Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Small Animal Surgery > Wound Management > Flashcards

Wound Management Flashcards

1
Q

What is the “golden period” of a wound?

A

6-8 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where do nosocomial infections most commonly come from?

A
  1. Fingers

2. Mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do you handle hemorrhage?

A

Compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the inoculum size for a wound infection to develop?

A

10^5 CFU per gram tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Horses mount a less intense or more intense inflammatory response?

A

Less intense

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is it called when you wait 2-3 days before closing a wound?

A

Delayed primary closure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is it called when you wait to close a wound until granulation tissue is present?

A

Secondary closure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the MOST important aspect of wound closure?

A

Debridement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When should antibiotics be included in wound therapy?

A
  1. High risk wounds (bite wounds, penetrating wounds, wounds involving joints)
  2. Wounds older than 6-8 hours
  3. Obvious local or systemic signs of infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When should antibiotics be administered during the wound therapy process?

A

Prior to debridement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Why don’t you use a razor when removing hair around a wound?

A

Razors damage hair follicles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

True or False: Detergents are irritating to wound tissues.

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are Betadine and Hibiclens?

A

Detergents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which is more active in the presence of organic debris, Betadine or Hibiclens?

A

Hibiclens (Chlorhexidine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

It is okay to wash the skin with tap water, but ____ is preferred.

A

Saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are your 2 options for wound anesthetization prior to lavage and debridement?

A
  1. Lidocaine

2. Mepevicaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When anesthetizing a wound, avoid anesthetic agents with ____.

A

Epinephrine

18
Q

Why should you avoid anesthetic agents with epinephrine?

A

Cause vasoconstriction (the head is the only exception)

19
Q

How would you administer the anesthetic around the wound?

A

SQ

20
Q

When anesthetizing a wound, would you begin on its proximal side or distal side?

A

Proximal side

21
Q

True or False: Lavage is not considered debridement.

A

FALSE - lavage is a form of debridement

22
Q

How much pressure does a 35 cc syringe with an 18 gauge needle produce?

A

8 psi

23
Q

How much pressure does a 300 mm Hg pressure bag, 1 liter saline bag, and 18 gauge needle produce?

A

7-8 ps

24
Q

How much pressure does a spray bottle generate?

A

6-8 psi

25
Q

How much pressure is generated by a bulb syringe and basin?

A

0.5 psi

26
Q

For wound lavage, ____ is the gold standard. Others are reserved for heavily contaminated wounds.

A

Saline

27
Q

Current recommendations for lavage of wounds deemed suitable for primary closure…

A

Saline alone

Gravity flow or bulb syringe

At least 3-6 liters

28
Q

Current recommendations for lavage of heavily contaminated wounds NOT suitable for primary closure…

A

Saline + 0.5% chlorhexidine

Low pressure lavage (6-8 psi)

At least 6 liters

29
Q

What is the most important thing you can do to assist wound healing?

A

Debride the wound of devitalized tissue or foreign bodies

30
Q

Which is preferred in buried absorbable sutures, monofilament or multifilament?

A

Monofilament

31
Q

True or False: Suture closure of dead space in wounds will always reduce the deleterious effects of dead space.

A

FALSE - suture closure of dead space in wounds will NOT always reduce the deleterious effects of dead space

32
Q

When drainage is indicated, ___ closed suction is preferred over ___.

A

When drainage is indicated, ACTIVE closed suction is preferred over PASSIVE.

33
Q

For how long would you leave tension sutures in place?

A

5-7 days

34
Q

For tension sutures, what would you use in a horse?

A

No. 2 monofilament nylon or polypropylene

35
Q

For tension sutures, what would you use in a dog or cat?

A

No. 0 or 1 monofilament nylon or polypropylene

36
Q

What are your suture pattern options for tension sutures? (6)

A
  1. Ventral mattress
  2. Horizontal mattress
  3. Simple interrupted
  4. Far-far-near-near
  5. Walking sutures
  6. Stent sutures
37
Q

In which species is strength in sutured wounds obtained more quickly, cats or dogs?

A

Dogs

38
Q

In a cat, how many days after a procedure would you remove skin sutures?

A

10-14 days

39
Q

In a dog, how many days after a procedure would you remove skin sutures?

A

7-10 days

40
Q

In a horse, how many days after a procedure would you remove skin sutures?

A

10-14 days

41
Q

Sutured wounds can become contaminated with the first ____ hours, so protect with bandages if possible.

A

48 hours

Small Animal Surgery (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions