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ST > LP 5-6 > Flashcards

LP 5-6 Flashcards

1
Q

cellulitis

A

acute infection of skin tissue

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2
Q

drainage of absess

A

class 4

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3
Q

difference between inflammation vs. infection

A

pus is present in infection

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4
Q

ruptured appendix

A

class 4

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5
Q

laceration

A

cut or tear

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6
Q

craniotomy

A

class 1

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7
Q

swelling

A

buildup of fluid

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8
Q

example of class 2

A

appendectomy cholecystectomy bowel resection

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9
Q

chronic wound

A

extended period of time ie- diabetes

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10
Q

what is incision chosen for?

A

exposure least trauma wound closure

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11
Q

inguinal hernia

A

oblique

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12
Q

I & D

A

class 4

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13
Q

cutting

A

cutting trocar

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14
Q

cutting needles

A

skin eyes

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15
Q

muscles of the abdominal wall

A

transverse abdomis

external/internal oblique

linear alba

rectum abdominis

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16
Q

can a classification change?

A

yes during the procedure

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17
Q

example of class 1

A

plastic ortho eye neurological

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18
Q

keloid

A

raised scar

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19
Q

intentional wound

A

surgical wound

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20
Q

most common surgery

A

laparotomy

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21
Q

what suture is used to ligate vessels?

A

silk

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22
Q

thermal

A

heat, cold, chemical

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23
Q

cicatrix

A

normal scar formation

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24
Q

contusion

A

bruise

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25
Q

closed wound

A

skin remains intact

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26
Q

first intention phase 1: lag phase

A

lasts 3-5 days after injury

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27
Q

most commonly used gauge for suturing skin?

A

3-0 or 4-0

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28
Q

abdominal hysterectomy or C section

A

pfannenstiel

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29
Q

fistula

A

draining tunnels form between two organs

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30
Q

example of class 3

A

colon resection with fecal spillage appendectomy with appendicitis

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31
Q

aneursym

A

longitudinal midline

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32
Q

influence choice of needle

A

size of suture tissue type accessibility of area preference customer of hospital

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33
Q

first intention phase 2: healing

A

3-20 days post op fibroblasts multiply and bridge wound edges

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34
Q

longitudinal midline incision

A

vertical xiphoid to pubis midline

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35
Q

class 2

A

infection: 8-11% minor break in sterile technique

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36
Q

laparoscopic gastric bypass

A

class 2

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37
Q

prolene

A

monofilament nonabsorbable

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38
Q

eyed needles

A

must be threaded, dispense 2 at a time

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39
Q

intraluminal EEA

A

anastomose tubular structures in GI tract

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40
Q

gangrene

A

death of an organ or tissue

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41
Q

class 1

A

infection: 1-5% incision made under ideal surgical conditions no entry to GI, respiratory, biliary or GU

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42
Q

open fracture

A

class 3

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43
Q

tensile strength

A

ability to resist rupture

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44
Q

surgiclip

A

occlude small structure, vessel

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45
Q

should you use silk moist?

A

no

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46
Q

fibrinogen

A

combines with thrombin to form fibrin during clotting

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47
Q

contracture

A

interference with the circulation from pressure

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48
Q

chemical

A

acid

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49
Q

complicated wound

A

tissue lost or destroyed

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50
Q

what color is prolene?

A

blue

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51
Q

surgical gut

A

rapid absorption in infection

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52
Q

appendectomy

A

McBurney RLQ

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53
Q

external factors influencing wound healing

A

drug therapy fluid balance

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54
Q

endogenous

A

in body

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55
Q

what do injured tissue release?

A

histamines

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56
Q

delayed full thickness injury

A

burns or scalding injuries

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57
Q

esphogaus, thoracic cavity

A

thoracoabdominal incision

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58
Q

restoration of appearance to tissue

A

minimal scarring

59
Q

rocky davis muscle splitting incision

A

appendectomy transverse alternate to mcburney

60
Q

first intention

A

minimal post op swelling minimal scar

61
Q

traumatic wound

A

accidental wound

62
Q

fascitis

A

inflammation of connective tissue

63
Q

GIA linear stapler

A

inserts 2 straight, parallel rows of staples into tissue

64
Q

can a wound be incisional and excisional?

A

yes

65
Q

spring or french eye needles

A

suture forced through the springs

66
Q

surgical entrance

A

skin incision incise subq control bleeding put skin knife aside incise fascia separate muscle peritoneum incised lengthen incision control bleeding abdomen is open

67
Q

second intention

A

process of granulation wound isn’t sutured

68
Q

healing first intention

A

21 days

69
Q

what is a wound?

