Instrumentation and principle of aseptic technique
What are two units of suction units
Abdominal chest remove excessive fluids surgical rinse with a sterlized fluid solution
Sutures material
Absorable and non asorable
What is the difference between an absorbable and non absorbable suture material
Absorable structure can break down waste non absorable structures can not be broken down and consumed by the body
Sixth step in folding a cloth gown
Accordiation fold a hand towel
Step 3 in chemical sterilization
Air out that ensures all gad leaves sterlized packages
General pack
Allis tissue forceps mayo scissors stainless steal bowl
Which of the following is true of veterinary surgery
Allow him or her to unwrap the surgical pack
To prepare and assist the surgeon you should
Allow him or her to unwrapped the surgical pack
Step 2 in opening a pack
Allow the surgion to grasp the item
Step 2 chemical sterilization
Apporate amount of time remove gas from container
Snook hooks and covault
Are common spay hooks used to spray proceduce from retrieving uterines horns
Paper gown advantages surgical drapes
Are more restaint to bacteria contaimination more ecnomical
Ads on tissues forceps
Are prefered as a rat group and minimally traumic grip on the tissues
Rochesters Carmalt hemostats
Are use for primarly clamping vascular pedicles and stumps
Number 11 and number 12
Are use in declaws procedure
Wire cutting
Are use to cut wirer sutures
littauer suture scissors
Are use to remove sutures after wound has heal
How do sterilization kill harmful micrograms
Auto cleaves produce high pressure when under
Rongeurs
Cut and break up pieces of bone
Clipping
Decrease the clipping of the surgically pack
Castroveijo
Delicate surgery of the eye
Halsted Mosquito Forceps
Design for clamping blood vessels
Lister bandage scissors
Design to cut bandages material
Babcock intestinal forcep
Designs to grasp more delicated tissues
What is the difference between disenfented and antiseptic
Disenfective chemical kills harms ful materal antiseptic works on living tissue
Bathing
Done before clipping removes dirt and drbris
Step 8 in folding a cloth gown
Double wrap the gown pack
When performing a foreign body removal of the intestine, which instrument is the surgeon most likely to use to use to keep the intestine closed
Doyen intestinal forceps
True or false paper pack wrapping material is more durable that cloth
False cloth is more durable that paper
True or false heat sensitivity autoclave tape indicate how long an instrument pack has been exposed in the temperature required for sterlization
False heat sensitive tape dose not exposed how long the instrument been exposed for sterliation
True or false instrument should be steam sterilization with their ractchers locked
False instrument should not be steam sterlilized with there lockets lock
True or false aspect technique has completely eliminated all infection associated with
Falsr Aspectic has only limit the infection with surgery
Four types of sterilization
Filitration the seperate of small matter bacteria chemical sterlilization employs chemical and gas
Second step folding a cloth gown
Fold the arms of the center of the gown
Step 3 in folding the drapes
Fold the drapes in half and repeat procedures
Fourth step in folding a cloth gown
Fold the gown in half longitudity
Step 4 in wrapping a diagonally
Fold the oposited sidebof the drapes material towards the center to create another tab
Second step in folding a drape
Fold the sides of the drapes n unter they meet in the center
Step 4 in wrapping a instrument pack
Folds the ends of the drape to the center
Step 3 in wrapping a instrument pack dianllagoy
Folds the sides of the drapes over the tray
Number 10 scapel number 20
General use blades employed for operations veterinary medicine
A disinfectant noted for its effectiveness against bacteria spores and viruses
Gluteraldehyde
Polydioxanone brand name pda usage
Good material to close the body wall muscles layers after bones and joints surgery
The primary function of hemostats is to
Grasp bleeding vessels
Step 2 in wrapping a instrument pack and horizontally
Grasp the edge of material closest to you horzontal folds over the tray folding the end back to yourself
Thumb forceps
Grasp tissue and gauze
Describe the closed gloving technique
Hands are kept inside the gown
Brown Adson forceps
Have multiple intremedhing fine teeth similar to Adson forceps
Allis tissue forceps
Have short ridge gripping surface that had rla rachet mechanism
The most common method of sterilization used in a veterinary practice is
Heat sterlization
What is the purpose of ultrasound cleaner
High frequently sound waves that virabration gently cleaning for three to five minutes
Hand held retractoors
Hold by a assistance
Step three in unwrapping the package
