SURGERY QUIZ 1 - SURGICAL INFECTIONS QUESTIONS AND ACCURATE ANSWERS

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