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178 Cards in this Set
- Front
- Back
|
chromic gut
|
a suture material manufactured from the submucosa of sheep intestine or serosa of beef intestine treated with chromium salts to delay the rate of absorption
|
|
|
coagulation
|
formation of a blood clot
|
|
|
packing
|
put in a contaminated wound and removed after 4-5 days
|
|
|
cardiac dysrhythmia
|
rapidly dropping blood pressure
|
|
|
hemolysis
|
red blood cell destruction leading to anemia
|
|
|
bone wax
|
refined and steralized beeswax
|
|
|
autotransfusion
|
reinfusion of the patients own blood
|
|
|
excision
|
removal of tissue
|
|
|
nonabsorbable suture
|
resists enzymatic digestion or absorption by tissue and needs to be manually removed
|
|
|
herniation
|
result of wound dehiscence and occurs most often in lower abdominal incisions. Discovered 2-3 month postoperative. Surgery may be required
|
|
|
dead space
|
separation of wound layers that have not been closely approximated, or air that has become trapped between tissue layers
|
|
|
monofiliment
|
single thread-like structure
|
|
|
ultrasonic scalpel
|
single-use titanium blade attached to a handpiece
|
|
|
fibrin
|
stabilizes blood clots
|
|
|
Hemostasis
|
stopping the loss of blood
|
|
|
pledgets
|
stops bleeding through needle holes
|
|
|
33.8-42.8 degrees F
|
storage of blood products
|
|
|
swaged
|
strand of suture material with an eyeless needle attached by the manufacturer; the needle is continuous with the suture strand
|
|
|
secondary suture line
|
sutures placed to support and ease the tension on the primary suture line, thus reinforcing the wound closure and obliterating any dead spaces
|
|
|
inflammation
|
the bodys protective response to injury or tissue destruction
|
|
|
cicatrix
|
the mark left after a wound that was closed with suture or staples heals; the scar of wounds that healed by primary intention consist of collagen tissue (mature surface scar)
|
|
|
gauge
|
the suture diameter
|
|
|
ligated
|
to tie
|
|
|
fistula
|
tract between two epithelium-lined surfaces that is open at both ends. Occurs most often after bladder, bowel, and pelvic procedures
|
|
|
French-eyed needle
|
type of needle in which the suture must be threaded by pulling the strand into a V-shaped area just above the eye
|
|
|
argon plasma coagulation
|
use of gas with monopolar electrical energy
|
|
|
Paramedics
|
able to administer injections and IV fluids, read EKG's, Defibrillation & intubation
|
|
|
second intention
|
granulation
|
|
|
absorbable suture
|
able to be absorbed by tissue over time
|
|
|
clips
|
used for ligating of small vessels
|
|
|
drains
|
used postoperatively to eliminate waste (gases and fluids) as well as eliminate air in dead space
|
|
|
adenosine diphosphate
|
has an ability to stabilize blood clots
|
|
|
epinephrine
|
vasoconstrictor
|
|
|
approximated
|
wound edges are approximated (put together as closely as possible)
|
|
|
chronic wound
|
wounds that persist for an extended period of time
|
|
|
vessel loop
|
thin strips made of silicone that can be placed around a vessel, nerve, or duct for the purposes of retracting or isolating; colored for easy identification of the retracted structures
|
|
|
adhesion
|
abnormal attachment of two surfaces or structures that are normally separate
|
|
|
Class I: Clean (Infection Rate 1-5%)
|
incision made under ideal surgical conditions/no break in sterile technique/primary closure/no wound drain/no entry to aerodigestive or genitourinary tract
|
|
|
ligature
|
aka ties, are used to occlude vessels for hemorrhage control or for organ or extremity removal.