A

any tissue that has been demaged

70
Q

non cutting

A

taper blunt

71
Q

factors influencing third wound healing

A

any contamination of the wound could lead to an infection

72
Q

spinal needle

A

prevent trauma and loss of fluid

73
Q

restoration of continuity

A

wound closed and tissue approximated

74
Q

radiation increases blood supply

A

FALSE

75
Q

lateral position, kidney

A

thoracoabdominal

76
Q

restoration of tissue strength

A

may take a year to regain original tissue strength

77
Q

what does infection indicate?

A

pathogenic organisms

78
Q

joint

A

class 1

79
Q

extravasation

A

discharge of blood from vessel

80
Q
A

ligating clips

81
Q

dead space

A

wound edges haven’t been closely approximated

82
Q

heart and redness

A

increased blood flow

83
Q

upper quadrant oblique

A

liver, gallbladder

84
Q

example of class 4

A

appendectomy-ruptured appendix wound debridement

85
Q

phagocytosis

A

cleaning up the wound

86
Q

factors influencing first wound healing

A

age nutritional obesity

87
Q

body’s natural protective response to injury

A

inflammation

88
Q

proud flesh

A

excessive granulation tissue

89
Q

excisional wound

A

removal of tissue, organs

90
Q

third intention

A

delayed primary closure deep, wide scar

91
Q

when is the classification of the wound recorded?

A

at the end of surgical procedure

92
Q

paramedian rectus incision

A

vertical

93
Q

upper/lower transverse incision

A

horizontal incision above or blow umbilicus on either side

94
Q

what is added to chromic suture?

A

salt solution

95
Q

suture used for drain stitch

A

silk or nylon

96
Q

vessels loops

A

retract vessels

97
Q

evisceration

A

splitting of wound with abd organs protruding

98
Q

CEEA

A

rectum into colon and staples

99
Q

hysterectomy

A

class 2

100
Q

example of traumatic wound

A

burn, cut, laceration

101
Q

2 classifications of a wound

A

intentional traumatic

102
Q

clean wound

A

wound edges approximated and secured

103
Q

what shouldn’t be used in infection?

A

silk

104
Q

contaminated wound

A

dirty object damages integrity of skin

105
Q
A

GIA linear stapler

106
Q

abrasion

A

scrape

107
Q

class 4

A

infection: 27-40% open traumatic wound >4 hours

108
Q

trocar needle

A

tendon ligaments cervix

109
Q

example of chronic wounds

A

pressure sores decubitus ulcer

110
Q

simple wound

A

skin integrity destroyed

111
Q

fibrin

A

responsible for the semisolid character of a blood clot

112
Q

thrombin

A

clot formation

113
Q

class 3

A

infection: 15-20% open traumatic wound <4 hours major break in sterile technique

114
Q

TA linear stapler

A

insert 2 straight staple lines

115
Q

exogenous

A

not in body

116
Q

what happens when nerves are cut?

A

redness edema heat pain

117
Q

when do disruptions happen in post op healing?

A

5-10th day

118
Q

first intention phase 3: maturation

A

14 days up to 12 months gains tensile strength

119
Q

ischemia

A

insufficient supply of blood to an organ

120
Q

factors influencing second wound healing

A

dissection technique direction/length of incision

121
Q

point

A

taper,, cutting, trocar

122
Q

pain

A

pressure exerted by edema

123
Q

mastectomy

A

class 1

124
Q

dehiscence

A

splitting open of surgical wound

125
Q

complications during healing

A

hemorrhage hematoma infection

126
Q

skin stapler

A

approximate skin edges during closure

127
Q

occlusion banding

A

closing off of an artery

128
Q
A

intraluminal EEA

129
Q

blunt needle

A

liver kidney

130
Q

qualities of a good needle

A

quality carbon steel strong enough rigid sharp

131
Q

treatment at bedside for wound disruption

A

prepare patient to return to OR

132
Q

inflammatory response

A

localizes infection eliminates toxins prevents pathogens from spreading repair damaged tissue

133
Q

intra op wound care

A

aseptic technique antibiotic therapy

134
Q

how many days for third intention?

A

14 days post op

135
Q

adhesions

A

abnormal attachment of two surfaces that are normally separate

136
Q

post op wound care

A

wound drains dressings packing

137
Q
A

TA linear stapler

138
Q

puncture

A

penetrating wound

139
Q

scalpel cuts tissue

A

vessels are cut cells are damaged

140
Q

taper

A

peritoneum muscle fascia

141
Q

gastrectomy

A

paramedian rectus LUQ

142
Q

signs of inflammation

A

heat redness swelling

143
Q

incisional wound

A

intentional cut through intact tissue

144
Q

chevron incision

A

below rib cage whole width of the abdomen approx. 24-30 inches

ST (35 decks)

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