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48 Cards in this Set
- Front
- Back
Capillary action is aka?
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wicking
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Sutures made of multifilament strands absorb moisture and hold body fluids is called?
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Capillary action
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If ___ are present, suture materials with high capillarity are able to retain and spread infection by means of suture fibers
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bacteria
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Suture with ___ capillarity is preferred during surgery when the risk of infection is high
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low
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which suture is least inert?
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Stainless steal
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___ is the body's response to suture
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bioactivity
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The bioactivity depends on the ___ structure of the suture material and the ___ of the patient.
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chemical structure; condition of the patient
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Sutures that cause little or no bioactivity are said to be ___ inert, causing little or no inflammation
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highly
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Infection is related to the ___ of suture rather than the chemical make up
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structure
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French needle is aka?
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split or spring eye
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The ___ eye has two eyes that are connected by a slit from the top through the eyes with ridges that hold the sutures in place
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French eye
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A ___ suture is one in which the suture can be detached from the needle by pulling it straight back from the swage
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detachable.
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A detachable suture is aka...
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De-tach and Control-release
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What kind of suture needle has pre-attached suture.
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swaged (atraumatic) suture
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This needle is swaged at both ends
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double-armed
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This needle tip pushes tissue aside and does not puncture it
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blunt tip
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This needle tip is used for friable tissues and organs that are soft and spongy (such as liver, spleen, and kidneys)
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Blunt tip
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This needle tip punctures tissue
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tapered tip
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This needle tip is used on soft tissue such as muscle, subcutaneous fat, peritoneum, dura, and GI, GU, biliary, and vascular
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tapered tip
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This needle tip has a cutting edge along its shaft and aka conventional cutting needle)
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Cutting tip
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___ cutting needle has a cutting edge on the outside or lower edge of the curve
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Reverse cutting needle
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This type of cutting needle is used on fibrous connective tissue, such as skin, joint capsule, and tendons
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Reverse cutting needle
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____ cutting needle has a cutting edge at the tip and a round body
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Tapered and the point is tapered
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This type of cutting needle is used for dense fibrous connective tissue, such as fascia, tendon, and periosteum
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Tapered cutting needle
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___ needles have a flat surface with cutting edges on sides
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Spatula needles
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This type of cutting needle is used for ophthalmic to separate corneal and scleral tissue
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Spatula needles
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Suture is used to approximate tissue and ligate bleeding vessels.
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NOTE ----->>>>>
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Two general types of suturing technique are used what are they???
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continuous and interrupted
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continuous stich is aka
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running suture
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An advantage of continuous suture is that its ___ and uses little suture material
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rapid
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A disadvantage of the continuous stitch is that if one point along the suture ___ during healing the wound may open up
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breaks
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Interrupted sutures are ___ to place, have greater tensile strength, and have less potential for causing wound edema and impaired cutaneous circulation.
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easy to place
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This type of suture is used for cosmetic closure and pediatric patients
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subcuticular
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Subcuticular suture is ___ and meticulous
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time consuming
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Purse-string suture is used for ____
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tubular structures (lumens)
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The ___ stitch provides added strength to a running suture
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locking stitch
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Retention sutures are a type of interrupted technique used to provide additional support to wound edges in ___ surgery
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abdominal
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What are bolsters and why are they used?
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bolsters are small length of tubing are threaded though the suture to prevent it from cutting into the patient's skin
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Good technique in handling sutures prevents their ___ in the surgical wound
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loss
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Lost items are a safety hazard and increase operative ___ and team stress
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time
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Inappropriate tissue-needle combinations can cause unnecessary ___ to tissue
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trauma
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Proper preparation of sutures increases their potential to facilitate uncomplicated ___
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healing
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The jaws of the needle holder must be selected according to the ___ of the needle.
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delicacy
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Needle holders used in general surgery have ___ or carbon steel inserts over the portion that holds the needle.
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diamond
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The scrub selects the forceps by length, ___, and type of jaws according to the tissue to be sutured.
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weight
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____ forceps are used on mucous membrane organ tissue (spleen and kidneys) and on any tissue that bleeds easy
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Smooth forceps
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____ forceps are used on connective tissue, including the skin
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Toothed forceps
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____ forceps are specially designed with a scored insert at the working tip; this prevents puncturing of the blood vessel but provides sufficient friction to hold
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Vascular forceps
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