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ST > Test N > Flashcards

Test N Flashcards

1
Q

important with stainless steel

A

always use wire scissors to cut

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2
Q

what is a suture?

A

material used to bring severed body tissue together and hold in normal position until healing takes place

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3
Q

ties

A

tying off bleeders or isolating tissue

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4
Q

disadvantages of surgical gut

A

causes more tissue reaction than cottton or silk
more expensive
not as safe

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5
Q

fine suture needle

A

used with fine suture on delicate tissue

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6
Q

what will you use most in the OR?

A

taper

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7
Q

controlled release swaged needles

A

multiple in a pack

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8
Q

what is a ligature?

A

strand of suture material used to tie off blood vessels

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9
Q

what should you do if a needle breaks?

A

get all the pieces, never leave in the wound

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10
Q

eyed needles

A

needle must be threaded with suture strand

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11
Q

what is bone wax made from?

A

beeswax

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12
Q

what are secondary suture lines used for?

A

skin, subq, fascia, muscle

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13
Q

ethilon/dermalon compared to silk

A

it is stronger

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14
Q

liga clips (hemoclips)

A

used to clamp small blood vessels (stay in body)

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15
Q

tissue for surgical gut

A

can be used when silk is not usually recommended like kidney, bladder, gallbladder

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16
Q

what is the suture trio

A

needle holder
tissue forceps
then mayo suture scissors

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17
Q

type of tissue for absorption time

A

absorbed more rapidly in serous or mucous membrane than in muscle

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18
Q

continuous stitches

A

sutures tied only at each end of the suture line

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19
Q

multi braided suture

A

more tensile strength

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20
Q

GIA

A

gastrointestinal anastomosis stapler

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21
Q

closing skin layers

A

peritoneum
fascia
subq
skin

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22
Q

disadvantages of stainless steel

A

harder to handle

bulk knots

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23
Q

diseased condition for absorption time

A

rapid absorption occurs in cancerous tissue

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24
Q

what is silk not used for?

A

bladder, kidney, ureter because it may become the nucleus for a stone

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25
Q

what is the trocar point used on?

A

tough tissue

LIGAMENTS, TENDONS, CERVIX

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26
Q

qualifications of suture material

A 
must be sterile
must be of definite and measured absorbability
fine in gauge
uniform in strength, size, absorbability
remain tied
not act as foreign body if nonabsorbable
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27
Q

cutting point

A

incises tissue as it passes

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28
Q

what is the blunt point used on?

A

very vascular

LIVER KIDNEY

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29
Q

who is Pare?

A

helped injured soliders

invented use of ligatures

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30
Q

dermabond

A

skin glue

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31
Q

SFM

A

skin and fascia model

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32
Q

double armed swaged needles

A

anastomosis of vessels or tubular organs

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33
Q

anatomy of surgical needles

A

point
body (shaft)
eye

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34
Q

stapling devices

A

used for ligation and division, resection, anastomosis, skin and fascia closure

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35
Q

what does the swaged elimate?

A

threading

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36
Q

what are the types of swaged needles?

A

single armed
double armed
permanent swaged
controlled release

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37
Q

dexon absorption

A

30 days

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38
Q

presence or absence of infection for absorption time

A

absorption takes place much more rapidly in the presence of infection

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39
Q

what is tensile strength?

A

amount of weight or pull necessary to break the suture of ligature material

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40
Q

what is the cutting point used on?

A

tough connective tissue

SKIN, EYES

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41
Q

polypropylene

A

inert in tissue
high tensile strength
holds knots well
used in infection

42
Q

where is polypropylene used?

A

cardiovascular, general and plastic

43
Q

most common wire

A

stainless steel

44
Q

disadvantage of ethilon/dermalon

A

knots tend to come untied
hard to handle
surgical nylon

45
Q

advantages of silk

A

high tensile strength

cheap and easy to sterilize

46
Q

blunt point

A

dull tip

47
Q

what is a stick tie?

A

threaded on a needle and used through a bite of tissue as well as on the end of the vessel

48
Q

nonabsorbable suture

A

this is always removed

49
Q

what is chromic surgical gut treated with?

