Minor Sx cards from a quizlet Flashcards
define Surgery
Branch of medical care which treats injuries, deformities by manual or operative methods.
define laceration
The act of tearing OR a torn, ragged wound
define superficial
Pertaining to tissue situated near the surface.
define abrasion
Wearing away of a substance/structure through some unusual or abnormal mechanical process.
define benign
Not malignant, not recurrent; favorable for recovery
define lesion
Any pathological or traumatic discontinuity of tissue or loss of function of a part.
define foreign body
Any material lodged in human tissue that is foreign (wood, metal, glass, etc.)
define excise
cut off
define incise
cut into
define ligate
tie off
sound (surgical)
to probe deeply with a blunt instrument
debride
to clean away damaged or necrotic tissue
- tome (suffix)
to cut” as in episiotome
-ectomy
to remove” cut out completely as in appendectomy.
Antiseptic
A substance that inhibits growth and development of microorganisms without necessarily destroying them
Local anesthetic
Agent whose primary affect is to bring about a temporary loss of localized sensory nerve function.
Number 1 Cause of Minor Surgery Complications
Patient Anxiety
3 Most common complications from DC Minor Surgery
1) Pt. anxiety
2) Adverse reaction to anesthetic.
3) Pre- or Post-operative bleeding.
best age range for minor sx
15-65
Body type that is slowest to heal (hint: one of 3 types)
Endomorph
Three basic labs required before minor surgery
CBC, UA, prothrombin
After minor surgery rest for ___ hours (range)
2-3
Follow-up with patient within ___ hours
24
Most effective means of instrument sterilization killing both bacteria and spores. Boiling water under pressure (13 mins at 120*C and 750 mmHg pressure). blunts instruments.
steam autoclaving
Ethylene oxide used to kill both bacteria and spores but dangerous and expensive.
Gas autoclaving
sterilization in oven at 170*C for 1 hour. Kills most bacteria BUT not spores. Emergency sterilization technique.
Dry sterilization
Least effective method sterilization but emergency method. Iodine bath (providyne, beta dyne).
Cold sterilization
True/false: Shaving hair off patient considered Std Of Care in minor surgery
false
Minimum # of times surgical area cleansed with antiseptic (e.g. beta dyne).
5
Germicide
Material that actually kills bacteria
- Strength/effectiveness of an antiseptic is measured by this scale
Phenol coefficient
- Powerful antiseptic. Caustic to skin; used to cleanse counters and floors. AKA carbolic acid. Used in concn’s of 2-20% for bacteriostasis.
Phenol
Ingredient in lotion of calamine (used for dermatitis).
Phenol
Camphorated Phenol
A cream consisting of 30% phenol, 60% camphor, and 10% liquid petroleum.
- Coal tar antiseptic. Has phenol coefficient 3X, brown liquid with tarry odor. Impregnates telephone poles and railroad ties to prevent decay
- Coal tar antiseptic in 50% concn linseed oil soap making it more soluble. Used to disinfect rooms and equipment. Very dilute concn (.25-0.5%) used as vaginal douche or bladder irrigation.
Cresol
AKA Creolin, Cresolin, Lysol
cresol
Coal tar antiseptic that is colorless, odorless crystal. Turns pink in light. Phenol coefficient of -1X.
Resorcinol
Coal tar antiseptic. Very soluble in water, alcohol, and glycerine. Primarily used as ointment 5-10% concn treating psoriasis, eczema, erysipelas.
Resorcinol
Coal tar antiseptic. Colorless, aromatic crystalline solid. Very soluble in alcohol. Primary use as mouth wash/astringent gargle. Useful as fungal antiseptic and hook worm treatment.
Thymol
Coal tar antiseptic. AKA picric acid
Trinitrophenol
- Coal tar antiseptic
Yellow crystalline powder with bitter taste and odorless. Stains skin. Phenol coefficient 7X!
Trinitrophenol
. Primary use in burn treatment and superficial wounds. Soaked dressing applied directly to burn. Caustic substance generally. Max allowable surface area ~one extremity of entire body.
Trinitrophenol
Groups of antiseptics which often contain mercury and most effective as antiseptic or chemotherapeutic agents.
Dye Group
Dye antiseptic no longer commonly used. Used in isotonic saline soln with concn 1:1000. Used prior to antibiotics.
Proflavine dihydrochloride
Dye antiseptic used frequently prior to antibiotics to saturate gauze, for conjunctival gonorrhea, otitis media, and pack wound cavities. Used for furunculosis and carbunculosis.
Proflavine dihydrochloride
Dye antiseptic AKA gentian violet, deep purple soln in 3% water/alcohol concn. Used to treat RING WORM; very effective against gram + bacteria (Staph.). Used as jelly for cystitis, fungus, and burns
Methylrosaniline
Dye antiseptic AKA methylene blue. Dark green powder that forms blue solns. Urinary antiseptic, also used diagnostically to locate ano-vaginal fistulas.
Methylthionine chloride
Dye antiseptic AKA thymerol and thmersol. Contains up to 50% mercury. Very effective general antiseptic - even spores. Useful for lacerations/abrasions. Antiseptic of choice for final scrub in preoperative skin preparation in 1:2000 concon
Merthiolate
Antiseptic group containing chlorine, iodine, or bromine
halogen group
Halogen antiseptic. Yellowish irritant gas. Widely used as disinfectant in drinking water.
