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)