perio 4b

Question 1

Scrubbing Reference

Answer 1

2 minute scrub and 3 minute scrub

Question 2

2 minute scrub with brush required only

Answer 2

(only required to do once per day)

Question 3

2 minute scrub with brush steps

Answer 3

under running water, clean under nails with pick
- use iodine/chlorhexidine and bristle of brush side for nails only
- lather up sponge side and wash both hands, making way up to
just below elbows
- rinse completely

Question 4

3 minute surgical scrub steps

Answer 4

• apply iodine/chlorhexidine and thoroughly scrub both hands
• in circular motions, make way up to just below elbow
• rinse only hands
• re-apply iodine/chlorhexidine to hands for the final 1 minute of
  the scrub
• rinse completely

Question 5

Haemostasis

Answer 5

The halting of blood flow or haemorrhage at the surgical site

Question 6

Types of Bleeding

Answer 6

• Venous/Arterial
• Major bleeding/general ooze

Question 7

Natural Process of haemostasis

Answer 7

Vascular constriction
- Adherence and clumping of platelets to damaged/cut site
- Platelet plug formed
- Thrombin formed (Prothrombin, thromboplastin & calcium ions)
- Thrombin + fibrinogen → Fibrin
- Fibrin reinforces platelet plug → Strong haemostatic plug

Question 8

Haemostasis
External Mechanical
-

Answer 8

Pressure (dressing)
- Packing (Cavity i.e. vagina, rectum, nose)
- Tourniquet (Extremities)

Question 9

Internal Mechanical haemostasis

Answer 9

Haemostat -
- Ligature - Strand of material utilised to tie around the lumen of a
vessel to mechanically seal cut end (absorbable/non-absorbable)
- Ligating clips – permanently occludes vessel.

Question 10

Haemostat

Answer 10

• Temporarily occludes blood vessel

Question 11

• Ligature -

Answer 11

Strand of material utilised to tie around the lumen of a
vessel to mechanically seal cut end (absorbable/non-absorbable)

Question 12

Ligating clips

Answer 12

– permanently occludes vessel.