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VET 2050 FA 23 > Surgical Nursing > Flashcards

Surgical Nursing Flashcards

1
Q

What is a seroma, and how long can it remain after surgery?

A

A seroma is when serum accumulates under the skin after being closed with suture, and it may persist for weeks.

ML, Student #6, McCurnin 10th Edition pg. 1052

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2
Q

What are some of the preoperative considerations when dealing with a GDV?

A

GDV patients are usually in shock, and if left untreated they can die of cardiovascular collapse (as the enlarged stomach can compress the caudal vena cava affecting the venous return to the heart). When placing a catheter, it must be in the cephalic or jugular as the caudal part of the body is impaired.

ML, Student #6, McCurnin 10th Edition pg. 1063

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3
Q

What is the first-degree common cause of dystocia on the maternal side?

A

Uterine inertia (lack of contraction)

ML, Student #6, McCurnin 10th Edition pg.1073

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4
Q

What is the primary indication for a perineal urethrostomy?

A

Multiple episodes of obstruction in association with feline urologic syndrome.

ML, Student #6, McCurnin 10th Edition pg. 1075

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5
Q

True or False: Most long bone fractures are not life-threatening and do not require emergency surgery?

A

True : when a patient with a fracture comes in, several steps must be taken to prepare for repair including stabilizing the animal with respect to all body systems, managing any open wound associated with the fracture, and immobilizing the fracture. Once these 3 steps have been achieved, fracture repair can be considered.
ML, Student #6, McCurnin 10th Edition pg. 1084

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6
Q

What is the only part of the surgical gown that is considered sterile?

A

The front region from the shoulders to the waist.

BH, Student #5, McCurnin 9th Edition pg. 1122

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7
Q

What are the 3 parts of a surgical suite?

A

The prep area, scrub area and surgical room.

BH, Student #5 McCurnin 9th Edition pg. 1099

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8
Q

What must be placed inside of a wrapped pack to indicate whether the pack was sterilized or not?

A

An chemical indicator strip

BH, Student #5 McCurnin 9th Edition pg 1095

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9
Q

What chemical should you avoid putting in an open wound because it is cytotoxic and causes pain to the patient?

A

Alcohol

BH, Student #5 McCurnin 9th Edition pg. 1097

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10
Q

When performing a surgical hand scrub, how long does the soap need to be in contact with your skin?

A

Contact time should last 5 minutes

BH, Student #5 McCurnin 9th Edition pg. 1106

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11
Q

What are some indications for using prophylactic antibiotics?

A

-surgery times longer than 90 minutes
-immunosuppressd patients
-entering of a hollow viscus (GI tract or urinary bladder)
-entering of a joint, placement of orthopedic implants
-risk for potentially fatal infection (ex: neurosurgery)

Student #11 SF
McCurnin’s 9th ed.
pg. 1142

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12
Q

How can PCV of fluid be helpful to evaluate presence of hemorrhage during surgery?

A

If the PCV of the sampled fluid (via abdominocentesis, thoracocentesis, or FNA) is similar to that of the systemic PCV, hemorrhage should be suspected.

Student #11 SF
McCurnin’s 9th ed. pg. 1143

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13
Q

Which procedure would be anticipated to be more painful?
A) OHE
B) small mass removal
C) fracture repair

A

C) Fracture repair

Student #11 SF
McCurnin’s 9th ed.
pg. 1144

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14
Q

What is important to consider when operating in the chest cavity (i.e., diaphragmatic hernia repair, thoracotomy, etc.)

A

Although necessary for the procedure, placing patients in dorsal recumbency can lead to severe respiratory compromise. As a surgical tech, you should be prepared to perform IPPV throughout the procedure, or hook up patient to ventilator if needed.

Student #11 SF
McCurnin’s 9th ed.
pg. 1172

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15
Q

Briefly explain the difference between elective and nonelective procedures.

A

Elective: typically done on healthy animals; non-urgent procedures; can be delayed

Nonelective: performed on compromised patients; must be done urgently to prevent severe complications and/or death

Student #11 SF
McCurnin’s 9th ed.
pg.1148

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16
Q

Abnormalities that can occur in early to a wound in its postoperative period?

