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Med Procedures - Quiz 1 > Suturing > Flashcards

Suturing Flashcards

1
Q

Classification of wounds by cause?

A
  • Intentional

- Unintentional

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2
Q

Classification of would by status of skin integrity?

A
  • Open

- Closed

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3
Q

How can wounds be classified?

A
  • Cause
  • Status of skin integrity
  • Severity of injury
  • Degrees of contamination
  • Depth
  • Descriptive qualities
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4
Q

Classification of wound by severity of injury?

A
  • Superficial

- Penetrating

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5
Q

Classification of wound by degrees of contamination?

A
  • Clean
  • Clean/contaminated
  • Contaminated
  • Infected
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6
Q

Classification of wound by depth?

A
  • Partial thickness

- Full thickness

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7
Q

Classification of wounds by descriptive qualities?

A
  • Laceration
  • Abrasion
  • Contusion
  • Incision
  • Puncture
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8
Q

What is a primary intention wound characterized by?

A
  1. Closed skin edges
  2. Minimal granulation tissue
  3. Early suturing
  4. Minimal scarring
  5. Minimal tissue loss
  6. Rapid healing
  7. Minimal risk of infection
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9
Q

What is a secondary intention wound characterized by?

A
  1. Open skin edges
  2. Extensive granulation tissue
  3. No suturing
  4. Extensive scarring
  5. Extensive tissue loss
  6. Delayed healing
  7. Extensive risk of infection
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10
Q

What is a tertiary intention wound characterized by?

A
  1. Open skin edges that are sutured later
  2. Moderate granulation tissue
  3. Delayed suturing
  4. Moderate scarring
  5. Moderate tissue loss
  6. Delayed healing
  7. Moderate risk of infection
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11
Q

Phases of normal wound healing

A
  1. Defensive/Inflammatory
  2. Proliferative (3-4 days after)
  3. Maturation (3 wks to 2 yrs after)
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12
Q

What are the 2 major processes of the defensive/inflammatory phase of wound healing?

A
  1. Hemostasis

2. Inflammation

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13
Q

Principles of wound care?

A
  1. Minimize bacterial infection
  2. Remove FBs and devitalized tissue
  3. Achieve hemostasis
  4. Handle tissues gently
  5. Approximate wond edges
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14
Q

Do esters or amides have a shorter half life?

A

Esters

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15
Q

Which may cause side effects in renal patients - esters or amides?

A

Esters

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16
Q

Which may cause side effects in liver patients - esters or amides?

A

Amides

17
Q

MC local complication of wound anesthesia?

A

Anxiety to injection

18
Q

MC cause of systemic complication in local anesthesia?

A

Inadvertent injection into a vessel

19
Q

How does epinephrine affect the duration of Lidocaine?

A

Doubles the duration

20
Q

What parts of the body should NOT get epi?

A
  • Locations of body with single dependent blood supply

- Fingers, toes, penis, nose (and pinna of ear)

21
Q

What is an alternative anesthetic to use if patient is allergic to amides and esters?

A

Diphenhydramine

22
Q

Define primary closure

A
  • All layers closed
  • Minimizes scarring
  • Usually performed in clean and clean/contaminated wounds
23
Q

Define secondary closure

A
  • Deep layers closed
  • Superficial left open to granulate from inside out
  • Prolonged process
  • Leaves a scar
  • Requires frequent wound care and irrigation
  • Usually performed when there is excess tissue loss or infection
24
Q

Where are absorbable sutures MC used?

A
  • Mucosal areas (oral cavity and tongue)

- SQ or deep tissues

25
Q

MC types of non-absorbable sutures

A
  • Nylon
  • Polypropylene
  • Silk
26
Q

How are non-absorbable sutures MC used?

A

Mostly to close skin or suture catheters in place

27
Q

Which sutures are less tensile and flexible - mono or multifilament sutures?

A

Monofilament

28
Q

Which sutures do not pass through tissue easily?

A

Multifilament sutures

29
Q

How to treat dog and cat bites?

A
  • Need copious irrigation
  • Facial wounds may need sutures
  • Otherwise generally do NOT suture

Med Procedures - Quiz 1 (3 decks)

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