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Chapter 19 Suture > Chapter 19 Suture > Flashcards

Chapter 19 Suture Flashcards

1
Q

Sutures materials are used to _________ tissues and to lígate blood vessels or tubal structures while healing takes place.

A

Approximate

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2
Q

The term _______ can refer to a length of suturing thread or a suture thread and needle combination

A

Suture

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3
Q

Suture materials in the U.S. must be approved by the ?

A

FDA ( U.S. Food and drug administration) and the USP (Pharmacopoeia)

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4
Q

A single continuous fiber made by extruding and stretching a synthetic material

A

Monofilament

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5
Q

Many filaments together form one strand of suture.

A

Multifilament

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6
Q

A multifilament suture in turn is divided into two types:

A

Twisted and braided

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7
Q

Multiple fibers are twisted in the same direction

A

Twisted

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8
Q

Multiple fibers are intertwined

A

Braided

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9
Q

A core strength of one suture material is jacketed with another of a different or at the same type

A

Composite or coated

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10
Q

Size 2 thicker than size 0 true or false?

A

True

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11
Q

The amount of force needed to break the suture

A

Tensile strength

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12
Q

Sutures must be ______ and diameter to maintain tensile strength 

A

Uniform

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13
Q

Sutures made of multifilament strands absorb moisture and hold body fluids are called

A

Wicking or capillary action

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14
Q

Sutures with _____ are preferred in procedures in which the risk of infection is high

A

Low capillarity

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15
Q

Is the ease of handling or softness in the hand

A

Compliance or pliability

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16
Q

Makes the suture material easier to manipulate

A

Pliability

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17
Q

______ sutures have traditionally been considered the gold standard all suture materials for their playability, tight knots and ease of use

A

Silk suture

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18
Q

Describes the suture tendency to retain its original shape or configuration after it is removed from the package

A

Memory

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19
Q

Refers to the materials, ability to stretch and retain a new shape

A

Plasticity

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20
Q

Can be advantageous as long as the suture retains his strength and stretched

A

Elasticity

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21
Q

______ sutures have high plasticity

A

Polypropylene

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22
Q

Is the bodies response to suture

A

Bioactivity

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23
Q

Sutures that cause little or no bioactivity are said to be highly _____ causing little or no inflammation

A

Inert

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24
Q

Some suture materials, such as those made of collagen are ( nonabsorbable, or absorbable)

A

Absorbed very quickly

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25
Q

Critical nature of the tissue, such as the heart, blood vessels and certain structures of the respiratory tract require

A

Non-absorbable suture

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26
Q

Healing time non-critical tissue that heals very quickly are (absorbable or non-observable?) Examples are mouth and other mucosal tissue, subcutaneous tissue and a tissue.

A

Absorbable

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27
Q

Requires strength during healing some tissues usually connective tissues are on the high stress in the body. (non-absorbable or absorbable suture)
Examples are abdominal fascia, tendon, and ligament

A

Nonabsorbable suture or suture and larger sizes

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28
Q

scar formation: repair of structures of the hands, such as tendon and nerve requires

A

Inert suture materials

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29
Q

Internal structures of the eye requires

A

Inert suture

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30
Q

Stainless steel, nylon and poly propylene are the most ______ ?

A

Inert

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31
Q

urinary tract : absorbable or nonabsorbable?

A

Absorbable

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32
Q

Cosmetic closure

A

Monofilament

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33
Q

Surgical needles are made from high-quality

A

Steel alloy, or titanium

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34
Q

Surgical needles have three distinct parts:

A

The point, the body, and the eye (swage)

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35
Q

A ______ is one in which the suture can be detached from the needle by pulling it straight, straight back from the swage.

A

Detachable suture

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36
Q

The _________sutures are used when the surgical procedure calls for rapid placement of multiple interrupted, individually tied sutures, such as during __________.

A

Detachable / anastomosis

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37
Q

A ________ is one with a needle swaged to each end. This type of suture is used for circular incisions, such as in ophthalmic surgery or for hollow lens, such as blood vessels or intestine

A

Double armed suture

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38
Q

Resembles a sewing needle, but is round in shape and eye hole is round, rectangular or square

A

Closed eye needle

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39
Q

When this needle is threaded, the end of the suture is pressed down over the top of the spring, which causes it to snap into the eye, the suture should not be pulled through the eye after it is placed because the strips the suture, and may break it.

