Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

(1) VSRUG > Selection and Preparation of the Surgical Area > Flashcards

Selection and Preparation of the Surgical Area Flashcards

1
Q

This room should be close, but not adjacent, to the surgery room. The surgical patients are anesthetized and prepared for surgery in this room. The equipment kept in the preparation room will include drugs used for anesthesia and materials needed to prepare the patient. This room should always be clean and tidy

A

Preparation Room

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When performing surgeries on rodents, this type of sterilizer may be used in between animals when doing more than one.

A

hot bead sterilizer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

options available to sterilize surgical equipment and supplies:

A
  1. Autoclave
  2. Ethylene oxide
  3. Cold sterilant solutions
  4. Hot bead sterilizer
  5. Pre-sterilized items
  6. Implanted Items
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Relies on pressurized steam, is extremely reliable, and cost effective. However, instruments must be durable (e.g., stainless steel) and the process is relatively slow, from 15 to 60 minutes. Instruments are typically wrapped or sealed in packs that are opened as needed on the day of surgery

A

Autoclave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Autoclave time requirement

A

15 to 60 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A gaseous sterilant that requires specialized containment equipment.

A

Ethylene oxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
A

Ethylene oxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

This is a good sterilization method for supplies that cannot tolerate high heat such as plastics and catheters.

A

Ethylene oxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

It is more costly than autoclaving and typically is performed overnight

A

Ethylene oxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cold sterilant solutions

A

hypochlorite, glutaraldehyde

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cold sterilant solutions contact time

A

15 - 60 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

have prolonged contact time (15 - 60 minutes) to sterilize surgical equipment. In addition, the instruments must be rinsed completely with a sterile solution like saline to prevent tissue irritation.

A

Cold sterilant solutions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

This device is a small tabletop unit, approximately 6 x 6 x 8 inches. The appliance heats a small container of Pyrex beads to approximately 250 C and can sterilize the tips of metal surgical instruments in 10-20 seconds.

A

Hot bead sterilizer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hot bead sterilizer contact time

A

10-20 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

. It is very useful for sterilizing instruments between rodents when performing surgeries on multiple animals.

A

Hot bead sterilizer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Many instruments and supplies can be purchased in sterilized packaging. Such items must be used prior to the label expiration date.

A

Pre-sterilized items -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Special consideration needs to be made for items that will be implanted (i.e. left in the animal after surgery is completed). Many of these items are “sensitive and/or fragile” and can be difficult to sterilize. Possibilities include use of ultra-short autoclave cycle, ethylene oxide, or use of a cold sterilant. Note: Use of alcohol alone is not a sterilant.

A

Implanted Items

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

If the surgery is elective the animal should be admitted to the hospital ________ hours prior to the operation

A

24-hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Food should be withheld on the day of surgery and ______ hours fasting for gastro-intestinal operation.

A

24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hair should be removed from the surgical site, preferably with electric clippers (# ______ blade) or depilatory rather than a razor.

A

40 blade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Position for surgery in the perineal area (lying on its chest)

A

Sternal recumbency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Position for surgery in the ventral parts of the abdomen (e.g. ventral midline laparotomy)

A

Dorsal recumbency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Position for the surgery of the dorsal parts of the animal (e.g. thoracotomy).

A

Ventral recumbency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Position for the surgery of the right lateral side of the animal.

A

Left lateral recumbency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Position for the surgery of the left lateral side of the animal.

A

Right lateral recumbency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The 4 drapesare held in place by this instrumebnt

A

Backhaus towel clips

26
Q

Recommended Hard Surface Disinfectants

A

Alcohols
Quaternary Ammonium
Chlorine
Glutaraldehydes
Phenolics
Chlorhexidine
Hydrogen peroxide Peracetic acid Acetic acid

27
Q

Recommended Sterilants for Surgical Instruments & Equipment

A

Steam Sterilization (moist heat)
Dry Heat
Gas sterilization
Chlorine
Glutaraldehydes
Hydrogen peroxide Acetic acid
Alcohol

28
Q

Skin Disinfectants

A

Iodophors
Chlorhexidine

29
Q

Wound Closure Selection

A
  1. Polyglactin 910 (Vicryl®), Polyglycolic acid (Dexon®)
  2. Polydiaxanone (PDS®) or, Polyglyconate (Maxon®)
  3. Polypropylene (Prolene®)
  4. Nylon (Ethilon ®)
  5. Silk
  6. Stainless Steel Suture/Wound Clips/Wound Staples
  7. Cyanoacrylate (Vetbond®, Nexaband®, Tissue Mend®)
30
Q

Contact time required is 15 minutes. Contaminated surfaces take longer to disinfect. Remove gross contamination before using.

A

Alcohols
(70% ethyl alcohol85% isopropyl alcohol)

31
Q

Rapidly inactivated by organic matter. Compounds may support growth of gram negative bacteria.

A

Quaternary Ammonium
(Roccal®, Quatricide®)

32
Q

Corrosive. Presence of organic matter reduces activity. Chlorine dioxide must be fresh; kills vegetative organisms within 3 minutes of contact.

A

Chlorine
(Sodium hypochlorite (Clorox ® 10% solution) Chlorine)

33
Q

Rapidly disinfects surfaces.

