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vt17 > surgical assisting > Flashcards

surgical assisting Flashcards

1
Q

when is manual bladder expression contraindicated

A

abdominal trauma, cystotomy, pyometra, urethral obstruction

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2
Q

when is isopropyl alcohol contraindicated as rinsing agent

A

open wound, mucus membranes, electrocautery surgery or laser used for incision

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3
Q

study ringed instrument anatomy

A

tip(jaws, box lock, shank. ratchet, ring handle

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4
Q

no 3 scalpel blades

A

10,11,12,15 small animals

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5
Q

no 4 scalpel blades

A

20-23 large animals

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6
Q

10

A

general surgery

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7
Q

11

A

“stab” incisions (arthroscopes)

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8
Q

12

A

suture removal , declaw sx

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9
Q

15

A

delicate incisions (opthalmic sx)

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10
Q

tail docking

A

hanging limb prep

return to dam asap

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11
Q

feline onychectomy

A

amputation of nail and 3rd phalynx
litter substitute nonclay
analesia 4 plus days bandages typically in place 24 h patient monitored additonal 8-12

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12
Q

celiotomy AKA laporotomy

A

large are prep, dorsal recumbancy
incision location : ventral midline, paramedian, paracostal, parapreputial
abdomonal bandage post op

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13
Q

gastrointestinal surgery

A

ventral midline laporotomy

post op: introduce water first, if no vomit highly digestable and bland for q 2-4 h gradually increase amount

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14
Q

ovariohysterectomy

A

incision slightly caudal to umbilicus

post op ensure patient has succesfully urinated prior to release

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15
Q

canine orchiectomy

A

incision on midline between scrotum and prepuse

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16
Q

feline orchiectomy

A

pluck scrotal hair
positioning is docs preferance dorsal rec. or lateral recumb,
incison made through scrotum over testicle
alternative liter

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17
Q

cesarean delivery

A

shave prior to anesthesia if possible

post op return neonates to dam asap , encourage nursing, send patients home asap

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18
Q

cystotomy

A

post op radiographs iv fluids continued urinary catheter often left in dwelling monitor urine production and gross appearance

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19
Q

perineal urethrostomy

A

sternal recumbancy
post op monitor urine prod. and gross appearance
alternative litter 7-10 days

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20
Q

scrotal urethrostomy

A

dorsal recumbancy all same as orchiectomy and post op same as pu

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21
Q

umbilical hernia

A

ventral midline laparotomy

22
Q

inguinal hernia

A

abdominal organs and or tissue protrudes through inguinal canal most common in female canines

23
Q

diaphragmatic hernia

A

dorsal recumbancy with cranial end elevated
prep abdomen and thorax prepare for thoracocentesis
post op supplemental o2 via oxygen cage or nasal infusion monitor SpO2

24
Q

lumpectomy

A

removal of mass

25
Q

masectomy

A

lateral or dorsal recumbancy dependant on location

post op abdominal bandage 48-72 h , drain maintenance

26
Q

abcess repair

A

wide surgical prep

post op drain management

27
Q

orthopedic surgery

A

hanging limb prep

28
Q

amputation of limb

A

post op bandage 24-48 h warm compresses to aid in prevention of seromas or hematomas

29
Q

spinal surgery

A

wide surgical prep at least 2 vertebral spaces cranial and caudal
cervical- dorsal recumbancy
thoracolumbar -ventral recumbancy
post op if non ambulatory indwelling catheter or manual expression 4-5 x day turn around frequently padded bedding

30
Q

post op patient care incision evaluation

A

1-2 x day / 10-14 days monitor for:

edema, discharge, redness, erythema, heat, missing sutures , dehiscence the parting of sutured sides of a surgical wound

31
Q

towels and drapes applied

A

performed by sterile surgical assistant placed one at a time
lateral, near, lateral far, cranial, caudal avoid shaking , flipping roll edge over hand never adjust towards incisions secure with towel clamps place fenesrated drape

32
Q

limb draping

A

limb suspended with tape circumferance of limb shaved towels placed at base of limb circulating nurse cuts tape presents to surgeon surgeon grasps in steril stockinet unrolls to cover foot limb is placed through fenestrated drape

33
Q

personnel sx prep

A

cap to cover all hair mask minimal jewelry
wash hands and forearms clean under nails with pick rinse hands higher than elbows avoid touching anything apply antiseptic to hands and forearms scrub all 4 sides of each finer hand arm move medially to proximally if contamionated start over

34
Q

gowning and gloving

A

grasp gown by neckline lift out step back …

35
Q

asisting in sx

A

never reach across sterile field if wet not sterile
minimize moving and talking . scrubbed in personnel pass back to back or front to front always face the sterile field do not leave room

36
Q

handling ringed instruments

A

held in dominant hand tips of thumb and ring finger in rings 1st 2 fingers guide instrument if ratcheted lock on first notch when grasping

37
Q

thumbforcep

A

held like chopsticks

38
Q

passing instruments

A

into open hand, handle end first , firmlyl
loaded scalpel hand point blade toward self pronate hand
ringed; tip up, rings down, 1st ratchet loked curve toward thumb

39
Q

skin tissue handling

A

aspetic not sterile, avoid touching when scrubbed in , different instruments used on skin and deeper tissues

40
Q

incison with scalpel

A

least trauma and least scarring to tissue

41
Q

incision with electrocautery/laser

A

longer healing time, reduced resistance to infection, much less hemorrhage

42
Q

handling hollow organs

A

control of luminal contents ;clamping organ, stay sutures , securing manually

43
Q

hemostasis spongs

A

maintain visibility, limit blood loss, use blotting motion ,

44
Q

electrosurgery

A

must remove blood or fluid prior to use

cautions; ensure contact between patient and grounding plate contraindicated with flammable antiseptis like alcohol

45
Q

chemical cauterization

A

hemostasis by denature proteins

46
Q

laser surgery

A

must wear appropriate wavelength specific eye protection at all tims , laser warnign signs must be posted at door to OR
non reflective material placed over OR windows
plume evacuator , shielded endotracheal tubes

47
Q

lavage

A

irrigation and suction of incision wound body cavity ot hollow organ

48
Q

lavage fluid used

A

physiologically neutral same pH and electrolyte concentration as plasma
isotonic warmed o body to prevent hypothermia

49
Q

lavage technique

A

bulb syringe, large syringe, sterile bowl, avoid wetting drapes and towels

50
Q

poole tip

A

multiple small fenestrations avoid clogging

composed of metal abdominal / thoracic sx

51
Q

yankauer tip

A

small, precise tip, composed of tip, orthopedic, neurosurgery

52
Q

frazier tip

A

small precise tip, composed of metal orthopedic sx nuerosx

vt17 (1 decks)

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