Surgeries and Post-Operative Care Flashcards

1
Q

What is an Ovariohysterectomy?

A

Spay

Removes uterine body, horns and ovaries

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2
Q

What are some basic Home wound management care?

A
Make sure bandage isn't causing more damage
Keep dry
Keep indoors
Restrict exercise
Check for anything unusual
Check bandage at least twice a day
If swelling bandage needs to come off immediately
Give handouts and directions
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3
Q

What is an Orchidectomy?

A

Neuter

Can be open or closed

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4
Q

What are the types of hernia repair?

A

Reducable: hole still open

Non-reducable: not able to push contents back through hole

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5
Q

What is a Laparotomy?

A

Exploratory abdominal surgery

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6
Q

What is an Onychectomy?

A

Declaw surgery

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7
Q

What is a thoracotomy?

A

When you weave a tube through the body of something needing to enter thorax.

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8
Q

What are the main points for Post-operative care?

A

Helping them come out of anesthesia.
IV fluids
Keep warm
Pain control

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9
Q

What is Moist Heat Sterilization?

A

Occurs in an autoclave

Contains steam, builds pressure

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10
Q

How do you tell if something has been through the autoclave?

A

Autoclave tape, white lines turn black.

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11
Q

What is Cold Sterilization?

A

Chemical sterilization, but not actually sterile.

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12
Q

Define Disinfection.

A

Destroys bacteria, but not bacterial spores.

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13
Q

Define Antisepsis

A

Used on living tissue
Never going to kill all living tissue
Not completely sterile
Iodine

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14
Q

Define Sanitation

A

“keeping things clean”
Shave animal
Keep clean

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15
Q

Name some Surgical instruments

A
Blades
Scissors
Needle-holders
Thumb forceps
Hemostatic forceps
Ophthalmic instruments
Orthepedic instruments
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16
Q

Describe some tips for Instrument care

A
Store scissors unclamped
Multipart instruments taken apart
Scrub brush clean
Drop into ultrasonic cleaner
Take out and rinse
Let air dry
17
Q

What are instrument packs?

A

Group like instruments

18
Q

How do you drape gown packs?

A

Gown folded and wrapped same way each time

19
Q

What is the treatment room?

A

Where a patient is anesthesized,, shaved

Sanitary but not disinfected

20
Q

What are some ideal features of an operating room?

A

Positive pressure ventilation
Uncluttered is ideal
Everything should be wiped at least once a week
Nothing dirty

21
Q

What are some points to patient preparation

A

Know surgery

Shave at least 3-5 cm away from edge pf incision

22
Q

What is a surgical scrub?

A

Scrubbing area clean with chlorhexidine 3x in pattern
Local anesthetic
Paint alcohol in same pattern
Paint on iodine

23
Q

Name steps of surgical scrub: (8)

A
Shave
Vacuum
Express bladder
Scrub
Local
Surgical scrub
Alcohol
Iodine
24
Q

What are some basic attire for surgical team?

A

Sterile gown or clean scrub top

Wear separate shoes

25
Q

Describe Hand scrub

A

Start with fingertips and move up to wrist
Should take 5 minutes for abdominal surgery
Hands should stand upright after wash

26
Q

What is the sterile field?

A
Front from shoulders to waist
Hands must stay above waist
Don't touch green!!
Dont reach over sterile field
If you feel hot, sit down.
27
Q

What are the types of suture?

A

Absorbable (body absorbs, internal)

or non-absorbable (lasts longer)

28
Q

What are the key points to monofilament suture?

A
Less resistance
More memory
Doesn't wick
Less tissue reaction
Can be damaged with over crushing
29
Q

What are the key points to multifilament suture?

A
More tissue drag
Easier to handle
more likely to wick bacteria
Greater tissue reaction
good knot security
30
Q

How is suture sized?

A

Zero is base (ought)
1, 2, 3…getting bigger (wider)
1-O (1-ought, 1 smaller than ought)

31
Q

What are the types of suture needles?

A

Swadged (suture pinched in): smaller hole

vs Eye Needle (has hole)

32
Q

What do we describe in needles?

A

Shape of body (taper vs cutting)

and shape of needle

33
Q

Define suture reactions?

A

Sutures are foreign bodies that can caused local mediated tissue response
Usually happens towards end of healing