A

The French eye or spring eye

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40
Q

Surgical gut: PLAIN, CHROMIC GUT
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-Natural- protein collagen beef or sheep
-Absorbable
-Monofilament or braided
-Plain gut yellow Chromic gut tan, or brown 
Mucus membrane, especially the oral cavity

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41
Q

Polyglactin 90: VICRYL
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-Synthetic
-Absorbable short term use
-Braided, monofilament
-Soft tissue, ligation, ophthalmic, OB/GYN, general surgery

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42
Q

Polyglyconate: MAXON
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-Synthetic
-Absorbable medium term
-Monofilament
-General, OB/GYN

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43
Q

Polydioxanone: V LOK
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-Synthetic
-Absorbable short to medium term
-Monofilament, barbed
-General soft tissue, pediatric cardiovascular tissue, microsurgery, orthopedic surgery

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44
Q

NYLON
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-Synthetic
-Non-absorbable degrades overtime
-Monofilament or braided
-Intestine, vascular system, ophthalmic and neurosurgical

45
Q

SILK
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-Natural fibers, spun by silkworm
-Non-absorbable the grades overtime
-Braided twisted available coated
-Intestine, vascular system, ophthalmic, neurosurgical

46
Q

POLYESTER
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-Synthetic
-Permanent
-Braided and coated
-Cardiovascular and orthopedic

47
Q

POLYPROPYLENE
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-synthetic
-non-absorbable permanent
-Monofilament
-plastic surgery, cardiovascular, neurological, ophthalmic

48
Q

POLYBUSTER: NOVAFIL/ VASCUFIL
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-synthetic
-non-absorbable permanent
-Monofilament
-General and cardiovascular

Ps. NOVAFIL is uncoated vs Vascufil is coated to reduce tissue drag

49
Q

STAINLESS STEEL
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?

A

-still alloy
-non-observable permanent
-Monofilament
-Orthopedic surgery, maxillofacial procedures

50
Q

This needle does not puncture the tissue, but rather slides between tissue fibers its the least traumatic and safest needlepoint

A

Blunt Needle

51
Q

Punctures tissue, making an opening for the body of the needle to follow. it’s primary use is for suturing soft tissue, such as muscle, subcutaneous fat, peritoneum, dura and gastrointestinal, Biliary and vascular tissue

A

Tapered needle

52
Q

This type of needle is used on fibrous connective tissue, such as the skin, joint capsule, and tendon

A

Cutting needle

53
Q

The cutting edge on the outside of the curve away from the direction of tension during suturing, it is stronger than the conventional cutting needle and produces minimal scarring

A

Reverse cutting needle

54
Q

Are used for suturing, dense, fibrous, connective tissue, such as the fascia, tendon and periosteum

A

Taper cut needle

55
Q

This needle is side, cutting with a flat surface on the top and the bottom

A

Spatula needle

56
Q

The ______ has a knot at the beginning, and at the end. The needle is alternated from one side of the tissue edge to the other, as one would when sewing 

A

The continuous or running suture

57
Q

The ______ provides added strength to a running suture line.As the needle is passed through each side of the wound edges. It is past underneath one loop.

A

The locking stitch

58
Q

Contains intermitted projections that grip tissue in one direction not allowing the suture to back out

A

Self locking or barbed suture ( V LOK SUTURE)

59
Q

Is a type of running suture used for cosmetic closure, and in pediatric patients the needle is placed within the dermis from side to side

A

Subcuticular suture, or buried suture

60
Q

Special continuous suture technique for closing the end of a tubular structure lumen such as the appendix, its most common application. (When stitches are placed around)

A

The purse string suture

61
Q

Individually placed, nodded and cut. The finish suture line is very strong, because the tension of the wound edges is distributed over many anchor points.

