Written Exam - Pre-Op Considerations

Question 1

what are some considerations of antimicrobial coverage for a pre-op patient?

Answer 1

related to the patient as a whole & where the surgical site is located

Question 2

what are the main causes of surgical site incision infections?

Answer 2

skin, mucus membranes, & hollow viscera

Question 3

what are the main bacterial isolates for orthopedic surgeries & surgical site infections?

Answer 3

enterobacteriacaeae, staphylococcus, streptococcus, & pseudomonas

Question 4

what are the main isolates in animals with peritonitis after abdominal surgery?

Answer 4

streptococcus, enterobacteriacaeae, actinobacillus, & anaerobes

Question 5

what are the main bacterial isolates in sinus surgeries with surgical site infections?

Answer 5

strep & staph

Question 6

what are the main bacterial isolates in chronic wounds?

Answer 6

pseudomonas, staph, & enterococcus

Question 7

what are some exogenous sources of bacterial causing surgical site infections?

Answer 7

surgeons, OR personnel, OR environment, & instruments

Question 8

what are some pre-op ways to prevent surgical site infections?

Answer 8

pre-op exam to look for underlying disease, clean patient prior to induction, strict aseptic technique, minimize activity in the OR

Question 9

what are some intra-op ways to prevent surgical site infections?

Answer 9

double gloving during draping, halsted’s principles, lavage, minimize foreign material in surgical site

Question 10

what are some post-op ways to prevent surgical site infections?

Answer 10

protect the surgical site, appropriate antimicrobials, minimize hospitalization, & appropriate wound care/suture removal

Question 11

what is the most common pre-op pain med?

Answer 11

banamine - NSAID

Question 12

what is the important adverse effect to remember when using chloramphenicol?

Answer 12

aplastic anemia in humans