Surgical Instruments Flashcards
1
Q
Name scalpels
A
- Handle 3
- Handle 4
2
Q
Name scissors
A
- Mayo
- Metzenbaum
3
Q
Name towel clamps
A
- Backhaus
- Schaedel (Cross-sectional)
4
Q
Name needle holders
A
- Olsen-hegar
- Gillies
5
Q
Name retractors
A
- Gelpi
- Travers
- West
- Langenbeck
6
Q
Name artery forceps
A
- Spencer wells
- Rochester Pean
- Halstead mosquitoes
7
Q
Name tissue forceps
A
- Allis
- Babcock
8
Q
Name dissecting forceps
A
- Plain
- Adsons
- Rat tooth
- Debakey
9
Q
Name suctions tips
A
- Frazier
- Poole
- Yankauer
10
Q
What is the atraumatic instrument classification?
A
- Used on vital organs and delicate areas
- Debakey dissecting forceos
- Doyen bowel clamps
- Travers retractors
11
Q
What is the traumatic instrument classification?
A
- Used on tissues that are going to be excised or are robust
- Rat tooth
- Allis tissue forceps
- Backhaus and Schaedel towel clamps
- West retractors
12
Q
What are surgical drains?
A
- Implants that allow removal of fluid and/or gas from a wound or body cavity
13
Q
Why are surgical drains needed?
A
- Encourages healing by removing inflammatory mediators, pathogens, foreign material and necrotic tissue
- Eliminates dead space, which prevents fluid/gas accumulation
14
Q
What are the 4 types of surgical drains?
A
- Open
- Closed
- Passive
- Active
15
Q
What are passive drains?
A
- Relies on gravity, body movement, capillary action to move fluid/gas
- Typically open drains
E.g., penrose and Yeates drain
16
Q
What are active drains?
A
- Applies an artifical pressure gradient to pull fluid or gas from a wound or body cavity
- Typically, a closed drain
- E.g., Jackson-Pratt drain and home-made drain with syringes
17
Q
What is a Penrose drain?
A
- Made from soft tubular, radioplaque latex
- Flexibile
- Inexpensive
- Must not be altered
18
Q
What are Yeates drains?
A
- Parallel tubes
- Side and end holes
- Thick fluid can block drain
19
Q
What are Jackson-Pratt drains?
A
- Continuous suction through a collapsible grenade-style collection reservoir
- Radioplaque, flat internal silicone tube with fenestration to increase SA and prevent blockages
20
Q
What are home-made closed suction drains made from?
A
- Syringes, butterfly catheter or extension set and something to hold the plunger back to maintain negative pressure for suction
21
Q
What are some nursing considerations for passive drains?
A
- Sterile absorbent bandage
- Aspetically changed
- Discharging fluid can cause severe skin irritation, hair loss and increase risk of ascending infection, so clean regularly
- Patient interference, so buster collar