|
|
|
lasers
|
intense and concentrated beam of light that is used to cut
|
|
|
tensile strength
|
amount of pull or tension that a suture strand will withstand before breaking; expressed in pounds
|
|
|
incision
|
intentional cut through intact tissue for the purpose of exposing or excising underlying structures
|
|
|
Rhesus factor
|
antigenic substance found in erythrocytes in most people
|
|
|
Phases of Wound Healing Phase 1
|
Lag Phase or Inflammatory Response Phase
|
|
|
wound
|
any tissue that has been damaged by either intentional (surgical) or accidental (traumatic) means
|
|
|
primary suture line
|
main suture that approximates the wound edges for first intention healing to occur
|
|
|
sponges
|
applies pressure to a blood vessel
|
|
|
Phases of Wound Healing Phase 3
|
Maturation or Differentiation Phase
|
|
|
suction
|
aspiration of fluid by mechanical means
|
|
|
hemorrhage
|
may be concealed or evident and occurs most frequently in the first few postoperative hours
|
|
|
electrosurgery
|
Bovie pencil
|
|
|
multifiliment
|
multiple thread-like structures braided or twisted into a single strand
|
|
|
char
|
burned tissue
|
|
|
capillarity
|
capability to harbor bacteria and retain tissue fluids that can be communicated along the length of the strand
|
|
|
suture complications
|
occur because of either a failure to properly absorb the suture material or an irritation caused by the suture that results in inflammation
|
|
|
hemostat
|
clamp
|
|
|
Class IV: Dirty/Infected (IR 27-40%)
|
Open traumatic wound/ more than 4 hours old/microbial contamination;perforated viscus
|
|
|
acquired bleeding disorders
|
commonly seen in the OR caused by an outside source
|
|
|
Class III: Contaminated (IR 15-20%)
|
Open traumatic wound/less than 4 hours old)/major break in sterile technique/acute inflammation present/entry to aerodigestive or genitourinary tract with spillage
|
|
|
absorbable gelatin
|
composed of collagen
|
|
|
Surgi-Cel
|
oxidized cellulose
|
|
|
Silver Nitrate
|
controls cervical or nasal bleeding
|
|
|
dehiscence
|
partial or total separation of a layer or layers of tissue after closure. Frequently occurs after the 5th and 10th postoperative day and is seen most often in debilitated patients with friable tissue
|
|
|
laceration
|
cut or tear
|
|
|
anastomosis
|
pathological, surgical, or traumatic formation of an opening between two normally separate organs or spaces
|
|
|
third intention
|
delayed primary closure
|
|
|
immunosuppressed patient
|
patient whose immune system has decreased due to disease, or intentionally decreased with immunosuppressive drugs for organ transplant patients to prevent organ rejection
|
|
|
homologous
|
donated by another person
|
|
|
PTFE
|
polytetrafluoroethylene; a synthetic coating used on certain types of nylon suture material to reduce the drag through tissue
|
|
|
autologous
|
donated previously by the patient
|
|
|
Avitene
|
powdered collagen
|
|
|
friable
|
easily torn tissue
|
|
|
hemophelia
|
preexisting hemostatic defect
|
|
|
thrombin
|
enzyme that results from part of a chain of coagulation
|
|
|
Class II: (Clean Contaminated (IR 8-11%)
|
Primary closure/wound drained/minor break in sterile technique occurred/controlled entry to aerodigestive or genitourinary tract (include biliary tract)
|
|
|
debridement
|
excision of infected and/or necrosed tissue
|
|
|
First Intention
|
Primary union that is typical of an incision opened under ideal conditions
|
|
|
evisceration
|
exposure of the viscera through the edges of a totally seperated wound. Requires immediate surgical intervention to replace the viscera and close the wound
|
|
|
Phases of Wound Healing Phase 2
|
Proliferation Phase
|
|
|
hemolytic transfusion reactions
|
fatigue, lack of energy, rapid pulse, shortness of breath
|
|
|
Emergency Medical Technicians
|
providers of health care at the basic life support level
|
|
|
syncope
|
sudden loss of consciousness, either without warning or with only momentary symptoms
|
|
|
grand mal seizure
|
characterized by loss of consciousness and convulsive body movement
|
|
|
petit mal
|
much short in duration and come about quite suddenly and without warning
