1st Exam. Part 6. PERI-operative asepsis

Question 1

Maintenance of sterilization during surgery
- Cap and mask should be used
- Scrubbing
- Gowning
- Gloving (Closed type and Open type)
- Handling of supplies

Answer 1

Peri-operative aseptic techniques

Question 2

Application of isotonic solution to exposed organs to flush off contaminants; antibiotics could be used too

Answer 2

Flushing

Question 3

Complications in peri-operatives (3)

Answer 3

1) Delayed wound healing
2) Dehiscence
3) Adhesions

Question 4

Patient evaluation

Answer 4

1. Patient data
2. Chief complaint & medical history
3. Physical examination
4. Lab examination
5. Other diagnostic exams

Question 5

• Age (younger - faster metabolism)
• Species and Breed:

Answer 5

Patient Data

Question 6

• Duration and severity
• Concurrent condition
• Level of activity
• Previous and concurrent drug use
• Previous anesthetic history and reactions

Answer 6

Chief complaint and medical history:

Question 7

• BCS : Large (1-5); Small (1-9)
• Neurological examinations for Trauma Patients
• Diagnostic imaging techniques and examination of
  bladder and abdomen for Trauma Patients

Answer 7

Physical examination

Question 8

(5) Physical exams for ruminants (most are abdominal)

[ TAB RS ]

Answer 8

1) Tympany
2) Auscultation
3) Ballottement
4) Rectal exam
5) Size and shape of abdomen

Question 9

• Routine laboratory test (CBC)
• Blood chemistry profile (liver, kidney enzymes)
• Urinalysis

Answer 9

Lab examination

Question 10

Other diagnostic exams (3)

Answer 10

1. ECG
2. Ultrasonography
3. Radiography

Question 11

Determination of surgical RISK

Answer 11

1. Excellent
2. Good
3. Fair
4. Poor
5. Grave/Guarded

Question 12

Determination of surgical RISK

Answer 12

1. Excellent
2. Good
3. Fair
4. Poor
5. Grave/Guarded

Question 13

Fast recovery with high probability of returning to normal pre-surgical function

Complication: minimal

Answer 13

Excellent

Question 14

Recovery with a good possibility of returning to PSF

some potential complications

Answer 14

Good

Question 15

PROLONGED recovery and MAY NOT return to PSF

Possible serious complication but uncommon

Answer 15

Fair

Question 16

Prolonged recovery and unlikely to return to PSF

Many or severe complications with a high probability of death

Answer 16

Poor

Question 17

Highly variable/ Uncertain recovery

Many or severe complications with a high probability of death

Answer 17

Grave / Guarded

Question 18

Pre operative planning and preparation of surgical team (3)

[ ADS ]

Answer 18

Anesthesia to use
Drugs & medication to give
Surgical technique to apply

Question 19

Patient preparation

Answer 19

1. Fasting
2. Stabilize the patient
3. Pre-operation drugs
4. Patient positioning

Question 20

recommended fasting duration

Answer 20

atleast 6 hours

Question 21

special consideration of fasting for:

Answer 21

• neonates
• animals under 2.5 kg,
• birds
• ruminants (only fast for abdominal surgery)

Question 22

In stabilizing the patient, always check for the ff (6):

Answer 22

1. Airway patency
2. Oxygen therapy
3. Fluids and steroids
4. Blood transfusion
5. Antibiotics
6. Immunostimulants

Question 23

removal of fluid in thorax

Answer 23

Thoracocentesis

Question 24

fluid in bladder

Answer 24

Cystocentesis

Question 25

your life line even in healthy animals

Answer 25

IV fluid

Question 26

sites of IV fluid (3)

Answer 26

1. Cephalic v.
2. Jugular v.
3. Lateral saphenous v.

Question 27

time of administration depend on the route

Answer 27

Prophylactic antibiotics

Question 28

Proper positioning is affected by (3):

Answer 28

1. Ease of aseptic prep of site
2. Degree of immobilization of the patient
3. Allows adequate room to work with

Question 29

In ruminants :

neck should be a) ______than the head and in b) _____ lateral recumbency to avoid bloat and aspiration pneumonia

Answer 29

a. higher
b. right