Hold the last corner to allow surgeon to grasp the pack
Backhaus towel clamps
Hold the surgically drape to the patients
TS
Hydration status
Olsen Hegar
Includes scissors blades place same instruments
What are the advantages of catgut
Inexpensive and can be use to close subcutaneous layers of tissue in animals
What are iodophors what is disadvantages of their use
Iodines are chemical combine molecules with organic molecules prolonged exposures to iodophors can corrode surgical instruments
Radiation
Is use by heat materal that is exposed to radiant energy
What are the five basic components of a needle holder
Jaws box lock and pin the shank handle rackrt
Chemistry profile
Kindey and liver function
Army Navy retractors
Larger muscles bellies
Step one for folding a clothes ground and drapes
Lay the gown on a flat surface
Are common used to cut bone near the spinal cord
Lempert rongeurs
Patient are held NPO for eight to twelve hours before a scheduled surgery to
Lessen the possibililty of voimting and aspiration
Special types of scissors with function includes
Lister bandages littauer suture and wire cutting scissors
Step 2 in ultrasonic cleaner
Lower the instrument in a pool of cool water
Cathery units
Machine that provides electrical or frequently current to a special cautery handpiece to coagulate bleading in blood vessels cut during surgery
Which of the following is best procedure for using an autoclave
Place package in opposite direction of steam flow dont fully pack the autoclave content to dry for a minum of 20 minutes
Step 9 in preparing a pack
Place the allies forcep in the advailable space
Step 8 in preparing a pack
Place the mayo scissors to side of instruments
When using a autoclave is complete step 3
Place the packs on a clean dry surface
Wrap the instrument pack horizontal and diagonally
Place the stainless steel horizontally in center of the drapes
Step 1 chemical sterilization
Place the wrapped packages in container and package must be exposed to gas sterlization time requirer
Step one in using ulter sonic cleaner
Places the hand clean instrument in a wirer basket
Step 10 in preparing the pack
Placetje adson rat tooth forceps and scaplel of the bottom
Describe three ways to remove dried blood or debris from surgical instrument after they've been used in a surgical procedure
Placing tham in cool water and mild determine, sot brush and water ultersonic cleaner
Which of the following is absorbable sutures material
Polydioanone
Ethyl alcohol isopropyl benzalkonium
Poor reaction against virius and spore
Step one in using a autoclave
Posistion the pack gown and drapes on their sides
PCV
Precent of blood cell volume
How dose an ultrasound cleaner work
Produce high frequently waves and removing of debris
List three functions of a surgery table
Raising loweing can turn on the hydraulic shaft and tie down the animal
CBC
Red white blood cell parameters
Cold sterilization
Refers to soaking tge instruments disinfected solution
Disadvantages of surgical catgut
Relative short varable period maintaining strength in the tissues also invokes local inflammatory reaction knot has a tendency come undone
Step one in opening thr pack
Remove the autoclave tape
Step 3 in wrapping a instrument pack
Repeat the drape material farthest from you
Hohmann
Retract bone fragments joints surface
Senn and mathieu use for
Retracting skin and small muscles
Step 4 in ultrasound cleaner
Rinse the instruments In cool water and then lay out to be dry
Surgical milk
Scissors clamps forceps in cleaning and before sterlilization solutions
Curettes
Scrape tissue off the bone and remove cancellous bones
Step 5 in wrapping a instrument pack and step 6 and step 6 of diagonally wrapping a instrument pack
Secure the package with autoclaves and repeat this procedure for secound wrap write the date of sterlization name
Hand hold retractors
Senn Mathieu Army Navy Homann ribbon mallable retractors
Orthopedic pack
Senn retractors surgical drapes towel clamp
Reduction forceps
Serrated inner surface both manupulating bone fraction holding them together
Kerb bone clamps
Serrated with pointed prongs per tip
Finichietto self retaining retractors
Similar spreading function
Step 3 in preparing the pack four five
Slide the carmalt hemostats onto the metzenbaum group the kelly hemoatates for largest to small than choose another thin long instruments opposite direction of scissors
All of the following instrumental are found in an orthopedic pack except
Snook hook
You are assisting a veterinary who is about to preform a spray procedure (ovariohysterectomy) To retrieved the uterine horns the veterinary will probably use a
Snook hook
Spray pack
Snook hook surgical drapes towel clamps
Step 5 in folding a drape
Stack the folded drape and place them in the center
