liquid sterilization is used mostly for ____ and is more common than gas.
instruments
what are the 2 liquids used in cold trays?
chlorhexidine
gluteraldehyde
gluteraldehyde is only used on _____ and _____
surfaces
instruments
things placed in a cold tray are only considered ____ not sterilized
disinfected
why is gluteraldehyde not used on living tissues?
carcinogenic
what liquid is used on living tissues?
what is this used as @ school?
chlorhexidine
scrub solution
gases are used for things that cannot tolerate a high temp like an _____
endoscope
what are the 2 gases used?
ethylene oxide
hydrogen peroxide gas plasma HPGP
what are the uses for ethylene oxide?
IIM
industry
institutions
military
how does EO gas work?
deactivates DNA (no repro of MOs)
what are the adv. of EO gas?
LPM
low temps
penetration!
microbicide
what are the dis adv of EO gas?
(takes how many hours + air out time)
SEFCM
slow!! takes 12-24 hours, then 7 days of ventilation
explosive
flammable
carcinogenic
mutigenic
which gas is more common, EO or HPGP?
HPGP
why is HPGP used?
to replace EO, only lol
what is the adv of HPGP?
safe for personnel and environment
what is the disadv of HPGP?
cannot penetrate walls of instrument (lumen)
what is required with every sx pack?
sterile indicator
this indicator changes color when exposed to heat and doesnt indicate sterility
autoclave tape
indicator that uses vials or paper strips impregnated with bacillus stearothermophilusthen cultured (takes 2 days)
biological indicators
envelopes and bags use a ____ change to indicate sterility
color
the practice of soaking objects in disinfectant solutions (dull sharp edges)
sterility is not garunteed
used for dirty or minor procedures (fe. neuter)
also used for inst. that shouldnt be autoclaved
cold sterilization using a cold tray
procedure for ____ sterilization:
clean instruments
soak for 15mins in solution
to be considered sterile they must soak for 3 hours
solution should be changed every 2 w. (14d)
cold
cold trays should be labeled with ___ and ___
date changed
initials
what are some examples of chemical disinfectants?
PQAA
Phenols
quaternary ammonium compounds
aldehydes
alcohols
what are some examples of antiseptics?
HBO
Halogens
biguanides
others
what are the ex of phenols?
phisohex hand scrub
lysol
when are phenols commonly used?
allergy to chorhexidine
what is important to remember about using lysol to clean?
allow to dry first! allergies may occur
what should never be mixed with bleach?
quaternary ammonium
what are the 2 examples of quaternary ammonium?
RB
roccal
benzalkonium chloride
quaternary ammonium is not effective against ___ & ____
spores
viruses
what are the 2 examples of aldehydes?
FG
formaldehyde
gluteraldehyde
what are the 2 types of alcohol?
EI
ethyl
isopropyl
why should alcohol never be used on open wounds?
CP
cytotoxic
painful
alcohol is ineffective against ____ & ____, making this a _____
spores and viruses
disinfectant
what is the final paint?
50-70% ethyl or isopropyl alcohol on the pt.
what conc. of alcohol should not be used on pts.?
*what is it used for?
99%
disinf. suture materials
one of the first disinfectants used
can be cytotoxic if not diluted (1:30)
kills viruses
list an example
halogens
chloride comounds
what is an example of a chloride compound?
aka?
sodium hypochlorite
aka bleach
not common in veterinary med.
only on intact skin
must be greatly diluted to use on skin
(tincture: 2% ___ & 50% ethyl)
iodines
iodine combined ith a carrier molecule
this is more commonly used in vet med
used as scrub
idophors
what is an ex. of idophors?
providine-iodine scrub (detergent) solution (no detergent)
what are the different effects of idophors compared to iodine?
slowly releases free iodines
reduces irritation/staining
what are the 2 biguanides?
what is the difference btw the 2?
chlorhexidine (nolvasan)
nolvasan S-used only on inanimate objects!
nolvasan solution is used as a ____ ____ if diluted