Surgery Exam 1
Pre-op lab that is used for the possibility of needing a blood transfusion but not for certain - ANS Type
and Screen
How long is a type and screen red bracelet good for? - ANS 72 hrs
What action must be completed before administering blood transfusion? - ANS 2 person verification
What MET level is running a short distance? - ANS 4
What MET level is eating and getting dressed? - ANS 1
What are the high risk conditions for noncardiac surgery? - ANS MI in the last 60 days
Unstable angina
Significant valvular heart disease
Need for emergency or urgent surgery, regardless of baseline risk
What is a recommended tool for calculating cardiac risk for Noncardiac Surgery? - ANS RCRI
What ASA score is a Pt w/ mild systemic disease? - ANS II
What ASA score is a Pt w/ severe systemic disease that is a constant threat to life? - ANS IV
What is ASA score of a Pt who is considered brain-dead and organs are being removed for donation? -
ANS VI
,What is ASA score of a Pt who is not expected to survive without operation? - ANS V
What is ASA of a healthy, normal Pt? - ANS I
What condition could negatively affect waking a patient up after surgery? - ANS Pseudocholinesterase
Deficiency
What is the PFT requirement for non-lung surgery? - ANS FEV1 >80%
What is a the prevention for post-op PNA? - ANS Incentive spirometry
Coughing/deep breathing
Oral hygiene
Understanding
Getting out of bed
Head of bed elevation
What is associated with malnutrition and increased risk of surgical site infection and delayed wound
healing? - ANS Albumin <3.0
Surgical Wound Classification:
No hollow viscus entered
Primary wound closure
No inflammation
No breaks in septic technique
Elective procedure - ANS Clean
,Surgical Wound Classification:
Hollow viscus entered but controlled
No inflammation
Primary wound closure
Minor break in aseptic technique
Mechanical drain used
Bowel preparation preop - ANS Clean-contaminated
Surgical Wound Classification:
Uncontrolled spillage from viscus
Inflammation apparent
Major break in aseptic technique - ANS Contaminated
Untreated, uncontrolled spillage from viscus, pus in operative wound
Open suppurative wound, severe inflammation - ANS Dirty
If Pt has PCN/Ceph allergy, what ABX should be used for pre-op? - ANS Vancomycin
Clindamycin
After how many days does the proliferation stage in wound healing begin? - ANS 4 days
Chronic wounds usually become arrested in the _____ stage - ANS inflammatory
What cell type pulls wound edges together in the healing process? - ANS Fibroblasts
, What occurs when there is an overabundance of fibroplasia in dermal healing process? - ANS
Hypertrophic scar formation
80% of the original strength of the tissue is obtained within ______ after surgery. - ANS 6 weeks
What descriptors are required for documenting wounds? - ANS Location
Size and depth
Condition, color, temperature
Tissue type
Color and amount of drainage
Smell if any
What is the descriptor for when there is separation of surgical incisions? - ANS Dehiscence
A severe form of dehiscence where viscera herniate through broken sutures and closure - ANS
Evisceration
An infected prosthetic is considered a surgical site infection if it is within ___ days - ANS 90 days
What can differentiate deep incisional surgical site infection from superficial - ANS Ultrasound or CT
What immunosuppressive therapies prevent wound healing? - ANS Radiation
Chemo
Steroids
Pre-op lab that is used for the possibility of needing a blood transfusion but not for certain - ANS Type
and Screen
How long is a type and screen red bracelet good for? - ANS 72 hrs
What action must be completed before administering blood transfusion? - ANS 2 person verification
What MET level is running a short distance? - ANS 4
What MET level is eating and getting dressed? - ANS 1
What are the high risk conditions for noncardiac surgery? - ANS MI in the last 60 days
Unstable angina
Significant valvular heart disease
Need for emergency or urgent surgery, regardless of baseline risk
What is a recommended tool for calculating cardiac risk for Noncardiac Surgery? - ANS RCRI
What ASA score is a Pt w/ mild systemic disease? - ANS II
What ASA score is a Pt w/ severe systemic disease that is a constant threat to life? - ANS IV
What is ASA score of a Pt who is considered brain-dead and organs are being removed for donation? -
ANS VI
,What is ASA score of a Pt who is not expected to survive without operation? - ANS V
What is ASA of a healthy, normal Pt? - ANS I
What condition could negatively affect waking a patient up after surgery? - ANS Pseudocholinesterase
Deficiency
What is the PFT requirement for non-lung surgery? - ANS FEV1 >80%
What is a the prevention for post-op PNA? - ANS Incentive spirometry
Coughing/deep breathing
Oral hygiene
Understanding
Getting out of bed
Head of bed elevation
What is associated with malnutrition and increased risk of surgical site infection and delayed wound
healing? - ANS Albumin <3.0
Surgical Wound Classification:
No hollow viscus entered
Primary wound closure
No inflammation
No breaks in septic technique
Elective procedure - ANS Clean
,Surgical Wound Classification:
Hollow viscus entered but controlled
No inflammation
Primary wound closure
Minor break in aseptic technique
Mechanical drain used
Bowel preparation preop - ANS Clean-contaminated
Surgical Wound Classification:
Uncontrolled spillage from viscus
Inflammation apparent
Major break in aseptic technique - ANS Contaminated
Untreated, uncontrolled spillage from viscus, pus in operative wound
Open suppurative wound, severe inflammation - ANS Dirty
If Pt has PCN/Ceph allergy, what ABX should be used for pre-op? - ANS Vancomycin
Clindamycin
After how many days does the proliferation stage in wound healing begin? - ANS 4 days
Chronic wounds usually become arrested in the _____ stage - ANS inflammatory
What cell type pulls wound edges together in the healing process? - ANS Fibroblasts
, What occurs when there is an overabundance of fibroplasia in dermal healing process? - ANS
Hypertrophic scar formation
80% of the original strength of the tissue is obtained within ______ after surgery. - ANS 6 weeks
What descriptors are required for documenting wounds? - ANS Location
Size and depth
Condition, color, temperature
Tissue type
Color and amount of drainage
Smell if any
What is the descriptor for when there is separation of surgical incisions? - ANS Dehiscence
A severe form of dehiscence where viscera herniate through broken sutures and closure - ANS
Evisceration
An infected prosthetic is considered a surgical site infection if it is within ___ days - ANS 90 days
What can differentiate deep incisional surgical site infection from superficial - ANS Ultrasound or CT
What immunosuppressive therapies prevent wound healing? - ANS Radiation
Chemo
Steroids