|
|
|
psychomotor seizures
|
present with a sudden change in consciousness accompanied by the patient making a series of movements or statements that seem out of place or bizarre
|
|
|
focal seizures
|
arise in the motor or sensory areas of the brain. Clonic muscle spasm beginning in one muscle group that spread systematically to other muscle groups
|
|
|
postictal
|
patients in the postseizure state
|
|
|
anaphylactic reaction
|
exaggerated allergic reaction to a substance or protein
|
|
|
keloid
|
abnormal scar that results from increased collagen deposits. Scar appears firm raised, red, and thick
|
|
|
chromic gut
|
a suture material manufactured from the submucosa of sheep intestine or serosa of beef intestine treated with chromium salts to delay the rate of absorption
|
|
|
coagulation
|
formation of a blood clot
|
|
|
packing
|
put in a contaminated wound and removed after 4-5 days
|
|
|
cardiac dysrhythmia
|
rapidly dropping blood pressure
|
|
|
hemolysis
|
red blood cell destruction leading to anemia
|
|
|
bone wax
|
refined and steralized beeswax
|
|
|
autotransfusion
|
reinfusion of the patients own blood
|
|
|
excision
|
removal of tissue
|
|
|
nonabsorbable suture
|
resists enzymatic digestion or absorption by tissue and needs to be manually removed
|
|
|
herniation
|
result of wound dehiscence and occurs most often in lower abdominal incisions. Discovered 2-3 month postoperative. Surgery may be required
|
|
|
dead space
|
separation of wound layers that have not been closely approximated, or air that has become trapped between tissue layers
|
|
|
monofiliment
|
single thread-like structure
|
|
|
ultrasonic scalpel
|
single-use titanium blade attached to a handpiece
|
|
|
fibrin
|
stabilizes blood clots
|
|
|
Hemostasis
|
stopping the loss of blood
|
|
|
pledgets
|
stops bleeding through needle holes
|
|
|
33.8-42.8 degrees F
|
storage of blood products
|
|
|
swaged
|
strand of suture material with an eyeless needle attached by the manufacturer; the needle is continuous with the suture strand
|
|
|
secondary suture line
|
sutures placed to support and ease the tension on the primary suture line, thus reinforcing the wound closure and obliterating any dead spaces
|
|
|
inflammation
|
the bodys protective response to injury or tissue destruction
|
|
|
cicatrix
|
the mark left after a wound that was closed with suture or staples heals; the scar of wounds that healed by primary intention consist of collagen tissue (mature surface scar)
|
|
|
gauge
|
the suture diameter
|
|
|
ligated
|
to tie
|
|
|
fistula
|
tract between two epithelium-lined surfaces that is open at both ends. Occurs most often after bladder, bowel, and pelvic procedures
|
|
|
French-eyed needle
|
type of needle in which the suture must be threaded by pulling the strand into a V-shaped area just above the eye
|
|
|
argon plasma coagulation
|
use of gas with monopolar electrical energy
|
|
|
Paramedics
|
able to administer injections and IV fluids, read EKG's, Defibrillation & intubation
|
|
|
second intention
|
granulation
|
|
|
absorbable suture
|
able to be absorbed by tissue over time
|
|
|
clips
|
used for ligating of small vessels
|
|
|
drains
|
used postoperatively to eliminate waste (gases and fluids) as well as eliminate air in dead space
|
|
|
adenosine diphosphate
|
has an ability to stabilize blood clots
|
|
|
epinephrine
|
vasoconstrictor
|
|
|
approximated
|
wound edges are approximated (put together as closely as possible)
|
|
|
chronic wound
|
wounds that persist for an extended period of time
|
|
|
vessel loop
|
thin strips made of silicone that can be placed around a vessel, nerve, or duct for the purposes of retracting or isolating; colored for easy identification of the retracted structures
|
|
|
adhesion
|
abnormal attachment of two surfaces or structures that are normally separate
|
|
|
Class I: Clean (Infection Rate 1-5%)
|
incision made under ideal surgical conditions/no break in sterile technique/primary closure/no wound drain/no entry to aerodigestive or genitourinary tract
|
|
|
ligature
|
aka ties, are used to occlude vessels for hemorrhage control or for organ or extremity removal.
