part 2 Flashcards
Adult animals are generally fasted up to _ hours prior to surgery, to reduce the risk of __ or __ during or after surgery and development of ____.
12
regurgitation, vomiting
aspiration pneumonia
Surgical procedures involving the large intestine may require __ hours of fasting to allow emptying of the intestinal tract.
48
dogs are _____ just prior to surgery, to promote defecation and urination.
walked
If the animal cannot be walked, the bladder may need to be ______ before abdominal surgery.
expressed manually
Patients are placed in a variety of positions depending on the procedure to be performed. The most common position is _______.
dorsal recumbency
The bladder should be ____ and ____ if full prior to abdominal procedures
palpated, expressed
bladder expression should not be done in what type of patient?
-pyometra
Hair is usually removed from ____ cm on either side of the proposed incision site using clippers and a number 40 blade.
10-15
why is extra clipping is recommended beyond either end of the expected site?
permit extension of the incision without entering an unclipped area in case of emergency.
once hair is clipped, you should remove what from yourself? why?
Once the hair is clipped, you should remove (or replace) your lab coat prior to performing the remainder of the patient preparation since hair will likely have stuck on the lab coat and the loose lab coat sleeves might accidently drag on the surgical field during prepping.
Most protocols recommend to don _____ as well as a __ and ___ during clipping
non sterile exam gloves, hat, mask
steps for skin preparation
Step 1: Soap Scrub
STEP 2: Wipe Suds
Step 3: Alcohol
Step 4: Disinfectant
Sterile Draping
Final Skin Preparation (Performed After Scrubbing, Gowning and Gloving)
The goal of patient skin preparation is to:
reduce the transient bacterial flora on the skin surrounding the surgical incision site to decrease the risk of incisional infection.
Typical skin preparation includes a _____ followed by ____ and finally _____.
5 minute soap scrub
the application of alcohol
an alcohol based disinfectant such as chlorhexidine
When disinfecting a wound or a surgical site that is close to, or includes mucous membranes, ___ is not used and the disinfectant used is typically ___ instead.
alcohol, water (aqueous) based
what should you prepare for your patient skin prep? ie. what materials should you have ready?
In a kidney dish, place two chlorhexidine soaked scrub brushes in warm tap water. In another, place two piles of gauze sponges and thoroughly soak each one with isopropyl alcohol and with a chlorhexidine based tincture respectively in preparation for patient preparation.
A _____ is used in the first step of skin preparation. Commonly used soaps for preparing surgical patients contain ___ or _____ as the main antibacterial agent.
disinfectant soap
chlorhexidine
povidone-iodophors
at OVC, how many soap scrubs do we do as the first step in patient prep?
two consecutive, using two separate brushes soaked with tap water
during step one of patient prep, what is the role of the first sponge/brush?
A first brush is used to create a lather and remove superficial dirt and debris. Prior to discarding it, the first brush is also often used to wet and comb (this time using the bristle side of the brush) the hair adjacent to the field so it is oriented away from the surgical site.
after the first soap scrub, what do we do with the lather?
remove with paper towel or gauze