Surgeries and Post-Operative Care Flashcards
What is an Ovariohysterectomy?
Spay
Removes uterine body, horns and ovaries
What are some basic Home wound management care?
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
What is an Orchidectomy?
Neuter
Can be open or closed
What are the types of hernia repair?
Reducable: hole still open
Non-reducable: not able to push contents back through hole
What is a Laparotomy?
Exploratory abdominal surgery
What is an Onychectomy?
Declaw surgery
What is a thoracotomy?
When you weave a tube through the body of something needing to enter thorax.
What are the main points for Post-operative care?
Helping them come out of anesthesia.
IV fluids
Keep warm
Pain control
What is Moist Heat Sterilization?
Occurs in an autoclave
Contains steam, builds pressure
How do you tell if something has been through the autoclave?
Autoclave tape, white lines turn black.
What is Cold Sterilization?
Chemical sterilization, but not actually sterile.
Define Disinfection.
Destroys bacteria, but not bacterial spores.
Define Antisepsis
Used on living tissue
Never going to kill all living tissue
Not completely sterile
Iodine
Define Sanitation
“keeping things clean”
Shave animal
Keep clean
Name some Surgical instruments
Blades Scissors Needle-holders Thumb forceps Hemostatic forceps Ophthalmic instruments Orthepedic instruments
Describe some tips for Instrument care
Store scissors unclamped Multipart instruments taken apart Scrub brush clean Drop into ultrasonic cleaner Take out and rinse Let air dry
What are instrument packs?
Group like instruments
How do you drape gown packs?
Gown folded and wrapped same way each time
What is the treatment room?
Where a patient is anesthesized,, shaved
Sanitary but not disinfected
What are some ideal features of an operating room?
Positive pressure ventilation
Uncluttered is ideal
Everything should be wiped at least once a week
Nothing dirty
What are some points to patient preparation
Know surgery
Shave at least 3-5 cm away from edge pf incision
What is a surgical scrub?
Scrubbing area clean with chlorhexidine 3x in pattern
Local anesthetic
Paint alcohol in same pattern
Paint on iodine
Name steps of surgical scrub: (8)
Shave Vacuum Express bladder Scrub Local Surgical scrub Alcohol Iodine
What are some basic attire for surgical team?
Sterile gown or clean scrub top
Wear separate shoes
Describe Hand scrub
Start with fingertips and move up to wrist
Should take 5 minutes for abdominal surgery
Hands should stand upright after wash
What is the sterile field?
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.
What are the types of suture?
Absorbable (body absorbs, internal)
or non-absorbable (lasts longer)
What are the key points to monofilament suture?
Less resistance More memory Doesn't wick Less tissue reaction Can be damaged with over crushing
What are the key points to multifilament suture?
More tissue drag Easier to handle more likely to wick bacteria Greater tissue reaction good knot security
How is suture sized?
Zero is base (ought)
1, 2, 3…getting bigger (wider)
1-O (1-ought, 1 smaller than ought)
What are the types of suture needles?
Swadged (suture pinched in): smaller hole
vs Eye Needle (has hole)
What do we describe in needles?
Shape of body (taper vs cutting)
and shape of needle
Define suture reactions?
Sutures are foreign bodies that can caused local mediated tissue response
Usually happens towards end of healing
