Removal of Foreign Debris

Question 1

Wound exploration during removal of foreign debris can be painful requiring ________ or ____________

Answer 1

Analgesics or anesthesia

Question 2

What size syringe and needle is used to achieve 7-8 PSI in irrigation lavage for the removal of foreign debris

Answer 2

35cc
18-20 G

Question 3

Hydrodynamic lavage under pressure products used for extrinsic wounds (15 PSI) removal of foreign debris

Answer 3

Waterpik or Surgilav

Question 4

What PSI removes 85% of IPF through lavage during removal of foreign debris

Answer 4

15

Question 5

Be cautious with higher pressures of lavage as they could cause which two complications during removal of foreign debris

Answer 5

Imbedded bacteria (not proven)
and tissue edema (decreases local defenses)

Question 6

Which two fluid solutions are isotonic and therefore do not cause pain during lavage for removal of foreign debris

Answer 6

0.9% saline
LRS

Question 7

Antiseptics should be diluted before using in lavage solutions bc increased concentrations cause increased ___________

Answer 7

Toxicity
Dilution is the Solution to Pollution

Question 8

Chlorhexidine ratio with Sterile Water for wound lavage

Answer 8

1:40
- 1 part 0.05% Chlorhexidine to
- 40 parts Sterile Water

Question 9

Povidone-Iodine ratio with Saline for wound lavage

Answer 9

1:9
- 1 part 0.1% Povidone Iodine to
- 9 parts 0.9% Normal Saline (NaCl)