Shared Flashcard Set

Details

CMS III - Surgery Test #1 - Intro to OR
Winter Semester 2011
43
Medical
Graduate
04/20/2011

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Cards

Term
Term meaning removal, excision, resection
Definition
-ectomy
Term
Term meaning surgical repair, surgical correction
Definition
-plasty
Term
Term meaning process of visual examination
Definition
-scopy
Term
Term meaning opening
Definition
-(o)stomy
Term
Term meaning incision, to cut into
Definition
-(o)tomy
Term
Which type of agent works by inhibiting the growth of disease-carrying microorganisms?
Definition
Disinfectant
Term
Which type of agent is described as one that kills or inhibit microorganisms to prevent infection?
Definition
Antisepsis
Term
Which term means without contamination with bacteria or other microorganisms?
Definition
Aseptic
Term
Which term means preventing bacteria from growing and multiplying but possibly not killing them?
Definition
Bacteriostatic
Term
Which term means an agent that destroys bacteria?
Definition
Bactericidal
Term
Who is responsible for introducing scientifically based antisepsis in the treatment of wounds and the performance of surgical operations?
Definition
Lister
Term
When using sterile technique, what are considered the sterile areas in the OR (including on you)?
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)
Term
What is anything that falls below the level of the pt table is considered?
Definition
CONTAIMINATED
Term
Where do sterile techniques begin?
Definition
In the locker room
Term
What is the purpose of hand scrubbing?
Definition
to ↓ bacterial skin flora via mechanical cleansing of the arms & hands prior to the surgical procedure
Term
If contamination occurs during the scrubbing process, what should you do?
Definition
START OVER
Term
How long does the scrub solution need to be in contact with the skin to be effective?
Definition
3 minutes
Term
In preparing the pt, what procedures should you do to reduce medical errors?
Definition
Read the surgical permit aloud
Clearly identify the pt, the type of operation and the site of the operation
Term
Which glove do you put on first in the OR?
Definition
Rt hand first
Term
What is the underlying principle of universal precautions?
Definition
B/c pts not routinely tested for infectious dz, safest policy is to treat all pts as if they have an infection
Term
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?
Definition
Fellow
Term
What term describes a physician in training who has completed at least one year of residency?
Definition
Resident
Term
What term describes a physician in training who has completed medical school?
Definition
Intern
Term
What was the first chemical used in surgery for anesthesia?
Definition
Ether
Term
What type of anesthesia allows Pts are deeply sedated, likely amnestic but can still respond to vocal & noxious stimuli?
Definition
MAC – Monitored Anesthesia Care
Term
Which type of anesthesia blocks nerve conduction to a body part or dermatomal region?
Definition
Regional
Term
What are the SE of Opioids?
Definition
Respiratory depression
Inconsistent hypnosis
amnesia
Post-op Illeus
Term
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?
Definition
Opioids
Term
What neuromuscular blocker is associated with SE including hyperkalemia & malignant hyperthemia?
Definition
Succinylcholine
Term
What drug is used popularly for ET intubation?
Definition
Succinylcholine
Term
What three drugs are now the most widely used anesthetics?
Definition
Lidocaine, mepivacaine and novocaine
Term
What drug was used as the first local anesthetic?
Definition
Cocaine
Term
What are the MAIN risks when giving a Local Anesthetic?
Definition
dosage size and site of injection;
Term
If the dose of an anesthetic is too large, or if it is inadvertently injected into a vein, what neg effects can occur?
Definition
brain irritability, convulsions, hypotension, arrhythmias, and cardiac arrest
Term
What are the general SE of Local Anesthetics?
Definition
oral numbness
light headedness
altered taste
tinnitus
Term
What can be added as an adjunct to a local anesthetic that can cause an accelerated penetration of the drug?
Definition
Bicarbonate
Term
What are the effects of adding Epi to a Local Anesthetic?
Definition
Overall vasoconstriction leading to:

keeping the anesthetic localized
↓ systemic absorption
↑ duration of action
Term
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?
Definition
transient tachycardia; NEVER used on Fingers, Nose, Penis and Toes
Term
How are benzos reversed?
Definition
flumazerul (Romazicon)
Term
How are narcotics reversed?
Definition
naloxone (Narcan)
Term
What is the duration of lidocaine?
Definition
few hours
Term
Which local anesthetic agent has the quickest onset?
Definition
Lidocaine
Term
What are the SE of Lidocaine?
Definition
Drowsiness, heart block, ↓ BP, arrhythmias
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