Surgeries and Post-Operative Care

Question 1

What is an Ovariohysterectomy?

Answer 1

Spay

Removes uterine body, horns and ovaries

Question 2

What are some basic Home wound management care?

Answer 2

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

Question 3

What is an Orchidectomy?

Answer 3

Neuter

Can be open or closed

Question 4

What are the types of hernia repair?

Answer 4

Reducable: hole still open

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

Question 5

What is a Laparotomy?

Answer 5

Exploratory abdominal surgery

Question 6

What is an Onychectomy?

Answer 6

Declaw surgery

Question 7

What is a thoracotomy?

Answer 7

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

Question 8

What are the main points for Post-operative care?

Answer 8

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

Question 9

What is Moist Heat Sterilization?

Answer 9

Occurs in an autoclave

Contains steam, builds pressure

Question 10

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

Answer 10

Autoclave tape, white lines turn black.

Question 11

What is Cold Sterilization?

Answer 11

Chemical sterilization, but not actually sterile.

Question 12

Define Disinfection.

Answer 12

Destroys bacteria, but not bacterial spores.

Question 13

Define Antisepsis

Answer 13

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

Question 14

Define Sanitation

Answer 14

“keeping things clean”
Shave animal
Keep clean

Question 15

Name some Surgical instruments

Answer 15

Blades
Scissors
Needle-holders
Thumb forceps
Hemostatic forceps
Ophthalmic instruments
Orthepedic instruments

Question 16

Describe some tips for Instrument care

Answer 16

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

Question 17

What are instrument packs?

Answer 17

Group like instruments

Question 18

How do you drape gown packs?

Answer 18

Gown folded and wrapped same way each time

Question 19

What is the treatment room?

Answer 19

Where a patient is anesthesized,, shaved

Sanitary but not disinfected

Question 20

What are some ideal features of an operating room?

Answer 20

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

Question 21

What are some points to patient preparation

Answer 21

Know surgery

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

Question 22

What is a surgical scrub?

Answer 22

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

Question 23

Name steps of surgical scrub: (8)

Answer 23

Shave
Vacuum
Express bladder
Scrub
Local
Surgical scrub
Alcohol
Iodine

Question 24

What are some basic attire for surgical team?

Answer 24

Sterile gown or clean scrub top

Wear separate shoes

Question 25

Describe Hand scrub

Answer 25

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

Question 26

What is the sterile field?

Answer 26

``` 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. ```

Question 27

What are the types of suture?

Answer 27

Absorbable (body absorbs, internal) | or non-absorbable (lasts longer)

Question 28

What are the key points to monofilament suture?

Answer 28

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

Question 29

What are the key points to multifilament suture?

Answer 29

``` More tissue drag Easier to handle more likely to wick bacteria Greater tissue reaction good knot security ```

Question 30

How is suture sized?

Answer 30

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

Question 31

What are the types of suture needles?

Answer 31

Swadged (suture pinched in): smaller hole | vs Eye Needle (has hole)

Question 32

What do we describe in needles?

Answer 32

Shape of body (taper vs cutting) | and shape of needle

Question 33

Define suture reactions?

Answer 33

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