Strongest sutures material for its sizes with greater knot security is
Stainless steal
A should be part of every surgical pack
Sterlization indicator
Step 4 Whalen use are done
Store packs in a dust free area
What parts of the anesthesia units must be checked for
The vaporizes must be full the oxygen level must be sufficent for the period all hoses and tubing must be correctly lable the scavengers system including the soda lime must be present and function properly
You observing the veterinary using a trephine for which procedure is this instrument most important
To obstrain a sample for biosepy
Step 5 in wrapping a instrument pack diagonally
Truck the last conor lightly inder two pressure
True or false when preparing a surgical pack for steam sterilization a long thin instrument like the metezenbaum scissors can be used to organize similar instrument in the pack
True when preparing a surgical pack a long thin instrument can be use to organized simliar instruments in a pack
Tissue forcep
Type of thumb print use to hold tissue
Doyen tissue forceps
Typically used instinal stomach surgery that will hold the stomach close
Ribbon malleable retractors
Use in stomach or liver use in chest surgery
Step 2 in preparing a pack
Use the metezenbaum to organized the instruments
Step two in unwrapping the package
Use the right hand to unfold the conor outside wrap of drape material
Osteomomes
Use to cut bone
Pointed reduction forceps
Use to hold faction bones repair
Periosteal elevator
Use to remove muscles soft tissue from bone
Number 15
Used with incision needles and varartion of number 10
Gepli and Weitlaner self retaining retractors
Useful in retaining small amount of tissues
Which of the following is a component of a basic anesthesia unit
Vaporizers
Name a desirable trait of either cloth or paper gowns that helps prevent bacteria from containing the surgical site
Water restaint
Olsen needle disadvantages
Common to accidently cut suture material during surgery
Step 2 in using a autoclave
Place package age on top of larger packs
When sterilization an instrument pack the recommended minimum time and temperature of exposure to saturated using gravity displacement autoclave
13 minutes at 121•c
What is the recommended minimum time and temperature an instrument pack should be exposed to saturated steam in a prevaccum
131 o c 30 mintues
Marge safety for autoclave minimum time
3 to 8 minutes
What is the minimum recommendation hand scrubbing time before surgery is
5 minutes
How long should food be withheld from a patient before surgery
8 to 12 hours
Place the following of sutures material from smallest to largest 0 2-0 9-0 5 2 3-0. B 3-0 4-0 5-0 0 1
A 9-0 3-0 2-0 0 2 5. B 5-0 4-0 3-0 0 1
If you we're working is preforming an abdominal exploratory surgery which self retaining retractors might be use to open the wall
Balfour adbominal retractors
Mayo scissors
Can cut tougher connective tissues
Clothing to wear during surgery
Cap mask goens and sirgical gloves
Describe typical surgical lights
Ceiling mounted units hang arms to be directed at any angle
Chemical Sterilization
Chemical that mainly is use by material would be damage by high temperature
Kelly and Crile homostat
Clamp blood vessels vascular pedicile
Polyglactin 910 (brand name victrl uses
Closing the body wall subcutaneous layery
Self retaining retractors
Comes un variety sizeds and confirmation
Which of the following is true of ethylene oxide
Ethylene oxide is a colorless gas and is explosive from the air
Step 6 in preparing a pack
Make sure ratchef instruments and scissors are left open
Fifth step in folding a cloth gown
Make the accordion folds six inches apart from the bottom up
What is a ECG and why is it important
Measure the electric activity of the heart and alert the veterniary assistant to alert the sugion if there a problem
Are delicate scissors designed and cut delicate soft tissue
Metzenbabaum
Mayo Hegar holder Olsen Hegar
Most commonly use needle holders and are both place with tungsten
Which of the following is true regarding hand scrubbing
One of the most commonly used antispectics is chlorhexidine
When the autoclave is complete use the following procedure
Open the door slightly
Step 1 in preparing a pack
Organized the instruments so the instruments are together
Debakey forceps
Originally designs on surgery blood vessels
Step 1 in opening a sealing pack
Peal the edges of the self sealing wrapper
Step 12 of preparing a surgical pack
Place 12 surgical sponges on top of sterlization indicator
Step 7 in preparing a pack
Place a small hand towel in bottom of the tray
Seventh step in folding a cloth gown step four in folding a drape
Place a sterilization indicator between the towel and hand towel
Step 11 in preparing the pack
Place a sterlization indicator on top