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12 Cards in this Set
- Front
- Back
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What is the most important factor in the infectious process?
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the number of bacteria in the wound at the end of an operation
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Which is more important in terms of infection: endogenous or exogenous bacteria?
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endogenous bacteria
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True or False: Preoperative shave increases wound infection.
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True: Clipping preferable
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True or False: The longer the procedure, the more bacteria that accumulate in the wound.
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True.
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How are prophylactic antibiotics administered?
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single dose should be given IV immediately before skin incision
second dose if OR exceeds either 3 hours or twice the half-life of the antibiotic |
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Are prophylactic antibiotics indicated for clean cases?
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Not unless there is placement of prosthetic materials, then give Cefazolin 1 g
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What are risk factors for infection in clean cases?
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>3 concomitant diagnoses
operation lasting longer than 2 hours abdominal procedure |
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In clean contaminated cases, what is the only high risk for infection procedure?
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biliary tract
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True or False: Prophylactic antibiotics are rarely warrented in hepatobiliary and pancreatic procedures.
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False: Always warrented
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Is prophylaxis appropriate for dirty or infected cases?
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No, because they are already dirty/infected.
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How long should a surgical scrub last?
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120 seconds
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How long does it take alcohol and chlorhexidine to be effective?
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60 seconds or less
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