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Surgical Nursing > intro > Flashcards

intro Flashcards

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1
Q

the primary goal of the surgeon

A

the correction of disease

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2
Q

the primary goal of the technician

A

the patients life

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3
Q

what are protozoa and what do they create

A

protozoa- one celled organisms

create parasitic disease

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4
Q

examples of protozoa

A

coccidiosis, toxoplasmosis, giardia

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5
Q

plants that must exist as parasites due to their inability to synthesize their own food

A

fungi

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6
Q

what normally causes skin disease

A

fungi

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7
Q

major concern when cleaning and sterilizing

A

bacteria

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8
Q

most surgical and post-surgical complications arise from…

A

improper care & cleaning

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9
Q

aseptic technique

A

the prevention of hospital-acquired infections

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10
Q

bed sores

A

decubital ulcer

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11
Q

3 ways to eliminate or control the source of disease

A

isolation
quarantine
euthanize

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12
Q

animals ability to resist disease (3 ways)

A

adequate diet
therapeutic agents (abx, vx)
general hygiene

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13
Q

3 ways to prevent transmission of microbes

A

wash hands
ventilation
physical/chemical control

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14
Q

methods of sterilization and disinfectant can be classified as either (2 things)

A

physical or chemical

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15
Q

three types of physical classifications

A

filtration
radiation
heat

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16
Q

filtration commonly used on … to separate

A

pharmaceuticals… separate particulate matter from liquids or gases

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17
Q

radiation is used primarily during

A

production and packaging of certain surgical products

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18
Q

drying- UV light causes mutations of nucleic acid of MO

A

ultraviolet radiation

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19
Q

rapid and continuous radiation for vaccines, biologicals, gloves

A

gamma radiation

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20
Q

prepackaged suture material, gloves, rubber tubing

A

beta radiation

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21
Q

disadvantages of ultra-violet radiation

A

limited use. damages cornea, skin cancer

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22
Q

kills microbes by coagulating critical cellular proteins

A

moist heat

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23
Q

kills microbes by protein oxidation

A

dry heat

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24
Q

which heat is more difficult to control

A

dry heat

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25
Q

a temperature of ___ C is effective at

A

60, sanitizing = hot water

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26
Q

what does boiling and free flowing system do

A

disinfects

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27
Q

steam under pressure when used properly

A

kills all forms of microbial life, sterilizes.

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28
Q

autoclave- pressure in steam jacket rises to

A

15 psi

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29
Q

temperature, time, psi of autoclave

A

250-270 F
30 minutes ( 15 minimum)
15 psi

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30
Q

at what temp can the autoclave door be opened

A

212

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31
Q

why cant we use tap water in the autoclave

A

tap water contains minerals that deposit inside and clog

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32
Q

how long does the drying cycle run for

A

1 hour

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33
Q

flash sterilization - temp, time, psi

A

270-272 F
3-4min
psi 32

34
Q

successful sterilization depends on 3 factors

A

proper operation of autoclave, proper pack prep, proper chamber loading

35
Q

microbes need ______- to grow and multiply

A

water

36
Q

which heat will not rust of corrode needles or sharp instruments

A

drying heat

37
Q

incineration

A

complete destruction of non-reusable items

38
Q

hot air ovens are used for

A

sterilization

39
Q

advantages of hot air ovens

A

economical, wont dull objects, no corrosion, sterilizes oils gel powdery subst.

40
Q

disadvantages of hot air ovens

A

takes longer. burns/melts.

41
Q

temp, time of hot air ovens

A

150-170 F

1-3 hours

42
Q

2 types of liquid sterilization used with cold tray

A

gluteraldehyde

chlorhexidine

43
Q

gluteraldehyde( tissue)

A

wear gloves
wash instruments
no living tissue
diluted

44
Q

chlorhexidine

A

diluted solution

45
Q

2 gases that cant tolerate high temps/steam

A

ethylene oxide

hydrogen peroxide gas plasma

46
Q

the effect of ethylene oxide- preventions

A

inactivates DNA, prevents cell reproduction

47
Q

disadvantages of EO

A

slow, explosive, flammable, poisonous NEED VENTILATION

air out items for 7 days

48
Q

what is used to replace EO

A

hydrogen peroxide gas plasma

49
Q

disadvantage of hydrogen peroxide gas plasma

A

cannot penetrate walls of hollow instrument

50
Q

types of sterilization indicators

A

chemical, autoclave tape

51
Q

biological indicators are impregnated with

A

bacillus stearothermophilus

52
Q

bacillus stearothermophilus is used in … takes how long

A

mass production sterilization.. 2 days

53
Q

what is liquid cold sterilization used for

A

items that cannot be autoclaved, used for dirty or minor procedures.. can dull objects

54
Q

how often cold sterilization solution should be changed

A

every 2 weeks

55
Q

inanimate items are ___and used for

A

disinfectant- cages, counters, floors

56
Q

animate items are ___ and used for

A

antiseptic- wounds, surgeons hands, surgical site

57
Q

phenol, quaternary ammonium, aldehydes, alcohols are what

A

inanimate

58
Q

halogens, biguanides (chlorhexidine) soap, detergents are what

A

animate

59
Q

phenols contain

A

carbolic acid- hexachlorophene

60
Q

lysol is considered a

A

phenol

61
Q

quaternary ammonium should not be mixed with

A

bleach

62
Q

what could be used in larger amounts to kill parvovirus

A

quaternary ammonium

63
Q

formaldehyde is used for fixing

A

tissue for pathology test

64
Q

aldehydes are

A

toxic and irritating

65
Q

what alcohol is not to be used on patients

A

99% isopropyl

66
Q

99% isopropyl is useful for

A

disinfecting suture material

67
Q

common surface disinfectant

A

chloride - bleach

68
Q

3 things that are cytotoxic

A

chloride, alcohol, aqueous solution

69
Q

iodines are only used on what kind of skin

A

intact skin

70
Q

2% iodine/50% ethyl alcohol

A

Tincture

71
Q

why is aqueous sol’n cytotoxic

A

it contains higher levels of free iodine- greater bacteriocidal activity

72
Q

idophors is iodine combined with a ..

A

carrier molecule

73
Q

what is more commonly used in vet practices

A

idophors

74
Q

idophors is available how

A

as a scrub or solution

75
Q

biguanides examples

A

aqueous solutions, detergent

76
Q

used on living tissue

A

aqueous solution - nolvasan solution

77
Q

used on surfaces only

A

nolvasan-S

78
Q

nolvasan scrubs are used

A

patient, hands of surgeon. PRE-OP

79
Q

are there ideal chemical disinfectants?

A

NO

80
Q

sanitizes

A

hot water, free flowing

81
Q

sterilizes

A

heat, steam under pressure, hot air ovens, liquid cold tray

Surgical Nursing (5 decks)

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