent elasticity and pliability; Favored for construction of interrupted percutaneous closure
🗑
|
||||
| 3 parts of suture needle | point; body; swage
🗑
|
||||
| On skin, always use this type needle: | Cutting needle (4-0)
🗑
|
||||
| Suture blood vessel: | 8-0 for CABG; about 6-0 atraumatic (not cutting) for vessel
🗑
|
||||
| Suture type easiest to handle: | silk
🗑
|
||||
| Strength in properly tied square knot: | 80-90% of strength of untied suture
🗑
|
||||
| Absorbable sutures: which are absorbed: | chromic
🗑
|
||||
| Can use lido w/epi on scalp? | Yes (not on fingertips, toes, ears, nose)
🗑
|
||||
| Plain gut: suture loses tensile strength after: | 1-2 wks
🗑
|
||||
| Chromic: suture loses tensile strength after: | 2-3 wks
🗑
|
||||
| Purposes of bandages | protect wounds from contamination and may also provide compression, support, and/or absorption
🗑
|
||||
| Purpose of dry dressing | where the skin is intact or the skin edges are approximated and present a dry surface
🗑
|
||||
| Purpose of non-adherent dressing | used if a wound has a raw surface
🗑
|
||||
| 5 categories of bandage material | Gauze; Elastic adhesive; Muslin; Outing flannel; Cotton elastic
🗑
|
||||
| Gauze | generally used to hold dressings in place.
🗑
|
||||
| Elastic adhesive | preferred for fixation of dressings in areas where it is difficult to hold a bandage in place & where expansion and contraction is necessary (i.e. chest).
🗑
|
||||
| Muslin | used as straps and to hold traction tape in place on extremities.
🗑
|
||||
| Cotton elastic | woven in a manner that provides considerable elastic properties; used to lend support and apply even pressure.
🗑
|
||||
| Dressings may be held in place by: | adhesive strips, collodion spray or by bandaging
🗑
|
||||
| Use of Montgomery Straps: | (adhesive straps); when repeated dressing changes are required
🗑
|
||||
| Indication for: Circular bandage: | used over tubular structures such as the arm
🗑
|
||||
| Indication for: reversed spiral bandage: | used for tubular structures of changing diameter(leg or forearm)
🗑
|
||||
| Indication for: spica bandage: | used to cover two parts of unequal size such as the shoulder and chest or thumb and hand and groin
🗑
|
||||
| Indication for: recurrent bandage: | used on distal stumps
🗑
|
||||
| Indication for: figure-of-eight bandage: | used over joints, (elbows and knees)
🗑
|
||||
| Collodion spray | for small lacerations (esp scalp); saturate gauze layers w/ collodion
🗑
|
||||
| Wet dressings | used for infected wounds, which are left open and treated with regular irrigations.
🗑
|
||||
| Wet compresses | superficial applications; do not use wet compresses continuously for more than 24 hours or skin maceration and breakdown may occur
🗑
|
||||
| Types of supports used with dressings | metal, wooden, fiberglass, or plastic splints; plaster-of-Paris
🗑
|
||||
| Synthetic casts advantages | synth: hi cost, strong, light, short drying time, good for open fx
🗑
|
||||
| Plaster casts advantages | moldable, cheap, good for fresh fractures
🗑
|
||||
| 5 complications from casts | Foreign body; Plaster burn; Pressure sores (fr wrinkles in the cast padding); Nerve Palsy & AV compromise; Loose-cast syndrome
🗑
|
||||
| Thumb spica splints | for simple thumb sprain; immobilization after lac repair; sprain and scaphoid fracture
🗑
|
||||
| Ulnar gutter splints | for 4th and/or 5th metacarpal fx
🗑
|
||||
| Radial gutter splints | for 2nd and/or 3rd metacarpal fx
🗑
|
||||
| Upper extremity posterior splints | for bicep tendonitis, radial head fx, stable distal humerus fx; following aspiration of olecranon bursa
🗑
|
||||
| Lower extremity posterior splints | for stable ankle fractures
🗑
|
||||
| 3 indications for chest tube placement | pneumothorax; fluid in the chest (hemothorax, hydrothorax, chylothorax, empyema); prophylaxis for high risk patients undergoing pos pressure ventilation
🗑
|
||||
| 3 types of pneumothorax | open (sucking); tension (one way air leak); simple (air btw visceral & parietal pleura)
🗑
|
||||
| Site for routine chest tube insertion | through the 4th or 5th interspaces in the anterior axillary line
🗑
|
||||
| Complications of tube thoracostomy | hemorrhage; infection; lung laceration; cardiac injury; subcutaneous placement; re-expansion pulmonary edema; intraperitoneal placement of tube
🗑
|
||||
| Pros & cons of minimally invasive surgery | pros: less pain; quicker; fewer complications. Cons: cost; training req; req genl anesthesia; loss of tactile sensation
🗑
|
||||
| Laparoscopic surgeries | Chole; appy; herniorraphy; colon resection; gastric bypass
🗑
|
||||
| Laparoscopy: CI | peritonitis; hypovolemic shock; abd distension / bowel obstruction; coagulopathy
🗑
|
||||
| Laparoscopy: complications | vascular/ visceral injury; acidosis; arrhythmias; extraperitoneal insufflation; pneumothorax; wound infxn
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Abarnard
Popular Surgery sets