A

chromic oxide

50
Q

silk compared to surgical gut

A

silk has less tissue reaction than surgical gut

51
Q

bone wax

A

stop oozing and bleeding from surfaces of bone

52
Q

types of absorbable sutures

A 
plain surgical gut
chromic surgical gut
vicryl
monocryl
PDS
dexon
53
Q

disadvantages of silk

A

not used for infection

54
Q

how should you have needles when they aren’t being used?

A

on needle holder or in needle counter

55
Q

heavy suture needle

A

used on heavy suture on tough tissue

56
Q

interrupted stitches

A

each stitch is taken and tied separately and the suture cut

57
Q

advantages of stainless steel

A

no tissue reaction
greatest strength
used for infection

58
Q

taper point

A

minimum tissue damage

59
Q

what are mersilene, tevdek, polydek, ethiflex, ethibond?

A

polyester

60
Q

vicryl absorption

A

70 days

61
Q

what does the blunt point do?

A

pushes tissue aside

62
Q

spring or french eye needles

A

suture forced through the springs

63
Q

what is the most common suture needle?

A

swaged

64
Q

TA30, TA55, TA90

A

anastomosis organs and tissues

65
Q

is there a needle on a tie?

A

no, it is just a single strand of suture

66
Q

Quality of subcuticular stitch

A

Absorbable in the body

67
Q

How long is a suture for interrupted?

A

18 inches

68
Q

what is silk made from?

A

silkworm cocoons

69
Q

steri strips

A

lacerations

70
Q

what is the key with eyed needles?

A

it has to be threaded

71
Q

going in for closing skin layers

A 
skin 
subq
fascia
muscle
peritoneum
72
Q

allergy to surgical gut for absorption time

A

rapidly absorbed with resultant wound disruption

73
Q

What should you not do to surgical gut?

A

Stretch it out, soak in saline

74
Q

what does the ST do when the surgeon is suturing?

A

threading needle

75
Q

what does a double suture strand cause?

A

tissue disruption

76
Q

absorbable suture

A

digested by body cells and fluids, not removed

77
Q

monocryl absorption

A

120 days

78
Q

nutrition of patient for absorption time

A

absorbed faster in undernourished

79
Q

eyeless, atraumatic, swaged

A

new sharp needle with every suture strand

80
Q

halstad technique

A

many fine interrupted sutures gives firm support to the wound

81
Q

how are curved needle handed to surgeon?

A

always on needle holder

82
Q

what are suture needles used for?

A

inserting suture material into tissue

83
Q

how should you hand swaged on needle in needle holder?

A

never clamp over the end of the needle, it is hollow there and may break from the pressure

84
Q

how are eyed needles dispensed?

A

two at a time

85
Q

how should you give the surgeon the Keith?

A

always hand, never put on needle holder

86
Q

what is used in infection?

A

polypropylene
stainless steel
surgical gut

87
Q

purse string

A

commonly used around the appendix

88
Q

factors that influence absorption time

A 
infection
type of tissue
nutrition of patient
diseased condition
allergy to surgical gut
age of patient
89
Q

what is the taper point used on?

A

soft, easily penetrated tissue

PERITONEUM, INTESTINE or HEART

90
Q

advantage of surgical gut

A

easy to handle
used in presence of infection
absorbed by tissue

91
Q

What is the purpose of retention sutures?

A

Reinforce primary suture line

92
Q

what is GC or CT used for?

A

peritoneum
fascia and muscle
subq

93
Q

what is GI or SH used for?

A 
stomach
intestines
gallbladder
esophagus
common bile duct
lungs
94
Q

monofilament suture

A

more resistant to harbors MO’s

95
Q

primary suture line

A

approximates the edges of the incision

96
Q

chromic surgical gut absorption

A

90 days

97
Q

what is the rule with tissue and shaft of needle?

A

the deeper the tissue in the wound, the greater the curvature of the shaft

98
Q

where do you load the needle on the needle holder?

A

1/3 way down

99
Q

plain surgical gut absorption

A

70 days

100
Q

PDS absorption

A

180 days

ST (35 decks)

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