|
|
|
lasers
|
intense and concentrated beam of light that is used to cut
|
|
|
tensile strength
|
amount of pull or tension that a suture strand will withstand before breaking; expressed in pounds
|
|
|
incision
|
intentional cut through intact tissue for the purpose of exposing or excising underlying structures
|
|
|
Rhesus factor
|
antigenic substance found in erythrocytes in most people
|
|
|
Phases of Wound Healing Phase 1
|
Lag Phase or Inflammatory Response Phase
|
|
|
wound
|
any tissue that has been damaged by either intentional (surgical) or accidental (traumatic) means
|
|
|
primary suture line
|
main suture that approximates the wound edges for first intention healing to occur
|
|
|
sponges
|
applies pressure to a blood vessel
|
|
|
Phases of Wound Healing Phase 3
|
Maturation or Differentiation Phase
|
|
|
suction
|
aspiration of fluid by mechanical means
|
|
|
hemorrhage
|
may be concealed or evident and occurs most frequently in the first few postoperative hours
|
|
|
electrosurgery
|
Bovie pencil
|
|
|
multifiliment
|
multiple thread-like structures braided or twisted into a single strand
|
|
|
char
|
burned tissue
|
|
|
capillarity
|
capability to harbor bacteria and retain tissue fluids that can be communicated along the length of the strand
|
|
|
suture complications
|
occur because of either a failure to properly absorb the suture material or an irritation caused by the suture that results in inflammation
|
|
|
hemostat
|
clamp
|
|
|
Class IV: Dirty/Infected (IR 27-40%)
|
Open traumatic wound/ more than 4 hours old/microbial contamination;perforated viscus
|
|
|
acquired bleeding disorders
|
commonly seen in the OR caused by an outside source
|
|
|
Class III: Contaminated (IR 15-20%)
|
Open traumatic wound/less than 4 hours old)/major break in sterile technique/acute inflammation present/entry to aerodigestive or genitourinary tract with spillage
|
|
|
absorbable gelatin
|
composed of collagen
|
|
|
Surgi-Cel
|
oxidized cellulose
|
|
|
Silver Nitrate
|
controls cervical or nasal bleeding
|
|
|
dehiscence
|
partial or total separation of a layer or layers of tissue after closure. Frequently occurs after the 5th and 10th postoperative day and is seen most often in debilitated patients with friable tissue
|
|
|
laceration
|
cut or tear
|
|
|
anastomosis
|
pathological, surgical, or traumatic formation of an opening between two normally separate organs or spaces
|
|
|
third intention
|
delayed primary closure
|
|
|
immunosuppressed patient
|
patient whose immune system has decreased due to disease, or intentionally decreased with immunosuppressive drugs for organ transplant patients to prevent organ rejection
|
|
|
homologous
|
donated by another person
|
|
|
PTFE
|
polytetrafluoroethylene; a synthetic coating used on certain types of nylon suture material to reduce the drag through tissue
|
|
|
autologous
|
donated previously by the patient
|
|
|
Avitene
|
powdered collagen
|
|
|
friable
|
easily torn tissue
|
|
|
hemophelia
|
preexisting hemostatic defect
|
|
|
thrombin
|
enzyme that results from part of a chain of coagulation
|
|
|
Class II: (Clean Contaminated (IR 8-11%)
|
Primary closure/wound drained/minor break in sterile technique occurred/controlled entry to aerodigestive or genitourinary tract (include biliary tract)
|
|
|
debridement
|
excision of infected and/or necrosed tissue
|
|
|
First Intention
|
Primary union that is typical of an incision opened under ideal conditions
|
|
|
evisceration
|
exposure of the viscera through the edges of a totally seperated wound. Requires immediate surgical intervention to replace the viscera and close the wound
|
|
|
Phases of Wound Healing Phase 2
|
Proliferation Phase
|
|
|
hemolytic transfusion reactions
|
fatigue, lack of energy, rapid pulse, shortness of breath
|
|
|
Emergency Medical Technicians
|
providers of health care at the basic life support level
|
|
|
syncope
|
sudden loss of consciousness, either without warning or with only momentary symptoms
|
|
|
grand mal seizure
|
characterized by loss of consciousness and convulsive body movement
|
|
|
petit mal
|
much short in duration and come about quite suddenly and without warning
|
|
|
psychomotor seizures
|
present with a sudden change in consciousness accompanied by the patient making a series of movements or statements that seem out of place or bizarre
|
|
|
focal seizures
|
arise in the motor or sensory areas of the brain. Clonic muscle spasm beginning in one muscle group that spread systematically to other muscle groups
|
|
|
postictal
|
patients in the postseizure state
|
|
|
anaphylactic reaction
|
exaggerated allergic reaction to a substance or protein
|
|
|
keloid
|
abnormal scar that results from increased collagen deposits. Scar appears firm raised, red, and thick
|
