Chapter 25
exudate means...
(drainage) material that has escaped blood vessel during inflammatory process
face and neck are removed after
3-5 days
chest arms legs and feet are removed after
7-10 days
List the characteristics of a minor surgical procedure
Performed in an ambulatory health care facility performed in short period of time, require local anesthetic topical or none. minimum discomfort. doesn't pose a major risk to life.
what is the purpose of reversing the spiral during a spiral reverse turn
allows for a smoother fit and prevents gaping cause by variation in the contour of the limb
3 functions of a bandage
apply pressure to control bleeding, protect wound from contamination, holding a dressing into place
characteristics of melanoma
asymmetric, irregular border, color varies, diameter is 1/4 in larger, painful, tender, itchy, bleeds, oozing, and scaly.
why does a puncture wound encourage the growth of tetanus bacteria
because it grows best in warm anaerobic environment
whats the purpose of preparing the patients skin before minor office surgery
because skin obtains microorganisms on it
appearance of sanguineous
bright red flesh, dark red older bleeding
Types of bandage turns
circular, spiral, spiral reverse turn (body part that varies in width), figure 8 turn ( immobilize injured joint), recurrent turn ( fingers toes)
incision
clean smooth cut caused by sharp instrument
appearance of serosanguineous
clear blood tinged drainage
appearance of serous
clear watery (blister burn)
what is the difference between an open or closed wound
closed- injury to the underlying tissues of the body without break in the skin surface. open- break in the skin
4 signs that may indicate a bandage is too tight
colorness, pallor, cyanosis, swelling
what is the difference between congenital nevi and acquired nevi
congenital- born with moles acquired- develop moles overtime
what the the purpose of fenestrated drape
covers a wide area of the skin around the operative area leaving only operated site opened
what occurs during the inflammatory phase of wound healing
destroying invading microorganisms and to remove damaged tissue debris from area so proper healing can occur
why should the medical assistant be careful when applying an elastic bandage
easy to apply it too tightly and improve circulation
3 advantages of adhesive skin closures
eliminate the need for sutures and local anesthetic easy to apply and remove have lower incident of a wound infections compares to sutures
purpose of using gauze packaging or a rubber penrose drain after incising a localized infection
facilities drainage of the exudate ( contains microorganisms)
2 advantages of using surgical skin staples to approximate a wound
fastest method of closure trauma to skin is reduced because tissue does not have to be handled
explain how an instrument should be handed to physician during minor office surgery
firm confident manner so instrument doesn't fall
list 5 guidelines when caring for instruments
handle carefully, don't pile in a heap because they become entangled, keep with a ratchet in an open position when not in use, rinse blood asap, always use for what instrument is designated to be used for
why are sutures inserted in the head and neck generally removed sooner than other sutures
has a good supply area heals more rapidly
two uses of the figure 8 bandage turn
holds a dressing in place supports immobilization an injured joint
appearance of dysplastic nevi what concern exist with this
larger than normal moles raised and darkened irregular coloration and shape. develops into malignant melanoma
name of a local anesthetic most frequently used in the medical office during minor office surgery
lidocaine hydrochloride
common ways to remove moles
mole shave excision, surgical mole excision.
what is the difference between mosquito hemostatic forceps and standard hemostatic forceps
mosquito- small fine tips and are smaller and more delicate, holds tissue or to clamp off smaller blood vessels Standard- used to clamp off blood vessels and establish hemostasis until vessels can be closed with sutures
no absorbable are....
not absorbed by body remain in skin permanently or removed used in medical office
4 guidelines when applying a bandage
observe the principles of medical asepsis, area is clean and dry, don't apply directly over open wound, to prevent irrigation don't allow skin surfaces of 2 body parts to touch
abrasion is..
outer layers of skin are scraped or rubbed off ( falling on gravel)
what are skin tags and where are they mostly found on the body
painless benign growths that are projected from the skin from a small narrow stalk, skin creases, eyelids, neck, armpits, upper chest, groin.
appearance of purosanguineous
plus and blood new wound thats infected
List the responsibilities of a medical assistant during a minor surgical operation
prepare treatment room, prepare patient, prepare minor office tray, assist physician during procedure, administer postoperative care to patient, clean room after procedure, explain pt preparation
two uses of cryosurgery
presence of cervical dysplasia, treatment of chronic cervicitis, inflammation of the cervix
what is the purpose of inflammation
protective response of the body to trauma and to the entrance to foreign matter such as microorganisms
list two functions of sterile dressing
protects wound from contamination and trauma restricts motion which may interfere with healing
what type of bandage turn is used to anchor a bandage?
recurrent turn
4 signs of inflammation
redness swelling pain and warmth (1)
what is the purpose of serrations found on some instruments
sawlike teeth that grasp tissue and prevent it from slipping out of the jaws of the instrument
what occurs during the maturation phase of wound healing
scar tissue starts to form can last up to 2 years (3)
always inspect when providing wound care...
signs of inflammation amount of healing
5 examples of materials used for nonabsorbable sutures
silk nylon polyester polypropylene and polybutester
what is a sebaceous cyst and what causes it to form
skin closed sac or capsule located under the surface of the skin when the sebaceous gland is obstructed
surgical asepsis also mean
sterile technique
whats a swagger needle and advantages
suture needle are one continuous until the suture does not slip off the needle
3 causes of an ingrown toenail
tight shoes improper nail trimming infection
laceration is,,,
tissue torn apart leaving ragged irregular edges
contusion is...
tissue under skin is injured ruptured, turns greenish yellow
purpose of performing a cervical punch biopsy
to detect the presence of cervical dysplasia or cancer of the cervix to determine is specimen is benign or malignant
purpose of biopsy
to determine whether a tumor is benign or malignant used for diagnostic aid for other conditions
absorbable sutures are...
used in na hospital setting after surgery may not be in the office
whats an ingrown toenail
when the edge of the toenail grows deeply into the nail groove and penetrates the surrounding skin
appearance of purulent
white may acquire in pink green yellow depending on the infection
puncture is,...
wound made by sharp pointed object piercing the skin
what occurs during the granulation phase of wound healing
wound starts to heal up to 4-20 days (2)