SURGERY QUIZ 1 - SURGICAL
INFECTIONS QUESTIONS AND
ACCURATE ANSWERS
barriers to prevent SSI and personal protection in the OR ANSW✅✅surgical scrub. Hand
preparation
gloves
gown
mask
cap
shoe covers
sterile skin preparation
sterile barriers/draping/field
laminar flow ventilation
ultraviolet lighting
helmet-based protective suits (ortho/spine)
SSI ANSW✅✅surgical site infection
Nosocomial infections ANSW✅✅> Post-op fever (W's)
> SSI's
- 2% of all operations
- 20% of nosocomial infections
- Average increase in LOS 3-7 days
> Hospital and Ventilator Associated Pneumonias
> UTI
- Not usually source of fever
> Empyema
- Pleural space infection
> Intra-abdominal infections
, SSI treatment ANSW✅✅Examine incisions frequently
Hospital and Ventilator Associated Pneumonias treatment ANSW✅✅> Elevate HOB 30 deg
> Daily sedation vacation and assessment for weaning
> Stress ulcer prophylaxis
> Venous thromboembolism prevention
UTI treatment ANSW✅✅Get catheters out
Empyema labs ANSW✅✅Exudate (high protein) vs transudate (low protein)
pH < 7.2
Glucose < 60 mg/dl
LDH 3X serum
No organisms identified 1/3
Empyema treatment ANSW✅✅Thoracentesis, chest tube or surgical drainage may be indicated
Intra-abdominal infections ANSW✅✅> Primary peritonitis
- No identifiable source
- Uncommon
- Chronic alcoholics (ascites)
> Secondary peritonitis
- Spillage from GI tract or contamination from indwelling peritoneal catheters
> Tertiary peritonitis
- Recurrent peritonitis 48 hours after apparent resolution
- May be a failure of host defense
when are operative interventions needed? ANSW✅✅> Generalized peritonitis
> Source of ongoing contamination
INFECTIONS QUESTIONS AND
ACCURATE ANSWERS
barriers to prevent SSI and personal protection in the OR ANSW✅✅surgical scrub. Hand
preparation
gloves
gown
mask
cap
shoe covers
sterile skin preparation
sterile barriers/draping/field
laminar flow ventilation
ultraviolet lighting
helmet-based protective suits (ortho/spine)
SSI ANSW✅✅surgical site infection
Nosocomial infections ANSW✅✅> Post-op fever (W's)
> SSI's
- 2% of all operations
- 20% of nosocomial infections
- Average increase in LOS 3-7 days
> Hospital and Ventilator Associated Pneumonias
> UTI
- Not usually source of fever
> Empyema
- Pleural space infection
> Intra-abdominal infections
, SSI treatment ANSW✅✅Examine incisions frequently
Hospital and Ventilator Associated Pneumonias treatment ANSW✅✅> Elevate HOB 30 deg
> Daily sedation vacation and assessment for weaning
> Stress ulcer prophylaxis
> Venous thromboembolism prevention
UTI treatment ANSW✅✅Get catheters out
Empyema labs ANSW✅✅Exudate (high protein) vs transudate (low protein)
pH < 7.2
Glucose < 60 mg/dl
LDH 3X serum
No organisms identified 1/3
Empyema treatment ANSW✅✅Thoracentesis, chest tube or surgical drainage may be indicated
Intra-abdominal infections ANSW✅✅> Primary peritonitis
- No identifiable source
- Uncommon
- Chronic alcoholics (ascites)
> Secondary peritonitis
- Spillage from GI tract or contamination from indwelling peritoneal catheters
> Tertiary peritonitis
- Recurrent peritonitis 48 hours after apparent resolution
- May be a failure of host defense
when are operative interventions needed? ANSW✅✅> Generalized peritonitis
> Source of ongoing contamination