A

Interrupted suture

62
Q

Provides extra security to the suture line

A

Buried interrupted suture, and mattress sutures

63
Q

A type of interrupted technique used to provide additional support to wound edges in abdominal surgery

A

Retention suture

64
Q

Are pre-cut length of suture used to locate a bleeding vessel called a bleeder

A

Suture ties

65
Q

Is used to locate a large bleeding vessel. The purpose of the technique is to prevent the ligator from sliding off the vessel.

A

Suture ligator

66
Q

Hemostat placed at the end of a suture tie or ligator

A

Suture tag

67
Q

Are placed in tissue to provide retraction

A

Traction suture

68
Q

Places two sponges on incision site

A

Surgical tech

69
Q

Passes marking, pen, or scalpel to surgeon

A

Surgical tech

70
Q

Gives retractors to assistant after skin incision

A

Surgical tech

71
Q

Participates in all instruments, sponge and needle count with circulator

A

Surgical tech

72
Q

Passes equipment to surgeon and assistance, using correct orientation and technique

A

Surgical tech

73
Q

This is for direction and anticipates each step of the surgery

A

Surgical tech

74
Q

Maintain a field modifying others when sterile technique is broken

A

Surgical tech

75
Q

Deposits, soiled sponges, and designated receptacle

A

Surgical tech

76
Q

Maintain a safe surgical field by exercising all precautions when electro surgical devices, lasers and sharps are in use

A

Surgical tech

77
Q

Request additional equipment as needed

A

Surgical tech

78
Q

Secures, intraoperative, tissue and fluid specimens delivered by the surgeon

A

Surgical tech

79
Q

Obtain graphs and implants as required by the surgery

A

Surgical tech

80
Q

Prepare dressings and begins to separate soiled from clean instruments

A

Surgical tech

81
Q

Participates in final instruments, sponge, and needle count

A

Surgical tech

82
Q

Notifies the surgeon, if count is incorrect if count is incorrect searches for missing item

A

Surgical tech

83
Q

Apply sterile dressings as directed by surgeon

A

Surgical tech

84
Q

Maintains the sterility until patient leaves the room

A

Surgical tech

85
Q

Keep basic instruments on mayo stand in case of emergency. Prepares instruments on back table for the contamination.

A

Surgical tech

86
Q

Mark’s incision area or begins skin incision

A

Surgeon

87
Q

Perform surgery according to plan and intraoperative events

A

Surgeon

88
Q

Direct the surgical team during emergency

A

Surgeon

89
Q

If count is incorrect, and missing, item is not found takes responsibility for further action (x-ray, reopening of wound)

A

Surgeon

90
Q

Remove gown and gloves, signed patient care documents, and gives any instructions to RN and ACP

A

Surgeon

91
Q

Assist and transferring patient to gurney

A

Surgeon

92
Q

Records time of incision on patient record

A

Nurse

93
Q

Distributes sterile solutions and medications to scrubbed person

A

Nurse

94
Q

Provides additional equipment as needed by the surgical tech and surgeon

A

Nurse

95
Q

Operates nonsterile equipment 

A

Nurse

96
Q

Adjust lighting

A

Nurse

97
Q

Flash sterilizes instruments as needed

A

Nurse

98
Q

Answer surgeons pages and relays messages

A

Nurse

99
Q

Anticipates flow of surgery and equipment needs of surgeon and surgical tech

A

Nurse

100
Q

Monitors urinary output

A

Nurse

101
Q

Directs instruments, sponge, and needle counts at appropriate times

A

Nurse

102
Q

Labels specimens obtained from the scrubbed person for the pathology department

A

Nurse

103
Q

Wearing gloves, separates sponges and places them in counting area or isolates them, and groups of five or 10

A

Nurse

104
Q

Maintain safe environment keep doors closed, maintain quiet

A

Nurse

105
Q

Replaces equipment that is unsafe or malfunctions

A

Nurse

106
Q

Assesses the patient’s physical status, and assist ACP as needed

A

Nurse

107
Q

Removes dispersive electrode pad and assesses site

A

Nurse

108
Q

completes intraoperative record

A

Nurse

109
Q

Accompanies patient and ACP to post operative recovery unit and gives report to PACU nurse

A

Nurse

Chapter 19 Suture (1 decks)

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