Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

411- VSURG > #1 VETERINARY SURGERY > Flashcards

#1 VETERINARY SURGERY Flashcards

1
Q

– is that branch of medicine, in which diseases are treated wholly or in part by manual or operative procedures.

A

SURGERY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Attributes of a good surgeon:

A
  1. Eye of an eagle-
  2. Heart of a Lion
  3. Hand of a woman
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

There is a system of rules by which the art of surgery is practiced. Such rules applies to:

A

Asepsis
Anesthesia
Tissue manipulation
Suturing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Otherwise known as complete asepsis, it refers to exclusion of all micro-organisms, this degree of asepsis is impossible. (e.g. it impossible to sterilize skin or the environment)

A

Integral Asepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Involves the relative exclusion of micro-organisms and careful handling of tissues to preserve an inherent defenses

A

Surgical Asepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How much less than ideal aseptic tech. can be & still preclude infection depends on:

A

Species involved

Susceptibility of tissues to become inflamed

The type and number of micro-organisms present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How to protect tissue defenses?

A

-Limit exposure.
-Minimize imposition of foreign materials (sutures, blood clots etc.).
-Preservation of circulation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Relative Asepsis

A

It implies that all practical steps are taken to achieve complete asepsis. In this context, micro-organisms can gain access to surgical wound without resulting an infection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Sources of Contamination:

A

Surgical Instruments
Environment
Personnel
Animal patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

: Sterilization can be divided into 2 types:

A

Cold Sterilization process-
Heat sterilization process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

the use of chemical solutions.

A

Cold Sterilization process-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Other factors that influence wound infection include:

A

Duration of surgery
Surgical technique
Impaired host resistance
Contamination of the wound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

dry heat (oven), autoclave (steam under pressure), moist heat (boiling)

A

Heat sterilization process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the most widely used and efficient method of sterilization

A

Autoclave -
Items w/c may be sterilized:
surgical instruments
drapes
gowns
swabs
most rubber articles
glasswares
some plastic goods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Items which may be damaged in the autoclave:

A
  1. fibre-optic equipment
  2. lenses and plastics
  3. dispossable items like catheters
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The surgical team

A

Surgeon
Assistant surgeon/Scrubbed nurse
Anesthetist
Circulating assistant

11
Q

Duties of the Asst. Surgeon

A

Prepare the instrument trolley.
Assist in draping the patient.
Pass instruments, swabs, etc. to the surgeon.
Assist with surgery: retract tissue, cut sutures, etc.
Be responsible for all equipment, swabs, sutures, needles etc.

12
Q

Duties/responsibilities of the Surgeon

A

Considered as the team of captain.
Take responsible in the pre-op, intra-op and post-op.
Take responsible in the surgical judgment.

13
Q

Duties of the Anesthetist:

A

Responsible in the objective assessment of the surgical patient.
Administer the appropriate pre-anesthetic and anesthetic drugs. Has the authority on what anesthetic agents to use to a particular patient and type of operation.
Responsible in monitoring the vital signs, maintenance & level of surgical sleep.

14
Q

Duties of the Circulating Assistant

A

Help prepare theatre, instruments & equipment for surgery.
Tie the surgical team into gowns.
Help position the patient on the table.
Preparation of the surgical site.
Connect apparatus (diathermy, suction, etc).
Open packs of sutures/instruments etc.
Count swabs, sutures etc. with the asst. surgeon.

15
Q

Scrubbing-up
Putting on a Surgical gown

A

Back-tie
Side-tie

16
Q

Putting on Surgical gloves

A

Closed gloving
Open gloving
Plunge method

17
Q

Surgical cases may be categorized as
follows

A

Elective & Non-urgent- healthy & often young.
* Necessary or Urgent- not immediately life
threatening but require prompt attention.
* Emergency surgery- life threatening condition.

18
Q

Pre-operative preparation of the
Patient:

A
  1. Starvation – food is usually withheld for 12
    hrs prior to surgery.
  2. Clipping – clipping the surgical site is
    necessary in most procedures (except intra
    oral).
  3. Bathing – ideally all patient should be
    bathed before surgery to decrease the risk
    of contamination but this is not always
    feasible
19
Q
  1. Administration of Enema – for some surgery
    (e.g rectal/colonic, intestinal anastomosis)
  2. Preparation of the skin – skin & coat are the 2
    greatest sources of wound contamination as it is
    not possible to remove all bacteria from the skin.
    Common bacteria found in the skin (Staph. spp.,
    Bacillus spp., and ocasionally Streptococcus spp.)
    Potent scrub solutions: chlorhexidine,
A
20
Q

Care of the patient during surgery:

A
  • Careful positioning of towel clips.
  • Attention should be paid in the conservation
    of heat esp. in the small or very young patient.
  • Careful positioning of the patient on the
    operating table
21
Q
  1. Preparation of the eyes & mucous
    membranes – for surgery in this area 0.1-0.2%
    diluted povidone iodine are commonly used to
    irrigate as antiseptic.
  2. Positioning the patient for surgery – there are
    standard position for specific operation.
  3. Draping the patient – Plain drapes, Fenestrated
    drapes, Adhesive barrier drapes
A
22
Q

Immediate post-operative care:

A

Recovery from anesthesia
Recovery from anesthesia
Recognition of Pain
Application of Dressings or Cast
Comfort

23
Q

Commonly performed surgeries in
dogs and cats

A

SPAY/OVH
* CASTRATION
* lump removal
* digit amputation
* exploratory
laparotomy
* orthopaedics
* enucleation

23
Q

The pre-operative procedure of the
surgical team:

A

These includes:
1. Scrub suit/ OR gown
2. Theatre footwear
3. Headwear/OR cap
4. Mask & Goggle
5. OR gloves

24
Q

With this method the sterile glove is hald open by a
scrubbed assistant and the hand inserted. There is a
risk of contaminating both personnel involved. This
technique is not commonly employed in vet.
operating theatre.

A
25
Q

Complications:

A

Haemorrhage
* Infection
* Anaesthetic problems - death!!
* Pain
* Self inflicted trauma
* Wound dehiscence

411- VSURG (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions