Chapter 8

Often used in place of suture ligatures when many small vessels need to be ligated n a short period of time.
applied either from a manually loaded applicator or from any of several preloaded disposable applicators.

Caustic pencil for cerviclor nasal bleeding

oxidized cellulose removed from vessels/nerves prior to closure

Bovine enzyme applied directly to site never injected IV

What is the drug of choice in treating hypermetabolism.

A pathological process in the body that occurs when blood begins to coagulate within the body.

Prevents bleeding and promotes clotting used as buttresses overthe suture line.

Used to stop excessive bleedng from trauma by applying pressure t a bloo vessel.
Used on exremities to keep the operative site free of blood.
Provides better visualizaton and reduces operative time.

Chest tube device

Passive drain placed in CBD

____ Consists of a single-use ttanium blade attached to a handpiece and a portable generator.
Does not cause charing of the tissue or produce a smoke plume.
Damage to adjacent tissue is minimal grounging pad notneeded.

Sudden loss of consciousness

Pulse less than 60 and symptomatic

No pulse; start CPR

Abnormal brain electrical activty (focal, grand mal, petit mal)

What is the primary use of kitners and peanuts?

Refers to any type of abnorml heart rhythm

The destruction of erythrocytes

The arrest of the ecape of blood through natural or artifical means

From the same species

Gavity drain uses capillary action.

active closed drainage "grende"

active closd round collection device

Utilizes ai to displace fluid

From oneself

arise in motor or sensory areas of the brain.

Thermal burns; flash blindness; poor immune response

Rhinorrhea, dyspnea; seizure; paralysis

Skin blisters, burns; dyspnea; conjunctivitis

Pulmonary edema

Cryotherapy, electrosurgery, bipolar, harmonic scalpel, LASER

Smallpox and anthrax

Skin lesions; flu-like symptoms; yspnea; high fever; shock

Neuroparalysis (nausea and vomiting); blurred vision; slurred speech; dysphagia

Fever; aches; pain; malais; painful vesicular/pustular skin rash caused by variola major

sewen over the hole in the vessel andexert outside pressur over the small needle holes to prevent bleeding and promote clotting

four main blood type groups

from pt. eiter stored or cell saver autotransfusion

specific type of reaction occurs with Rh mismatch

Donated from another; requires type and cross match.

to prevent venousstasis and deep vein thrombosis.

collagen kept dry prior to placment

vasoconstrictor mixed with gelfoam or soaked sponges

Gelatin powdr o pad deposits fibrin

if blood products not to be used immediately, they should be stored in a refrigerator at a temperature between what?

A lifethreatening acute pharmacogenic disorder, developing during or after anesthesia.
Usually triggered by an aesthetic agent, such as halothane, enflurane, or isoflrane

Used to apply pressure on bleeding areas or vessels and to absorb exess blood or body fluids

The aspiration of fluid by mechanical means. Used intraoperatively t clear the surgical site of blood and body fluids.

antigen found in RBCs of most people

occurs when imsmatched blood is given (mild to anaphylactic shock)

Universal recipient

Universal donor

The act of manually providing chest compressions and ventilatins to pts in cardiac arrest in an effort to provide oxygenated blood to the brain and vital organs.

Loss of consciousnes with convulsive body movement

Occurs without warning; very short in durations; stare into space

Treated with epinephrine for extreme cases

Platelets adhere to subendothelium of vessel walls:
Platelets reease ADP;
Release of ADP causes further layers of platelets to adhere;
Pltelet aggregate forms (hite thrombus);
Permanent thrombus form after clotting factor reaction.

Silver nitrate, epinephrine, thrombin, avitene, gelfoam, surgi-cel

Genetically determined blood group antigen that is present on the surface of erythrocytesof some indviduals; present antigen= positive; absent=negative

What is a pledge made of?

Used to compress the walls of vessels and to grasp tissue.
Most commonly used is the hemostat

strands of suture material used to tie off blood vessels.

Approximately how long should you leave the tail for monofilament suture? and why?

What i the main role of the STSR in the instance of cardiac arrest in the surgical setting?

seizue present witha sudden change in consiousnessaccompanied by the pt. making a series of movements or statement that seem out f place or bizarre.

ligating clips, suture, stick tie, bone wax, sponge stick/pressure, pledget, deBake vascular clamp, hemostat, tourniquet

Teh act of sucking up air or fluids throught a device, such as a tonsil suction tip

MH may be diagosed with a ____ ____ taken under a local anesthetic.

______ is actually one of the last signs seen in a MH crisis

refined and sterilized beeswax
on cout edges of bone as a mechanical barrier to seal off oozing blood.
should be softeed by kneading prior to use.

Pt. airway
Breathing
Circulation, pulse
Hemostasis maintained for severe blood loss
chest injuries
shock; fallen blood pressure
wound protectioon/closure
fractures
comfort for pt.