Wk 5

Question 1

Suture packaging

Answer 1

Protects from contamination
Accessed in an easy manner
Swaged are packaged in double envelope and boxed
Box states expiry, type of material, etc.

Question 2

Other wound closing methods

Answer 2

Stapling devices
Skin tapes and adhesives
Drains
Dressings

Question 3

Periop nurse responsibility

Answer 3

Patient advocate
They are accountable for safety of patient
Responsibility should not be assumed to belong to another

Question 4

Consequences of poor positioning

Answer 4

Impaired skin integrity, compromised resp effort, altered tissue perfusion, neuromuscular/musculoskeletal damage

Question 5

Desired pt outcomes post surgery

Answer 5

Skin: intact, smooth, free of abrasions, bruises and shear injury
CV status: HR, BP within range, pulses equal, skin warm to touch
Neuromuscular status: flex and extend extremities with no assistance, no numbing or tingling

Question 6

Respiratory considerations

Answer 6

Prevent hypoxia
Maintain respiratory function
Facilitate induction by inhalation
Patent airway

Question 7

Circulatory considerations

Answer 7

Adequate arterial circulation
Maintain BP
Perfuse tissues
Facilitate venous return
Prevent thrombus formation

Question 8

Considerations for peripheral nerves

Answer 8

Supported and protected
Normal body alignment
Prevent prolonged pressure or stretching

Question 9

Musculoskeletal consideartions

Answer 9

Support and protect normal body alignment

Prevent postop discomfort or pain

Question 10

Soft tissue considerations

Answer 10

Padded and supported
Even body weight distribution
Weight not concentrated on bony prominences
No external, pressure

Question 11

Surgical site access

Answer 11

Adequate exposure of operating site
Minimise trauma to surrounding tissue
Minimise operating time

Question 12

Access for anaesthetist

Answer 12

Accessible airway
Observe effects of anaesthesia
Application of monitoring devices
Maintain IV access

Question 13

Surgical position types

Answer 13

Trendellenburg: head tilted down 
Supine: flat on back
Prone: flat on stomach 
Lateral position: on side 
Fowler: recliner chair position
Lithotomy: legs up, birth

Question 14

What are some pneumatic sequential compression devices

Answer 14

TEDS
Flowtrons
Antiembolism stockings

Question 15

Needle holders

Answer 15

Sutures grasped by needle holders
Size of needle holder depends on suture area and needle size
Needle held one third distance away from eye end of curved needle
Swaged area of needle is the weakest point so avoid holding there