Week 1 - Wound managment

Question 1

Stoma pouch

Answer 1

bag used to collect body fluids following stoma surgery (small opening on the abdominal surface surgically created to divert the flow of feces +/- urine)

Question 2

Retention sutures

Answer 2

type of interrupted technique used to proved additional support to wound edges in abdominal sx

Question 3

Purse string suture

Answer 3

special continuous suture technique for closing the end of a tubular structure

Question 4

Allograft

Answer 4

tissue graft derived from human tissue

Question 5

Autologous autograft

Answer 5

tissue obtained from pt’s body and implanted in another site

Question 6

Xenograft

Answer 6

graft derived from animal or synthetic source

Question 7

Memory

Answer 7

recoil; ability of a suture to return or maintain its orignal shape

Question 8

Fluid absorption

Answer 8

ability of suture to take up fluid

Question 9

Conventional cutting needle

Answer 9

needle with the cutting edge on the inside of the curve; triangular shaft

Question 10

Reverse cutting needle

Answer 10

needle with cutting edge on the outside or lower edge of the needle; stronger than conventional cutting needle; produces minimal scarring

Question 11

Allogeneic grafts

Answer 11

grafts made from nonliving cadaver bone

Question 12

Composite grafts

Answer 12

grafts made of a combination of cadaver bone, morcellated allograft bone, and marrow

Question 13

Keloid

Answer 13

dense, unsightly connective tissue or excessive scar formation

Question 14

Dead space

Answer 14

air or empty space between layers of tissue or beneath wound edges that have been approximated

Question 15

Class I wounds

Answer 15

clean wounds; uninfected wounds, no inflammation; respiratory, alimentary (gi) and genitourinary tracts not entered

Question 16

Class II wounds

Answer 16

clean contaminated; wounds in which respiratory, alimentary, or genitourinary tract entered under controlled conditions; no sign of infection, no beak in surgical aseptic technique

Question 17

Class III wounds

Answer 17

contaminated wounds; open, fresh, accidental wounds (open fractures, penetrating trauma, operations with major breaks in aseptic tech) incisions with signs of infection or gross spillage from gi tract

Question 18

Class IV wounds

Answer 18

dirty or infected wounds; old, physically induced with retained devitalized tissue and wounds that involve existing clinical infection or perforated viscera

Question 19

Traumatic wounds

Answer 19

caused by mechanical, thermal, or chemical destruction

Question 20

Surgical wounds

Answer 20

caused by an incision or excision

Question 21

FDA

Answer 21

food and drug administration; federal agency of US dept of health and human services

Question 22

USP: U.S. Pharmacopia

Answer 22

Pharmacopeia (book containing directions for the identification of compound medicine and published by the authority of a govt or medical or pharmaceutical society) for the US published annually by the US pharmacopeial convention

Question 23

Skin grafts

Answer 23

used to replace skin that has been destroyed by ds or inury

Question 24

Double armed suture

Answer 24

one with a needle swaged to each end; used for circular tissue or for hollow structures

Question 25

Blunt tip needle

Answer 25

round shaft with blunt tip; pushes tissue aside as it moves through, doesn't puncture

Question 26

Absorbable suture

Answer 26

suture material that is broken down and metabolized by the body

Question 27

Adhesion

Answer 27

scar formation of the abdominal viscera

Question 28

Anastomosis

Answer 28

surgical creation of an opening between two blood vessels, hollow organs, or ducts

Question 29

Approsimate

Answer 29

to bring tissues together by sutures or other means

Question 30

Autotransfusion

Answer 30

blood salvaging; method of retrieving blood lost at the operative site, reprossing it, and infusing it back into the pt

Question 31

Capillary action

Answer 31

ability of suture material to absorb fluid

Question 32

Contracture

Answer 32

scar tissue that lacks flexibility, causing constriction and pain

Question 33

Debridement

Answer 33

chemical or mechanical removal of necrotic or nonviable tissue and foreign bodies after infection or trauma

Question 34

Dehiscence

Answer 34

separation of the edges of a surgical wound during healing

Question 35

Evisceration

Answer 35

protrusion of abdominal viscera through a wound or surgical incision

Question 36

Fistula

Answer 36

complication of wound infection in which one or more hollow, skin lined tracts form at the wound site and continue to drain pus and fluid

Question 37

Hematoma

Answer 37

blood-filled space in tissue, result of a bleeding vessel

Question 38

Hemostatic agent

Answer 38

substance applied to bleeding tissue in order to enhance clotting

Question 39

Inert

Answer 39

causing little or no reaction in tissue or with other materials

Question 40

Interrupted sutures

Answer 40

technique of bringing tissue together by placing individual sutures close together

Question 41

Ligate

Answer 41

to place a loop or tie around a blood vessel or duct

Question 42

Nonabsorbable suture

Answer 42

suture material that resists breakdown in the body

Question 43

Primary intention

Answer 43

wound healing process after a clean surgical repair

Question 44

Running suture

Answer 44

method of suturing that uses one continuous suture strand for tissue approximation

Question 45

Serosanguineous fluid

Answer 45

exudate or discharge containing serum and blood

Question 46

Swage

Answer 46

area of an atraumatic suture where the suture strand is fused to the needle

Question 47

Tapered needle

Answer 47

suture needle that has a round body that tapers to a sharp point

Question 48

Tensile strength

Answer 48

amount of force or stress a suture can withstand before breaking

Question 49

Throw

Answer 49

loop that forms a knot

Question 50

Tie on a passer

Answer 50

strand of suture material attached to the tip of an instrument