A

Redness, swelling, draining and dehiscence.
LB, Student #2 McCurnin’s 9th ed.
pg. 1144

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17
Q

What blood work should be taken before and after surgery if substantial blood loss occurs?

A

PVC and TP
LB, Student #2 McCurnin’s 9th ed.
pg. 1143

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18
Q

When is is recommended for puppies/kittens to get vaccinated when they are scheduled for surgery?

A

2 weeks before
LB, Student #2 McCurnin’s 9th ed.
pg. 1141

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19
Q

Why do we want to watch/get informed about stake through on a bandage?

A

Bacteria has a better chance of causing infection due to the moisture of the wet bandage.
LB, Student #2 McCurnin’s 9th ed.
pg. 1146

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20
Q

What drain is not ideal due to the risk of ascending bacterial infection.

A

Passive drains
LB, Student #2 McCurnin’s 9th ed.
pg. 1147

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21
Q

What factors during anesthesia contribute to hypothermia?

A

An open body cavity, fluids, and large clipping margins can all cause the body to lose heat.
MS, Student #10, McCurnin’s 10th ed.
pg. 1051

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22
Q

For how long should an animal’s exercise be limited for after a routine surgery versus a orthopedic surgery?

A

A routine surgery usually requires 10-14 days of restricted activity while a orthopedic surgery will likely require 6-8 weeks of confinement.
MS, Student #10, McCurnin’s 10th ed.
pg. 1055

23
Q

When should perioperative antibiotics be given prior to surgery?

A

Antibiotics should be given no longer than 3-5 hours and at least 20 minutes before the surgical incision is made to allow therapeutic drug levels to be present in the wound fluid.
Student #4, EKH, McCurnin 9th ed. pg 1142

24
Q

How do we treat the abscess or infection of an incision site?

A

It should be treated with drainage, warm compresses, and antibiotics. When possible, aseptic aspiration of fluid or tissue under the incision should be performed for cytology before selecting the antibiotic.
MS, Student #10, McCurnin’s 10th ed.
pg. 1053

25
Q

What are some characteristics of intestinal devitalization?

A

Lack of motility, gray/green/black discoloration, and severe thinning of the visceral wall.
MS, Student #10, McCurnin’s 10th ed.
pg. 1061-1062

26
Q

What temp should a small animal recovering post-op reach before turning off heat sources, such as a warm air blanket?

A

99-100 degrees F.

Student #4, EKH, McCurnin 9th ed. pg 1144.

27
Q
A
28
Q

What are the most common contributing factors to wound dehiscence?

A

Inappropriate choice of suture or suturing technique, tension on the incision, seroma formation, infection, and disease or drug factors that delay healing.

Student #1 MA McCurnin 10th Edition pg. 1053

29
Q

What is an important piece of information to include in client education for a patient who has had a drain placed in order to prevent premature removal of the drain?

A

Animals with drains should also be fitted with an e-collar to prevent the animal from messing with the drain.

Student #1 MA McCurnin 10th Edition pg. 1054

30
Q

If you are working up a patient with a suspect GDV, what imaging are you going to take to evaluate the position of the stomach once the patient is stabilized?

A

Right lateral abdominal radiograph

Student #1 MA McCurnin 10th Edition pg. 1063

31
Q

If you are assisting with an ovariohysterectomy in a patient with pyometra and are asked to take a sample for culture of the contents of the uterus when and how would you do this?

A

A sample of the uterine contents should be collected aseptically once the uterus has been removed from the patient but before it has been contaminated. This prevents contaminating the abdomen with the contents.

Student #1 MA McCurnin 10th Edition pg. 1069.

31
Q

What additional personal protective equipment should make sure to be kept on hand during gastrointestinal surgery?

A

Sterile gloves. Surgeons may require additional sterile gloves because the intestines are considered contaminated.

Student #1 MA McCurnin 10th Edition pg. 10 pg. 1061.

