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Diagnostics Exam 2 > Suturing > Flashcards

Suturing Flashcards

1
Q

Clean wound

A

Surgical

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2
Q

Clean-contaminated

A

Surgical like appy

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3
Q

Contaminated

A

Trauma

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4
Q

Dirty and infected

A

Abscess, FB, infected surgical

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5
Q

Phase 1 response to injury

A

Day 1-5
Increased blood flow to area
Inflammatory
Controls bleeding with increased clotting

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6
Q

Phase 2

A

5-14
No strength
Collagen formation= scar

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7
Q

Phase 3

A

Maturation/remodeling

14 days-1 year

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8
Q

Do not close wound up n extremities or trunk over

A

12 hours old

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9
Q

Bacteria on skin doubles

A

Every 6 hours

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10
Q

Mammal bites should be put on

A

Augmenting prophylactic

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11
Q

Factors affecting would healing

A 
DM
Renal insufficiency
Marfan’s
Immune compromised 
Nutrition
Obesity
Meds
Smoking
Temp
Blood supply
Infection
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12
Q

Clean wounds with

A

NS

Low pressure

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13
Q

Don’t clean wounds with

A

Alcohol based products

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14
Q

Always do what with suspected FB

A

Probe with curved object

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15
Q

Tetanus shot for

A

“I don’t know”
Anyone older than 7= every 5 years
Tetanus prone would= 5 years if not just every 10

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16
Q

Duration of local

A

30 mins to 6 hours

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17
Q

Amides

A

Lidocaine
Mepivacaine
Bupivicaine

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18
Q

Esters

A

Procaine
Cocaine
Tetracaine

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19
Q

Alternatives to local

A

Diphenhydramine

Benzoyl alcohol

20
Q

Why does local burn?

A

It’s acidic

21
Q

What do you buffer local with

A

Bicarb

22
Q

Lidocaine 1%=

A

10mg/mL

23
Q

2% lidocaine =

A

20 mg/mL

24
Q

Onset of lidocaine

A

2-5 mins

25
Q

Lidocaine max dose

Max dose with Epi

A

5mg/kg

7mg/kg

26
Q

Bupivicaine concentration

Max dose

A
  1. 25%
  2. 5%

2mg/kg

Max with epi 3mg/kg

27
Q

Bicarbonate buffer ratio

A

Lidocaine

1ml bicarb+ 9mLs lido

Bupivicaine

1mL bicarb+ 19mLs bupivicaine

28
Q

Why use epi in local?

A

Vasoconstriction
Prolongs anesthetic agent
Decreases systemic absorption

29
Q

When not to use epi in local

A

Wounds with circulatory compromise
Digital anesthesia in PAD
Pregnancy

30
Q

When to remove sutures in face

A

3-5 days

31
Q

Remove sutures on scalp

A

7-10 days

32
Q

Suture removal Arms

A

7-10 days

33
Q

Suture removal Trunk and legs

A

10-14 days

34
Q

Suture removal Hands and feet

A

10-14

35
Q

Suture removal palms and soles

A

14-21

36
Q

Suture removal joints

A

14 days consider splinting

37
Q

What is goal of suturing

A

Approximate don’t strangulate

38
Q

Abx ointment

A

For 24 hours on face sutures

Using more than 24 hours increases scar formation

39
Q

Protect lac from sun

A

6-12 months

40
Q

Interrupted sutures

A

Most often used

41
Q

Horizontal mattress

A

Distributing tension over greater area

42
Q

Figure 8

A

X under skin
Tie off bleeder
Tube securing

43
Q

If wound is already infected

A

Abx

44
Q

When to follow up with infection prone wound

A

48-72 hours

45
Q

When to follow up with wound

A

S/s of infection

N/V

46
Q

Glue

A

4-5 coats equal 4.0 suture tensil strength

No ointments or creams

No areas with hair
Eyebrow or scalp

Diagnostics Exam 2 (5 decks)

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