A

Glutaraldehydes
(Glutaraldehydes (Cidex® Cetylcide®, Cide Wipes®))

34
Q

Less affected by organic material than other disinfectants.

A

Phenolics
(Lysol®, TBQ®)

35
Q

Presence of blood does not interfere with activity. Rapidly bactericidal and persistent. Effective against many viruses.

A

Chlorhexidine
(Nolvasan® , Hibiclens®)

36
Q

Contact time 10 minutes.

A

Hydrogen peroxide Peracetic acid Acetic acid
(Spor Klenz, Virkon®)

37
Q

Effectiveness dependent upon temperature, pressure and time, e.g. 121°C for 15 min vs 131°C for 3 min. Appropriate sterilization indicators should be used to ensure sterility.

A

Steam Sterilization (moist heat)

38
Q

Steam Sterilization (moist heat) required temperature & time

A

121°C for 15 min.
131°C for 3 min.

39
Q

Fast Instruments must be cooled before contacting tissue. Only tips of instruments are sterilized with hot beads.

A

Dry Heat

40
Q

Requires 30% or greater relative humidity for effectiveness against spores. Irritating to tissue; all materials require safe airing time. Appropriate sterilization indicators should be used to ensure sterility.

A

Gas sterilization
(Ethylene Oxide)

41
Q

Corrosive to instruments. Items must be clean and free of organic material. Instruments must be rinsed with sterile saline or sterile water before use.

A

Chlorine
(Sterilant Levels of Chlorine dioxide (Clidox®, Alcide®) Sodium hypochlorite (Clorox® 10% solution))

42
Q

Several hours required for sterilization. Corrosive and irritating. Instruments must be rinsed with sterile saline or sterile water before use. Product expiration dates must be adhered to as per manufacturer’s instructions.

A

Glutaraldehydes
(Glutaraldehyde (Cidex®, Cetylcide®, Metricide®))

43
Q

Several hours required for sterilization. Corrosive and irritating. Instruments must be rinsed with sterile saline or sterile water before use.

A

Hydrogen peroxide Acetic acid
(Actril®, Spor-Klenz®)

44
Q

is neither a sterilant nor a high-level disinfectant.

A

Alcohol
(Ethanol or Isopropanol)

45
Q

Reduced activity in presence of organic matter. Wide range of microbicidal action. Works best in pH 6-7.

A

Iodophors

46
Q

Iodophors works best in what pH level

A

pH 6-7

47
Q

Presence of blood does not interfere with activity. Rapidly bactericidal and persistent. Effective against many viruses. Excellent for use on skin.

A

Chlorhexidine
(Nolvasan®, Hibiclens®)

48
Q

Multifilament, Absorbable in 60-90 days; 25-50% loss of tensile strength in 14-21 days. Ligate or suture subcutaneous tissues where an absorbable suture is desirable. Not routinely recommended for skin closure due to high capillarity.

A

Polyglactin 910 (Vicryl®), Polyglycolic acid (Dexon®)

49
Q

Not routinely recommended for skin closure due to high capillarity

A

Polyglactin 910 (Vicryl®), Polyglycolic acid (Dexon®)

50
Q

Monofilament, Absorbable in 6 months; 40% loss of tensile strength in 30-42 days. Ligate or suture tissues especially where an absorbable suture and extended wound support is desirable.

A

Polydiaxanone (PDS®) or, Polyglyconate (Maxon®)

51
Q

Monofilament, Non-absorbable. Inert.

A

Polypropylene (Prolene®)

52
Q

Monofilament, Non-absorbable. Inert. General closure.

A

Nylon (Ethilon ®)

53
Q

Multifilament, Non-absorbable. (Caution: Tissue reactive and may wick microorganisms into the wound, so silk is not recommended for skin closure). Excellent handling. Preferred for cardiovascular procedures.

A

Silk

54
Q

Non-absorbable. Requires instrument for removal.

A

Stainless Steel Suture/Wound Clips/Wound Staples

55
Q

Skin glue. For non-tension bearing wounds.

A

Cyanoacrylate (Vetbond®, Nexaband®, Tissue Mend®)

56
Q

Multifilament materials in Wound Closure Selection

A
  1. Polyglactin 910 (Vicryl®), Polyglycolic acid (Dexon®)
  2. Silk
57
Q

Absorbable materials in Wound Closure Selection

A
  1. Polyglactin 910 (Vicryl®), Polyglycolic acid (Dexon®)
  2. Polydiaxanone (PDS®) or, Polyglyconate (Maxon®)
58
Q

Non-absorbable materials in Wound Closure Selection

A
  1. Polypropylene (Prolene®)
  2. Nylon (Ethilon ®)
  3. Nylon (Ethilon ®)
  4. Stainless Steel Suture/Wound Clips/Wound Staples
59
Q

used in Steam Sterilization (moist heat)

A

Autoclave

60
Q

used in Dry Heat

A

Hot Bead Sterilizer Dry Chamber

61
Q

used in Gas sterilization

A

Ethylene Oxide

62
Q

The period which an animal recovers from anesthesia may be more critical than during the actual operation.

A

Postoperative Care

(1) VSRUG (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions