Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
29 Cards in this Set
- Front
- Back
|
give 4 causes of finger edema that may lead to medical ring removal.
|
trauma
dependent edema insect bites stings |
|
|
other than rings, what may kids put on their fingers that may require "ring" removal?
|
washers or nuts over the fingers or toes
|
|
|
The ring should be removed as rapidly as possible if the pt. has signs of __ __.
|
vascular comprimise
|
|
|
Thick, broad band rings are best removed with what technique?
-ring cutter -string |
string
|
|
|
how may you reduce finger edema prior to ring removal?
|
ice and elevation
|
|
|
what may be necessary for your pt. if there is significant swelling or pain of the affected digit?
|
IV sedation
digital block |
|
|
t/f
before the ring is removed, the finger should be washed/lathered with dish soap rather than iodine, etc. |
false; clean with iodine or suitable solution
|
|
|
before beginning with ring removal, you should warn your patient of possible pain and/or __ to ring.
|
damage
|
|
|
t/f
most fish hook injuries are moderately complex and should be treated in the emergency room |
false; most are minor and can be treated in the office without difficulty
|
|
|
all fish hook injuries require careful evaluation of surrounding __ before attempting removal.
|
tissue
|
|
|
__ involvement should prompt immediate referral to an ophthamologist.
|
ocular
|
|
|
most fishhook injuries are penetrating __ tissue injuries.
-muscular -dermal -soft tissue |
soft tissue
|
|
|
name the four techniques for fish hook removal.
|
-retrograde
-string-yank -needle cover -advance and cut |
|
|
t/f
most fishhook removal does not require the administration of a local anesthetic |
false: most does, possibly a nerve block
|
|
|
if the involved fishhook has more than one hook, what should you do first?
|
cut off the uninvolved hooks
|
|
|
eye protection should be worn, especially when performing the __ method.
-needle cover -string-yank -retrograde -advance and cut |
string-yank
|
|
|
which method includes taking an 18 gauge needle advanced over the entrance wound of the fishhook parallel to the shank, covering the barb, and then the backing out of the fishhook and needle.
|
needle cover
|
|
|
what method is when using pliers or needle drivers the hook is advanced through the skin (including the barb) where the barb is cut off allowing the rest of the fishhook to be backed out with little resistance.
|
advance and cut method
|
|
|
t/f
fishhook wound should be closed with either one simple suture or durabond glue. |
false! leave the wound open, antibiotic ointment and a bandaid
|
|
|
you must always check on the status of what immunization in a pt with a fishhook puncture?
|
tetanus toxoid
|
|
|
what should your documentation include regarding a fishhook removal?
|
procedure information and any complications
|
|
|
t/f
a tick may not be noticed until after it is attached. |
true
|
|
|
ticks lead to __ disease.
|
lymes
|
|
|
following tick removal, the bite area should be inspected carefully for any retained __, which should be excised.
|
mouth parts
|
|
|
which method of tick extraction is best?
-suffocation of tick -heat to tick -manual extraction |
manual extraction
|
|
|
what type of instrument should be used for tick removal?
-blunt, medium-tipped, angled forceps -sharp, small-tipped, straight forceps -sharp, medium-tipped, angled forceps - |
blunt, medium-tipped, angled forceps
|
|
|
t/f
as you are pulling the tick out you should or should not twist. |
do not twist
|
|
|
if you need an antibiotic for an infected fishhook penetration, what is an adequate choice?
|
keflex
|
|
|
after the tick is removed, apply an __ solution.
|
antiseptic
|