32
Q

What is strike-through?

A

When wounds drain excessively, causing serum to seep through the bandage and extend to the external environment

CP Student #9 McCurnin 9th ed. pg. 1147

33
Q

What should be done as soon as induction drugs have been administered for an animal undergoing GI surgery?

A

The animal should be intubated with a cuffed endotracheal tube to decrease aspiration of stomach contents

CP Student #9 McCurnin 9th ed. pg. 1154

34
Q

What are some potential indicators of peritonitis?

A

Inappetence, fever, vomiting, painful abdomen, incision drainage, and shock

CP Student #9 McCurnin 9th ed. pg. 1155

35
Q

What are some indications for a cystotomy procedure?

A

Removal of cystic calculi, removal of tumors, correct congenital defects, and to repair traumatic rupture of the bladder

CP Student #9 McCurnin 9th ed. pg. 1168

36
Q

What clinical findings can be seen 12-24 hours after a complete urethral obstruction?

A

Severe electrolyte abnormalities, cardiac arrhythmias, kidney dysfunction, and shock

CP Student #9 McCurnin 9th ed. pg. 1170

37
Q

What should we monitor for in the first 24 hours after a Celiotomy?

A

Swelling, drainage, excessive redness, dehiscence, and self trauma

CP student#3 HG McCurnin pg1060

38
Q

What is the purpose of a Urethrostomy?

A

To make an external opening in the urethra in the area of the perineum that is large enough for passage of urine, mucus, crystals, and small calculi.
CP Student #3 HG McCurnin pg 1075

39
Q

What are some clinical signs of colic?

A

Kicking, pawing, rolling, sweating, lying down, watching flank, and biting at abdomen
CP Student #3 HG McCurnin pg 1091

40
Q

What are some causes of colic?

A

Diet change, weather changes, parasites, and habitat.
CP Student #3 HG McCurnin pg 1091

41
Q

Horses have the ability to vomit? True or False?

A

False
CP Student #3 HG McCurnin pg 1091

42
Q

What are postoperative considerations for a diaphragmatic hernia?

A

Having oxygen supplementation (ie. oxygen cage) and monitoring for any signs of respiratory distress\
Mccurnin’s edition 9 pg 2815 student #7 MM

43
Q

What is one preoperative consideration with dog that are presenting with pyometra?

A

They should be started on iv fluids with board spectrum antibiotic
Mccurinin’s edition 9 pg 2792
Student #7 MM

44
Q

What is anastomosis?

A

Suturing the portions of the GI tract back together to allow normal flow
MCcurinin’s edition 9 pg 2772
Student #7 MM

45
Q

What are some example of elective surgeries?

A

Spaying, neutering, declaws
Mccurinin’s edition 9 pg 2757
Student #7 MM

46
Q

Which retractor is specifically used for a spay

A

Snook Hook

McCurnin 10th edition chapter 31 Student #7 LM

47
Q

The minimum humidity requirement for effective sterilization to occur by the use of ethylene oxide is

A

35%

McCurnin 10th ed pg 387 Student #7 LM

48
Q

The required exposure time when soaking instruments to achieve cold sterilization should exceed

A

3hours

McCurnin 10th ed pg 388 Student#7 LM

49
Q

Where do you clipped for a canine castration

A

Tip of the prepuce to the margin of of the abdominal skin and scrotal skin extending out to the inguinal region
Mccurinin’s edition 9 pg 3445
Student #7 MM

50
Q

What is the proper name for surgical incision into the abdominal cavity?

A

Laparotomy, also known as celiotomy

McCurnin 10th ed pg 408 Student #7 LM

51
Q

What color should a normal gastrointestinal tract be when viewed in an open abdominal surgery?

A

Pink

McCurnin 10th ed pg 408 Student #7 LM

52
Q

What is a disadvantage of trocarization?

A

There is potential leakage of gastric contents into the abdominal cavity
Mccurinin’s edition 9 pg 2778
Student #7 MM

VET 2050 FA 23 (10 decks)

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