final practical Flashcards
back table
for additional sterile supplies
gelfoam
used in spine surgery, use most, 20-40 days to absorb, press to remove air, hemostasis
ligaclip
clamp small blood vessels
bone wax
used on oozing bone
used for neuro and ortho
styptics
reduce bleeding, vasoconstriction
helistat
used to control moderate bleeding of highly vascular organs, use dry
babcock
grasping
pean
clamping
mayo tissue scissors
cutting
kocher
grasping
debakey tissue forceps
grasping
tissue forceps with and without teeth
grasping
metzenbaum scissors
cutting
mayo suture scissors
cutting
ferris smith tissue foreceps
grasping
russian tissue forceps
grasping
formalin
specimen preservation
coude tip
navigate around structures
benzion
antimicrobial liquid
salem sump drain
drains stomach, active, alcohol poisoning
malecot suprapubic catheter
put through abdomen straight into bladder
franklin silverman biopsy needle
obtain specimens of the liver, thyroid, kidney, prostate
penrose dain
passive, move spermatic cord for hernia
foley 3 way catheter
goes into bladder, has extra port for medication or irrigation
adaptic
contact layer
rectal tubes
drain rectum
pezzer suprapubic catheter
goes through abdomen straight to bladder
jackson pratt closed wound reservoir
collects fluid actively
ace bandage
pressure and support
telfa
contact layer
cholangiocatheter
injects dye, common bile duct surgery
hemo vac closed wound reservoir
collects fluid, big surgeries
drain sponge
placed around drains
T tube
passive, gallbladder, common bile duct surgeries
mastisol
liquid adhesive
ABD
pressure and drainage/absorption
vaseline gauze
used around chest tubes
nasogastric tube
nose to stomach, active
robinson red rubber catheter
drains bladder, doesn’t need drainage bag
elastoplast
pressure
microfoam
used on digits
bile bag
drained passively
thoracic catheter
intrapleural space in chest cavity, active,
used after chest surgery
dermabond
skin adhesive
jackson pratt drain
drains fluid
montgomery straps
used on frequent dressing changes
coban
pressure and support
webril
padding over bony prominences
ureteral catheter
drain the kidney
nasal oxygen catheter
gives oxygen through nose
nasopharyngeal catheter
secretions
saratoga sump drain
deep wound drain, stomach
bonanno suprapubic catheter
drain bladder through skin
fluffs
pressure and padding
xeroform gauze
packing of nostrils or vaginal canal
stockinette
padding and protects
foley 2 way catheter
goes into bladder
iodoform gauze
packing
bardene pad
elevate chest from table in prone position
kidney brace
stablize patient in lateral position
dorsal recumbent
mastectomy
supine
anterior surface of body
ex: appendectomy
trendelenburg
head down, knees over break in table
ex: abd hysterectomy
reverse trendelenburg
head higher than feet
ex: cholecystectomy
lithotomy
feet in stirrups
ex: vaginal hysterectomy
prone
lumbar laminectomy
kraske
hips are elevated above body
ex: hemorrhoidectomy
lateral
nephrectomy
sims position
colonscopy
sitting
craniotomy
fowlers
same as sitting but have head board
ex: rhinoplasty
air bed
for bedridden patients to prevent skin breakdown
isolette
portable incubator, newborn
vessel loops
retraction red-artery yellow-ureter white-nerve blue-vein
lap sponges
absorption, protect, pack, pressure
umbilicial tape
retraction
raytex
small shallow incisions
grasping, absorption, dissection
eye sponges
absorption
peanuts
dissection
cotton ball
absorb, protect
neuro cases
tonsil sponges
absorption
cottonoids
absorb, hemostasis
nerve, brain, spinal cord
dental sponge
retraction, absorption
oral surgery
sponge uses
absorption, retract, dissect, protect
steam under pressure
dry heat
pre vacuum sterilizer
air pumped out
instrument washer sterilizer
cleans and decontaminates instruments
steris
chemical
scopes, lenses
plasma sterilizer
hydrogen perioxide
ultra sonic cleaner
cleans by vibrations
glutaraldehyde
high level disinfectant
fenestrated drape
opening in drape
clipper
short stubble, less microabrasions
razor
