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48 Cards in this Set

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