drains

Question 1

open drain system

Answer 1

penrose

Question 2

closed drain systems

Answer 2

JP & hemovac

Question 3

jackson-pratt collects

Answer 3

100-200 mL/24 hr (do not let it get that full, the less that is in there the better it suctions)

Question 4

hemovac collects

Answer 4

up to 500mL/24hr

Question 5

drainage review: fresh post-op

Answer 5

sanguineous

Question 6

48-72 hrs post-op

Answer 6

serosanguineous

Question 7

serous drainage

Answer 7

3d-1 week after

Question 8

complication: infection, what do to?

Answer 8

notify MD, swab wound, check vitals

Question 9

complication: bleeding appears

Answer 9

how much? document
assess tension on tubing
secure tubing
notify MD if excessive

Question 10

complication: drainage system not accumulating drainage

Answer 10

r/o clots, leaks, kinks

notify MD if non of the above

Question 11

wound irrigation psi needed

Answer 11

4-15 psi

Question 12

how to achieve psi for wound irrigation (syringe)

Answer 12

35cc syringe with a 19 gauge needle for pressure

Question 13

first dressing change post op

Answer 13

needs an order

Question 14

sterile gloves for

Answer 14

first 24-48 hours post op

Question 15

best environment for healing rates?

Answer 15

moist but not wet

Question 16

moist-to-dry dressings do..

Answer 16

debridement

Question 17

frequency of moist-to-dry dressing changes

Answer 17

4-6 hours

Question 18

packing wound things to remember;

Answer 18

moisten packing material w normal saline
fluff up woven gauxe first
pack loosely to fill dead space
pack to surface only

Question 19

staples or sutures generally removed within

Answer 19

7-10 days

Question 20

most common time for dehiscence is

Answer 20

5-8 days post op

Question 21

not keeping staples long enough =

Answer 21

dehiscence

Question 22

keeping staples/sutures in too long =

Answer 22

infection and scarring

Question 23

ALWAYS USE

Answer 23

adhesive skin closures – do NOT need an order! use for both alternating and removing final ones
cut strips so they extend on 2 inches on either side of wound

Question 24

removing intermittent sutures

Answer 24

grasp knot with forceps (w nondominant hand)
cut suture at very distal end from knot (as close to skin as possible) - w dominant hand
place on gauze pad and continue

Question 25

removing continuous sutures

Answer 25

snip first suture at most distal end to knot
snip second suture on same side
grasp knotted end and gently pull with continuous smooth action

Question 26

use steri-strips

Answer 26

(always) but especially with

any separation greater than two stitches or staples in width