Shared Flashcard Set

Details

CPSS: Sutures and Needles,
Summer II 2011
32
Medical
Graduate
08/08/2011

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Cards

Term
Which is large 5-0 suture or 3-0 suture material?
Definition
3-0 has a larger diameter
Term
What is tensile strength?
Definition
measured by the force, in pounds, at which the knotted suture breaks
Term
Which type of suture material is less reactive, synthetic or organic?
Definition
synthetic
Term
Which type of suture material is more pliable and has greater strength, monofilament or multifilament?
Definition
multifilament
Term
Which type of suture material passes through tissue easier and is resistant to harboring bacteria, monofilament or multifilament?
Definition
monofilament
Term
What is the primary function of sutures?
Definition
to maintain wound healing and to support wound healing
Term
What is the most reactive absorbable suture material? least reactive?
Definition
most reactive - fast gut, plain gut
least reactive - PDS II, Panacryl
Term
What is the most reactive NON-absorbable suture material? least reactive?
Definition
most reactive - silk
least reactive - prolene
Term
What is the MC absorbable suture used?
Definition
coated vicryl
Term
What is the fastest absorbing synthetic suture material?
Definition
Coated Vicryl Rapide (Polyglactin 910)
Term
What is the MC suture material for the face, finger tips and cosmetic use?
Definition
6-0 Prolene PC-1
Term
What type of suture material is used everywhere and on the dorsal hand?
Definition
5-0 Ethilon P-3
Term
What type of suture material is the MC SubQ suture used?
Definition
5-0 Vicryl P-3
Term
When should sutures in the eyelids be removed?
Definition
3
Term
When should sutures in the face be removed?
Definition
5
Term
When should sutures in the scalp be removed?
Definition
7 - 10 days
Term
When should sutures in the trunk be removed?
Definition
7 - 12 days
Term
When should UE sutures be removed?
Definition
7 - 14 days
Term
When should LE sutures be removed?
Definition
10 - 21 days
Term
What do sutures too close together cause?
Definition
Increase vascular compromise to wound margins
Term
What do sutures too far apart cause?
Definition
does not secure adequate closure along the length of the wound
Term
Type of suture described as most basic suture technique, connecting 2 parts with single loop of suture.
Definition
Simple suture
Term
Type of suture described as inverted simple suture placed beneath surface of skin or mucosa.
Definition
Buried Suture
Term
Type of suture described as suture that is placed within or at least includes a meaningful bite of deep portion of dermis?
Definition
Intradermal Sutures
Term
Type of suture described as continuous series of simple suture loops – knot only at each end?
Definition
Simple Running Suture
Term
Types of sutures described as Before each advancement to next loop, suture is passed back and around the exposed portion of previous loop, which creates a locking effect.
Definition
Running Locking Suture
Term
Type of suture described as design similar to simple suture, but adds additional pass back through epidermis layer at point very close to wound edge on each side.
Definition
Vertical Mattress Suture
Term
Type of suture described as involves making two sets of needle passes through the wound, both in the same tissue plane, but at adjacent points.
Definition
Horizontal Mattress Suture
Term
What makes adhesive tapes adhere better to the skin?
Definition
More secure with benzoin application first
Term
What does the acronym L.A.C.E.R.A.T.E. stand for?
Definition
L- Look
A- Anesthetize
C- Clean
E- Equipment
R- Repair
A- Assess
T- Tetanus Immunization
E- Educate
Term
What should you use if the pt is allergic to lidocaine?
Definition
novacaine or other ester type anesthesia
Term
How can you decrease the burning sensation that occurs with a lidocaine injection?
Definition
Add bicarb
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