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Term meaning removal, excision, resection |
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Term meaning surgical repair, surgical correction |
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Term meaning process of visual examination |
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Term meaning incision, to cut into |
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Which type of agent works by inhibiting the growth of disease-carrying microorganisms? |
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Which type of agent is described as one that kills or inhibit microorganisms to prevent infection? |
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Which term means without contamination with bacteria or other microorganisms? |
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Which term means preventing bacteria from growing and multiplying but possibly not killing them? |
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Which term means an agent that destroys bacteria? |
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Who is responsible for introducing scientifically based antisepsis in the treatment of wounds and the performance of surgical operations? |
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When using sterile technique, what are considered the sterile areas in the OR (including on you)? |
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Definition
Front of the gown, from collarbone to waist Gloved hands Arms to the shoulders Draped part of the pt, down to the tabletop Covered part of the Mayo stand Top of the back table (instruments are kept here) |
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What is anything that falls below the level of the pt table is considered? |
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Where do sterile techniques begin? |
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What is the purpose of hand scrubbing? |
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Definition
to ↓ bacterial skin flora via mechanical cleansing of the arms & hands prior to the surgical procedure |
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If contamination occurs during the scrubbing process, what should you do? |
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How long does the scrub solution need to be in contact with the skin to be effective? |
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In preparing the pt, what procedures should you do to reduce medical errors? |
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Definition
Read the surgical permit aloud Clearly identify the pt, the type of operation and the site of the operation |
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Term
Which glove do you put on first in the OR? |
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What is the underlying principle of universal precautions? |
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Definition
B/c pts not routinely tested for infectious dz, safest policy is to treat all pts as if they have an infection |
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What term is described as a surgeon who has completed their general surgical training, and instead of practicing as a general surgeon, they have elected to obtain more specialized training, and become a surgical specialist? |
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What term describes a physician in training who has completed at least one year of residency? |
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What term describes a physician in training who has completed medical school? |
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What was the first chemical used in surgery for anesthesia? |
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What type of anesthesia allows Pts are deeply sedated, likely amnestic but can still respond to vocal & noxious stimuli? |
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Definition
MAC – Monitored Anesthesia Care |
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Which type of anesthesia blocks nerve conduction to a body part or dermatomal region? |
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What are the SE of Opioids? |
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Definition
Respiratory depression Inconsistent hypnosis amnesia Post-op Illeus |
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What drug class is used to produce profound analgesia with minimal cardiac depression, used to blunt the hypertensive and tachycardic response to ET intubation and used to extend analgesia and facilitate a smoother awakening from anesthesia? |
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What neuromuscular blocker is associated with SE including hyperkalemia & malignant hyperthemia? |
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What drug is used popularly for ET intubation? |
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What three drugs are now the most widely used anesthetics? |
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Definition
Lidocaine, mepivacaine and novocaine |
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What drug was used as the first local anesthetic? |
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What are the MAIN risks when giving a Local Anesthetic? |
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Definition
dosage size and site of injection; |
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If the dose of an anesthetic is too large, or if it is inadvertently injected into a vein, what neg effects can occur? |
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Definition
brain irritability, convulsions, hypotension, arrhythmias, and cardiac arrest |
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What are the general SE of Local Anesthetics? |
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Definition
oral numbness light headedness altered taste tinnitus |
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What can be added as an adjunct to a local anesthetic that can cause an accelerated penetration of the drug? |
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What are the effects of adding Epi to a Local Anesthetic? |
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Definition
Overall vasoconstriction leading to:
keeping the anesthetic localized ↓ systemic absorption ↑ duration of action |
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What are the SE of using Epi in conjunction with a Local Anesthetic? Where should Epi never be used in combo with a local anesthetic? |
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Definition
transient tachycardia; NEVER used on Fingers, Nose, Penis and Toes |
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How are narcotics reversed? |
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What is the duration of lidocaine? |
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Which local anesthetic agent has the quickest onset? |
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What are the SE of Lidocaine? |
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Definition
Drowsiness, heart block, ↓ BP, arrhythmias |
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