Lecture 5: Prep of sx patient

Question 1

Restrict food for __-__hrs before induction of anesthesia, which helps avoid __

Answer 1

6-12, emesis, regurgitation, risk for aspiration pneumonia

Question 2

t or f: free access to water is allowed at all times prior to induction

Answer 2

true

Question 3

goal with preparation of surgical site is to reduce __ and thus downstream __

Answer 3

bacterial contamination, infection

Question 4

surgical site infection occurs within __days or up to __year if implant involved

Answer 4

30 days, 1 year

Question 5

what is the most common source of surgical site infection

Answer 5

host- endogenous microbial flora

Question 6

what bacteria are most commonly found on surgical patient

Answer 6

1. Staphylococcus pseudointermedius
2. Staph epidermis
3. Staph aureus
4. Corynebacterium spp
5. E. Coli
6. Streptococcus spp
7. Enterobacter spp
8. Clostridium spp

Question 7

what should you evaluate on host that can increase SSI and if present should postpone elective procedures

Answer 7

1. Pyoderma
2. Distant infections
3. Multiple lesions/breaks in skin

Question 8

what is the first thing you do when prepping patient

Answer 8

confirm proper patient and surgical site

Question 9

during 1st prep aka dirty prep what must you do with male dogs getting abdominal procedures

Answer 9

prepucial flush

Question 10

what agents are commonly used in dirty prep/1st prep

Answer 10

iodophors and chlorhexidine

Question 11

Hot dog heating device should not be set above __C

Answer 11

40C

Question 12

during sterile prep in OR dominant hand is used to __ and non-dominant hand does __

Answer 12

scrub patient, retrieves sponges from bowl

Question 13

what is the correct and incorrect motion for doing a surgical scrub

Answer 13

correct: inside to outside
Incorrect: outside to inside (contamination)

Question 14

what is the alcohol based antiseptic chloraprep made of

Answer 14

2% CHG and 70% IPA (alcohol)

Question 15

what is alcohol based antiseptic actiprep made of

Answer 15

83% ethanol and zinc pyrithione

Question 16

what is alcohol based antiseptic duraprep made of

Answer 16

iodine povacrylex and 74% IPA (alcohol)

Question 17

how do you perform scrub with providone iodine

Answer 17

1. Scrub at least 3 times, avoid alternating use with alcohol
2. Final scrub, spray 10% solution and leave to dry for 3 minutes

Question 18

how do you perform scrub with chlorhexidine

Answer 18

two, 30 second applications

Question 19

chlorhexidine binds to __

Answer 19

keratin

Question 20

chlorhexidine should not be used around __ or __ due to toxicity

Answer 20

ears or eyes

Question 21

what are the landmarks for quarter draping in this lab for a spay

Answer 21

nipple wide and xiphoid to pubis