Chlorine
- Sodium hypochlorite. Dilute chlorine solution contain .45-.5% sodium. Freshly mixed and kept in light-resistant bottle for up to 48 hours. Effective antiseptic for open wounds of all sizes. Dissolves bacteria, pus, necrotic tissue without disturbing clots. Coat unprotected normal skin with petroleum jelly
Dakin Solution
Halogen antiseptic. Blue-black crystal with metallic odor. Soluble with potassium in water. Popular surgical scrub/skin prep. Used in wound lavage.
Iodine
Halogen antiseptic. AKA beta dyne or providyne in 10% concn. Used for skin prep and cold sterilization methods. 7% used open wounds, 5% external mucosa lining (vaginal packs).
Iodine
% iodine vaginal pack is called…
Logol solution
Antiseptic. Solid form on wooden stick applicator. Used for warts, excess tissue, ulcers, canker sores, and cauterization. Fast acting and may cause burns.
Silver nitrate
Antiseptic. Historically used in .25-1.0% concn for mucus membranes, sinuses, throats, conjunctiva gonorrhea.
Silver nitrate
An old school treatment. Silver nitrate placed in eyes of newborns to kill off conjunctival gonorrhea.
Crede treatment
Silver antiseptic. Protein precipitate used for chronic/acute sinusitis. Cotton-tipped applicator placed into nasal passages for one hour. Repeated for three consecutive days. Used in many DC offices.
Argyrol
- Poor Antiseptic. Mostly used in 20-70% concns. >80% concn hardens protein coats of bacteria but <80% tends to dehydrate bacteria. NOT recommended as sterilization technique.
Alcohol
Antiseptic. Oxidizes bacterial proteins. A gas soluble in water at 40% concn. Extremely powerful; never used on living patients. Commonly used 10% soln for biopsy transfer.
Formaldehyde
- Brand name is formalin. Used to transfer biopsy samples.
Formaldehyde
Weak antiseptic. MOA liberates oxygen. On open wounds bubbles and forces debris to surface. Found in 3% solns at most stores. Wash/lavage wound/ulcer. Debrides tissue and removes dirt. Damages tissue while killing bacteria. Used in 1:5 dilution for gingivitis.
Hydrogen peroxide
Astringent antiseptic. Mild, soothing antiseptic reduces mucous membrane swelling. 2% soln for conjunctivitis and open wounds and vaginitis. 10% concn for skin irritation.
Boric acid
Astringent AKA alum. Skin lotion for irritation treatment. 0.5-1% concn used in solid stick form as hemostatic. Septic pencil for shaving nicks in men.
Potassium aluminum sulfate
Astringent soluble salt. Sulfate form strong astringent and topical antiseptic. Oxide form ointment effective burns/skin diseases. Used in sunscreen.
Zinc
Wound lavaging agent. 1/4 grain tablets (1 tab per oz water). Good antiseptic and fungicide. Used in cuts, abrasions, animal scratches, insect bites, athlete’s foot. DC’s use this for irrigating ears.
Hydroxyquinoline sulfate
General purpose antiseptic and fungicide. From Australian tree. Must be diluted in mineral oil. useful in Staph infections. DO NOT take internally.
Tea tree oil
Topical antibiotic/antibacterial ointment of neomycin polymycin. Over-counter topical used post-operative dressing.
Bacitracin
Antibiotic ointment. Over-counter purchase w/ neomycin polymycin. Most frequently used topically post-operatively.
Neosporin
A Complex of halogen antiseptic w/ carrier molecule. Effective wound lavaging agent for gram +/- bacteria, fungi, and viruses. Stains clothing. AKA Betadine, Operand, Acu-Dyne, Clonidine.
Providone-Iodine
Wound lavage agent. Effective gram + bactericidal. Used for hand scrubbing primarily; direct wound contact discouraged. AKA Hibiclens, STERIS tat.
Chlorhexidine
Wound lavage agent with hyphenated chemical name. Non-ionic detergent. May be used directly on wounds but has no antibacterial activity. Best for facial wound cleansing. AKA Shur-Clens.
Pluronic-F-68
Wound lavage agent. Bacteriostatic agent effective for gram + bacteria. Potential toxicity & teratogenicity. AKA PHisoHex.
hexachlorophene
Interruption of sensory nerve conduction without subjecting the patient to unconsciousness.
Anesthesia
T/F: All anesthetics are toxic.
True
This type of medication interferes with neural depolarization and transmission of impulses along axons.
anesthetic
T/F: Anesthesia inhibits nociception before pressure/touch sensation.
True
Properties of ___ to consider before application in minor surgery.
1) onset of action
2) effectiveness
3) duration
anesthetics
- Maximum allowable dose of anesthetic used by DC’s is ___ cc’s. (there is one exception
30
Maximum allowable dose of 1% lidocaine with epinephrine in adult is ___ cc’s
50
T/F: Pregnant females should be given local anesthetics
False
T/F: Higher concn anesthetic MORE toxic than increased volume anesthetic
True
T/F: Anything greater than 2% anesthetic concn is WRONG for injectable local anesthetic.
True
Average dose of Epi-enhanced lidocaine, (___ cc’s).
35
- Lidocaine enhanced with ___
epinephrine
Advantage of epi with lidocaine
Advantage: vasoconstrictive and decreases bleeding.
Cons of epi with lidocaine
Con’s: Increased % infection, cannot use on distal or end organs d/t decrease bloodflow