Mosby's Sterilization Flashcards

1
Q
  1. ___ is the removal of ALL micro organisms including spores
A

sterilization

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2
Q

__ eliminates MOST micro organisms but does not include the removal of bacterial SPORES and SOME VIRUSES and FUNGI

A

disinfection

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3
Q

sodium hypochlorite is a __

A

surface disinfectant

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4
Q

sodium hypochlorite destroys cells via

A

oxidation

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5
Q

advantages of sodium hypochlorite

disadvantage

A

broad spectrum and inexpensive.

toxic to tissues (bleach)

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6
Q

what is often used as an intracanal irrigant during root canal therapy

A

sodium hypochlorite

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7
Q

___are disinfectants that can be applied to the skin

A

antiseptics

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8
Q
  1. Autoclave uses __ heat
  2. mech of action
  3. advantages
  4. disadvantages
A

moist heat.
denature proteins.
short time and very effective and dependable
can damage heat sensitive items

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9
Q

autoclave temp

A

wrapped instruments 121C/250F/15psi for 15 min.
unwrapped flash cycle: 134C/270F/30psi
for 3 min

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10
Q

which sterilization method is non corrosive to metals

A

dry heat :
160C for 2 hours
171C for 1 hour.
disadvantage: longer time than moist heat and can damage heat sensitive instruments

2% glutaraldehyde

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11
Q

what could you use for heat/moisture sensitive instruments

A

ethylene oxide gas 1-12 hours. alkylating agent that denatures nucleic acids and proteins (DNA)
or 2% glutaraldehyde

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12
Q

disadvantages of ethylene oxide gas?

A

very toxic flammable and takes a long time

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13
Q

Name the sterilization by the mode of action:

  1. denatures nucleic acids and proteins (DNA)
  2. denatures proteins
  3. coagulation of proteins
A
  1. 2% glutaraldehyde and ethylene oxide gas
  2. autoclave moist heat
  3. dry heat
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14
Q

2% glutaraldehyde time required

A

12 hours

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15
Q

advantages for 2% glutaraldehyde

A

non corrosive to metal and good for heat sensitive and moisture sensitive

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16
Q

disadvantages of 2% glutaraldehyde

A

long time, very toxic and flammable (like ethylene gas)

17
Q

Antiseptics:

  1. quaternary ammonium compounds
  2. formaldehyde soaps and detergents
  3. 2% tincture of iodine
  4. alcohol (70% ethanol)

which is the most effective antiseptic

A
  1. 2% tincture of iodine

disrupts cell membranes

18
Q

Antiseptics:

  1. quaternary ammonium compounds
  2. formaldehyde soaps and detergents
  3. 2% tincture of iodine
  4. alcohol
which one: denatures proteins 
low toxicity 
effective against most vegetative bacteria fungi and viruses
limited contact time bc evaporates fast
decreased action
A

alcohol (70% ethanol)