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58 Cards in this Set
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Circulator will remove top of vial and dispense into a container on the field using sterile technique or clean stopper, if necessary draws med into syringe or holds vial upside down presenting to scrub who will draw medication into syringe
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Medication from a vial
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Circulator removes top, draws medication into syringe and dispenses on field using sterile technique. presents to scrub who draws medication into syringe using steril technique
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Medication from ampules
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Circulator squeezes into field using steril technique
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medication of tubes
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All medication placed onto sterile field are immediately labeled with _____ and ______.
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with NAME and STRENGTH.
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Scrub Tech prepares an ________ ________ for the medication/ solution.
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Appropriate Receptacle
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Receptacle should be place near ___________ or ______________.
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Edge of Table or Held by Scrub Technologist.
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Circulator shows what to the Scrub technologist
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Medication Vial/Ampule/solution
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Scrub Tech states aloud
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Name of medication, strength, and expiration date.
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Every time the scrub passes a medication to the surgeon for use it is verbally identified.
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States medication name, strength, and amount.
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5 basic RIGHTS
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1. Right patient 2. Right Drug 3. Right Dose 4. Right administration route 5. Right time or frequency.
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To be accepted on field label must have
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Name of drug, Manufacturer, Strenght, Amount, Expiration date, administration route, and Lot number.
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Always ____ medication on field. and Always Repeat __________,__________,&_______ of medication to surgeon when passing it
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LABEL, Name, Strength, and Amount
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Minimized tendency of blood to clot yet does not lead to excessive bleeding during or following surgery.
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Anticoagulants
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Anticoagulant that is use during cardiac cases.
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Warfarin sodium
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Anticoagulant that is use during Peripheral Vascular Surgery and Cardiac cases
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Heparin Sodium
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Anticoagulant that used to flush blood vessel lumens and shunt tubes.
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Heparinized Saline Solution
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Applied directly to the oozing blood from small vessels and capillaries to achieve hemostasis.
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Hemostatic Agents
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Absorbable gelatin sponge or powder, as sponge placed on bleeding area deposits fibrin and forms clot. powder placed on bone to control bleeding.
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Gelfoam
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Hemostatic sponges activate coagulation and platelet aggregation; powder form woven or non woven form; induces platelet adhesion to form fibrin.
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Collastat, Superstat, Helistat
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Hemostatic Agent that is applied dry over bleeding site for hemostasis
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Oxycel, Surgicel
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Topical agent; use in combination with an absorbable gelatin sponge
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Thrombin
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Counteracts (antagonist) the effects of heparin
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Protamine Sulfate
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Hemostatic Agent use for hemostasis during cervical conization and biopsy
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Monsel's solution
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Used in Obstetrics/ Gynecology; Pitocin (Synotocin, Oxytocin)
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Oxytocic Hormones
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Use to induce and maintain labor; causes uterine contractions; use to prevent or control postpartum hemorrhage; use for theraputic abortions.
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Pitocin
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Controls swelling and inflammation
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Steroids
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Controls cerebral edema
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Neurosurgery
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Reduces postoperative swelling in joints
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orthopedics
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reduces postoperative swelling
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ophthalmology
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Prevents formation of keloids; excessive scar tissue types: Betamethasone (celestone), Dexamethasone (decadron) Methyl perdnisone (depomedrol)
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Plastics
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Chemical substance prevents the growth of or destroys microorganism; used IV, IM, Topical, and Irrigation Types: Penicillin, Cephalosporins, Aminoglycides, and Carbapenems.
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Antibiotics
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Radiopaque dye which when injected displays white on radiograph (x-ray). pt is observed for allergic reaction. injected to organs, vessels, or ducts to idnetify inner form IE strictures, obstructions, stones, tumors
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Contrast Medium
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Contrast Medium that used in radiography of heart and major blood vessels
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Cardiografin
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Contrast medium use for radiography of urinary tract
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Cystografin
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Contrast Medium use in radiography of bilary tract, kidney and other internal structures
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Hypaque
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Used in radipgraphy of bilary tract spleen and other unternal structures.
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renographin
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used during arteriography
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conray
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sulutions that stain tissue
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dyes
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Dye that outline incision areas
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Dyes
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dye use for urinary or gynecologic diagnostic procedures outline incision area
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Methylene blue
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(shillers test) Stains Vaginal vault and cervix to identify abnormal tissue
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Lugol's solution
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Peripheral and vascular cases; ocular use to evaluate corneal epithelium.
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Fluorescein
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Use to ensure patency of fallopian tubes
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Indigo Carmine
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Electrolyte solution given to maitain homeostasis type depens of needs of patient
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I.V. solutions
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Replaces blood; used to tread shock, burns, and other diseases
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Blood
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Maintain volume until nature can replenish it or plasma can be secured Type: Albumin, Plasmanate
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Blood Substitutes
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Artificial non-blood crystalloid or colloid colution given intravenously for fluid replacement and plasma volume expander types: Dextran, Ringers Lactate, Hetastarch (hespan)
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Blood volume expander
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0.5%-2% concentrations; 4% topical; 0.5%-1% local infiltration; 1%-2% nerve blocks
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Xylocaine-lidocaine
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1.4% concentrations; Spinal anesthetic; Topical-EENT
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Tetracaine Hydrochloride/ Cetacaine/Pontocaine
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1%-4% concentrations; Injections and topical
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Carbocaine - mepivicaine
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0.5-5% concentrations Infiltration, Blocks
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Procaine
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5%to10% concentrations; Topical uses for : ENT Anesthesia awake intubations, sometimes ocular
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Cocaine
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Bone cement use to stabilize prosthetic device in bone avoid excessive exposure to vapors
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Bone Cement
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Combination of cryoprecipitate, thrombin and/or calcium chloride applied on bleeding tissue to form fibrin patch
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Fibrin glue
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bone cement used as a vasoconstrictor to prolong action of local anesthetic agents or decrease bleeding
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Epinephrine (adrenalin)
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application sticks use for treatment of burns, Seal area of surgical incision that failed to heal appropriately
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Silver Nitrate
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Powder applied on mucous membrane of nose and throat to stop capillary bleeding
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Tannic Acid
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Used with the hysteroscope; Aids in distending the uterus to visualize it's surface
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Hyskon
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