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14 Cards in this Set
- Front
- Back
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Where should you never inject adrenaline into?
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eyes, ears, nose
fingers & toes penis & scrotum |
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mepivacaine compared to lignocaine
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slower onset
longer duration |
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bupivacaine compared to lignocaine
(Marcaine) |
slower onset
longer duration |
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bupivacaine max dose
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3mg/kg
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Initial evaluation of a wound
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size & depth
bleeding? tendon / nerve involvement time |
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suturing C/I
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infection
redness, erythema fever puncture wounds & animal bites tendon, nerve, vessel involvement >12 hours old |
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wound prep prior to closure
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irrigate
debride (remove all dead tissue and contaminants) |
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lignocaine onset & duration of action?
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onset of action 1-5 min
duration of action 5-15 min |
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vertical mattress stitch is good for
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everting wound edges
- neck - forehead - concave surfaces |
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horizontal mattress stitch is good for
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closing wound edges under high tension
hemostasis |
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suture removal times
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back & knees (joints), palms & soles - not before 10 days
face - 5 days everywhere else eg. body, scalp - 7 days |
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before removing sutures from a patient:
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ask about their condition
allergies impaired wound healing current level of pain |
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Define ulcer
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An ulcer is a localised area of necrosis of the surface of the skin or mucous membrane.
(usually produced by sloughing of inflamed necrotic tissue) |
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Where are skin ulcers commonly found?
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legs and feet
sun-exposed areas pressure areas eg. sacrum in elderly |