use wet, get new one if dull
ligature
strand of suture used to tie off blood vessel
polypropylene
holds knots well, high tensile strength
cardiovascular, general, plastic
stick tie
threaded on a needle and used through a bite of tissue
cutting point
skin, eyes
blunt point
liver, kidney
trocar
cervix, ligaments, tendons
suture needles
inserting suture material into tissue
steri strips
lacerations
ties
typing off bleeders
taper point
peritoneum, intestine, heart
suture
material used to bring severed body tissue together until healing takes place
airway
used to prevent obstructed respiratory passage
ET tube
maintain a patients airway placed into the trachea through the mouth
LMA
used on elective surgeries where patient has been NPO
oxycel
forms clot, use dry
OR lights
ability to dim
transposal safety system
canisters are cleaned, emptied and disinfected
neptune 2 waste management system
collects and measures waste on own
topical thrombin
never injected, forms clot
recothrom
recombination of DNA
avitene
fibrin formation and clotting, use dry
silver nitrate
looks like large match, dip in water, chemical cautery
ex: nosebleeds, warts
hemostatic clamps
occlude vessels
tourniquet
gives bloodless field
electrosurgery
cut tissue and coagulate bleeding
grounding pad
return energy back to ESU
OR table
metal top covered with padding, has 3 seperate sections
safety strap
secures patient to table
armboard
padded support, can manipulate angle
extremity table
arm and hand surgeries
double armboard
lateral position
footboard
extends length of table
stirrup
supports legs
multipurpose stretcher
transport critical pts to OR
translift stretcher
critically injured patients
cribs
3 years and younger
plain suture
70 days to absorb
chromic suture
90 days to absorb, treated with chromic oxide
sutures that go in infection
stainless steel, surgical gut, polyproplyene
vicryl
70 days to absorb
PDS
180 days to absorb
dexon
30 days to absorb
silk
high tensile strength
stainless steel
no tissue reaction
ethilon
stronger than silk
stapling devices
ligating, anastomosis, resection, closure
ties
typing off bleeders
french eyed needles
forced through a spring
eyed needles
dispenses two at a time
eyeless needles
no need to thread
general closure
peritoneum, subq, fascia
gastro intestinal
organs
adson tissue forceps
grasping
allis
grasping
kelly
clamping
space helmet
worn in open joint surgeries
scrub suits
prevents fall out of skin debris
warm up jacket
limits spreading of skin fallout
impervious boots
shields shoes from fluid contamination
mask
prevents spread of MO’s in droplets
eye protection
protects eyes and needle pricks
sterile gown
barrier between sterile and unsterile
fire extinguisher
a water, b flammable liquids, c electrical
MSDS
proper handling if expose
nonfenestrated drape
used to square off
providone iodine
contact dermatitis, don’t use by ears
chlorhexidine gluconate
allergic reaction, caution with mucous membranes
alcohol
dry first, doesn’t penetrate organic material
duraprep
not good for fetus or neonates
gel prep
just apply, don’t scrub
frozen section
frozen with liquid nitrogen, rule out cancer
specimen
tissue or fluid removed from body
amputated limb
must sign consent for disposal
bullets
don’t use instruments on it
teeth
send dry
surgical dressing
protect pt from environment, and environment from patient
contact layer
non adherent
intermedicate layer
absorbent layer
outer wrap
holds all together
band aid
small incision, laparoscopies
topper
absorbent layer
peri pad
asorption
tube gauze
use on digits
op site
protect
bioclusive
dressing for burns, pressure ulcers
adhesive tape
position patient
IV pole
meds hang on this
surgical hood
ortho cases
senn retractor
retract
richardson retractor
retract organs/tissue
fogarty biliary balloon probe
balloon on the end that will pull out stone once it goes past it
blake drain
total kneel
davol closed wound reservoir
squeeze ball to form negative pressure
anesthesia machine
delivers a known mixture of gases
