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53 Cards in this Set

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the freedom from infection or infectious material
asespsis
aseptic practices are those technique used to keep objects or people free from:
microorganisms
asepsis literally means:
lack of infection
in what procedures is surg asepsis used?
any procedures that invade bld stream or surgery. anything in a body cavity
surgical asepsis refers to :
sterile technique
you should use sterile technique with ppl who are _________ or _______
burned
immunocompromised
hold packages ___in above sterile field
6
anyh part of wrapper/drape that hangs over the edge of the table is considered:
unsterile
how high should you hold a bottom when pouring solution above edge of container?
1-2 in.
how can you tell if instruments have been steralized?
look at tape
a sterile object or field out of range of vision is considered
contaminated.
when in doubt
throw it out
how long do you scrub hands with surgical handwashing?
5 mins.
a sterile barrier that has been permeated by ___,___ or ___ must be considered contaminated
punctures
tears
moisture
once a sterile package is opened a _____ border around teh edges in considered unsterile
1 in
the goals of wound management:
-prepare wound for quickest and most durable form of healing
-promote healing with consideration of comorbidities that may exist
remove eschar at bedside or surgery
sharp debridement
why is sharp debridement used?
when mechanical debridement doesnt work
do you get anesthesia/sedation with sharp debridement?
yes
after sharp debridement, monitor for:
bleeding
bacteremia
diets high in: will improve wound healing
carbs
protein
iron
zinc vitamins
includes irrigations and dressings:
mechanical debridement
irrigation removes
debris and bacteria
moist dressing placed on wound and allowed to dry and removed with adhered debris, necrotic tissue, exudate and drainage
wet to dry
one advantage of guaze is:
absorbant
2 disadvantages of guaze:
bacterial growth
can't see thru it.
4 disadvantages of using moist transparent barriers:
doesn't absorb liquid
tears sensitive skin
not easy to work with
difficult to apply
advantages of moist transparent barriers
-allows wound visibility
-decrease friction promotes autolysis for eschar
-semiperm so O2 can go in
-barrier to protection
alginate is made from
brown seaweed
for deep, non infected heavily draining wounds, use ____
alginate
for shallow open wounds, use____ wound care material
non adherent
______ are used for pressure ulcers, dermal ulcers, partial thickness burns, blisters,
hydrogels
packing is used for:
deep draining wounds
for certain pressure ulcers and partial thickness wounds, use:
hydocolloid
example of moist transparent barrier:
tegaderm
what are 2 disadvantages of alginate?
expensive
cant use on dry wounds
disadvantages for hydrocolloid
not transparent

edges need to be taped
may promote
anaroebic infection

disengrates when wet.
advantages of hydrocolloid
thick
versatile
acute/chronic wounds
prevents bacterial invasion
absorbs exudate
penrose drains are also used as
turniqets for blood drawing
purpose of penrose drain:
provide sinus tract
a t tube is often used after what type of surgery to do what?
GB
drain bile
the purpose of the jackson pratt is to
decrease dead space by collecting drainage
the purpose of the hemovac is toi
decrease dead space by collecting drainage
a continuous, adjustable system for post op removal and reinfusion of a pts own blood
constavac
what is the cleansing agen of choice for wounds
NSS
comorbidities that affect healing:
-disorders that decrease blood flow
-peripheral vascular disease
diabetes
infection
-nutritional status
penrose drain is usually
10-14in
hemovac may be used after:
abd or ortho surgery
jackson pratt may be used for
breast removal or abd surgery
suction is maintained from pressure of bulb
jackson pratt
suction is maintained with a spring
hemovac
vacuum assisted wound closure is continuously applied for
48h
do wound cultures req. md order?
yes