Term
| What is the "Surgical Conscience"? |
|
Definition
| Self Inspection Coupled with a Moral Obligation |
|
|
Term
| What are the professional obligations? |
|
Definition
1. Pt's Bill of Rights
2. Pt - Physician Relationship
3. Informed Consent |
|
|
Term
| What are the techniques that maintain asepsis? |
|
Definition
1. Surgical Attire
2. Professional Hygiene
3. Surgical Scrub |
|
|
Term
| What is the only indication for phlebotomy? |
|
Definition
|
|
Term
| What are the indications for a CV Line? |
|
Definition
1. Central Venous access
2. Swan-Ganz line
3. Central Venous monitoring
4. Long term venous access |
|
|
Term
| What are the contraindications for CV line? |
|
Definition
1. Abnormal clotting studies; bleeding disorders
2. Extreme obesity
3. Upper thorax trauma
4. Thrombocytopenia |
|
|
Term
| What is the #1 complication associated with CV sticks? |
|
Definition
|
|
Term
| What are the indications for an NG tube? |
|
Definition
1. Acute gastric dilation
2. Ileus
3. Upper GI bleeding
4. Post-op stomach/bowel surgery
5. Near drowing
6. Gastric outlet obstruction
7. Small bowel obstruction
8. Enteral feeding-check with X-ray prior to use
9. O/D of drugs |
|
|
Term
| What are the contraindications for an NG tube? |
|
Definition
1. Recent esophageal or gastric surgery
2. Esophageal burns
3. Hx of gastrectomy
4. Significant facial trauma or basilar skull fracture
5. Absence of gag reflex |
|
|
Term
| What are the indications for a Chest Tube? |
|
Definition
1. Pneumothorax
2. Hemothorax
3. Malignant effusion
4. Empyema
5. Injxn of medicine/agents/materials
6. Surgery |
|
|
Term
| What are the contraindications for a Chest Tube? |
|
Definition
1. None for the previous indications
2. Severe coagulopathies
3. Small stable effusions |
|
|
Term
| When to remove a Chest Tube? |
|
Definition
**Should not be left in >3 wks
1. Risk of ascending infxn
2. Erosion into the intercostal vessels -- hemorrhage
3. Local inflammation
--Remove when
1. No air leak for 24 hrs
2. Drainage decreases to <100 ml/day |
|
|
Term
| What are the complications of a Chest Tube? |
|
Definition
1. Malpositioned tube
2. Obstructed tube
3. Penetrations of te peritoneal cavity
4. Penetration of lung bullae
5. Penetration of heart/major vessels
6. Hemorrhage of lung injury |
|
|
Term
| What are the indications for an Arterial Line? |
|
Definition
1. Hemodynamic monitoring
2. Multiple arterial samples |
|
|
Term
| What are the contraindications for an Arterial Line? |
|
Definition
1. Poor collateral circulation
2. Distal ischemia
3. Coagulopathies
4. Systemic anticoagulation
5. Unable to identify landmarks
6. Known arterial Dz
7. Raynaud's
8. Liver failure
9. Fistula |
|
|
Term
| What are the indications for a Foley? |
|
Definition
1. Monitoring urine output
2. Obtaining sterile urine sample
3. Bladder relief
4. Bypassing obstruction
5. Control bleeding |
|
|
Term
| What are the contraindications for a Foley? |
|
Definition
| 1. Blood in urethral meatus |
|
|
Term
| What are the complications with a Foley? |
|
Definition
1. Trauma
2. UTI, inflammation
3. BPH
4. Stricture |
|
|
