Chapter 11: Surgical Technology for the Surgical Technologist SURG
100 American Career College-Anaheim | UPDATED Questions with
100% Verified Answers
Question:
hemostasis
Answer:
stopping the loss of blood (hemorrhage); may be accomplished by clot formation or
vessel spasm, or surgically by mechanical pressure, ligation, or the application of
hemostatic agents; may also be achieved thermally
Question:
coagulation
Answer:
The body uses the process of _________________ to achieve hemostasis.
Question:
(1) platelets adhere to subendothelium of vessel walls, (2)
platelets release ADP, (3) release of ADP causes further layers
of platelets to adhere, (4) platelet aggregate forms a
thrombus, (5) permanent thrombus forms after clotting factor
reaction
Answer:
What are the phases of the clotting process?
Question:
irrigation fluid(s), blood loss
Answer:
The surgical technologist should keep close track of the amount of ______________________ used;
the amount of _______________________ used is subtracted from the total volume of fluid in the
canister to provide an accurate measurement of ______________________.
Question:
congenital hemostatic defects
, Answer:
hemophilia is the most common of these and manifest itself as a clotting deficiency
Question:
acquired hemostatic disorders
Answer:
bleeding disordrs caused by an outside source; liver disease, anticoagulant therapy with
heparin or warfarin sodium, aplastic anemia; and drug-therapy induced platelet
dysfunctions
Question:
mechanical hemostasis
Answer:
can be achieved with the use of several types of devices to control bleeding until a clot
forms; hemostatic instruments, ligatures, clips, sponges, pledgets, bone wax, pressure
devices
Question:
hemostatic instruments
Answer:
clamps are used to compress the walls of vessels and to grasp tissue; most commonly
used is the hemostat (straight or curved); vascular clamps are designed to be atraumatic
Question:
ligatures
Answer:
also called ties (referred to as stick ties when a needle is attached), are strands of suture
material used to tie off blood vessels; made of either natural or synthetic material and are
designed either to dissolve over a period of time or to remain in the body tissue
permanently; vessels are ligated using the smallest possible diameter in order to reduce
tissue reaction and the ends cut as close to the knot as possible
Question:
monofilament type, 1/8 in.
,Answer:
When the material used to tie off a bleeding vessel is of a ____________________________, the tails
of
the suture should be left approximately _______ long from the knot.
Question:
ligating clips
Answer:
used in place of suture ligatures when many small vessels need to be ligated in a short
period of time; made of nonreactive metal, such a titanium or stainless steel, or plastic
material and come in various sizes as well as absorbable or permanent varieties; applied
either from a manually leaded applicator or from any of several preloaded disposable
applicators
Question:
sponges
Answer:
used to apply pressure on bleeding areas or vessels and to absorb excess blood or body
fluids; Raytec, laparomtomy sponges, tonsil sponges, patties (cottonoids), kitners, and
peanuts
Question:
pledgets
Answer:
small squares of Teflon; used as buttresses over the suture line; using suture they are
sewn over the hole in the vessel and exert outside pressure over the small needle holes
to prevent bleeding and promote clotting; often used in peripheral vascular and
cardiovascular surgery
Question:
bone wax
Answer:
made of refined and sterilized beeswax; used on cut edges of bone as a mechanical
barrier to seal off oozing blood
, Question:
pressure devices
Answer:
tourniquets, sequential stockings; occludes the flow of blood until a clot has time to
form; may be used to prevent venous stasis and deep venous thrombosis;
Question:
biological hemostasis
Answer:
fibrin glue
Question:
fibrin glue
Answer:
consists of fibrinogen, cryoprecipitate derived from human plasma, calcium chloride,
thrombin; the thrombin immediately converts fibrinogen to fibrin to produce a clot; uses
of this include deep tissues as a liquid or spray to control bleeding and approximate
wound edges of tissues that are difficult to suture, fixation of ocular implants and middle
ear reconstructive procedures, and microsurgical anastomoses of nerves and blood
vessels
Question:
autologous fibrin glue
Answer:
plasma is collected from the patient and manufactured into a cryoprecipitate that
contains clotting factor XIII to produce fibrinogen; must be warmed to 98.6 degrees right
before use; thrombin is reconstituted to 1000 units/mL; the solutions are drawn up
separately in two syringes and applied simultaneously to the tissue
Question:
homologous fibrin glue
Answer:
100 American Career College-Anaheim | UPDATED Questions with
100% Verified Answers
Question:
hemostasis
Answer:
stopping the loss of blood (hemorrhage); may be accomplished by clot formation or
vessel spasm, or surgically by mechanical pressure, ligation, or the application of
hemostatic agents; may also be achieved thermally
Question:
coagulation
Answer:
The body uses the process of _________________ to achieve hemostasis.
Question:
(1) platelets adhere to subendothelium of vessel walls, (2)
platelets release ADP, (3) release of ADP causes further layers
of platelets to adhere, (4) platelet aggregate forms a
thrombus, (5) permanent thrombus forms after clotting factor
reaction
Answer:
What are the phases of the clotting process?
Question:
irrigation fluid(s), blood loss
Answer:
The surgical technologist should keep close track of the amount of ______________________ used;
the amount of _______________________ used is subtracted from the total volume of fluid in the
canister to provide an accurate measurement of ______________________.
Question:
congenital hemostatic defects
, Answer:
hemophilia is the most common of these and manifest itself as a clotting deficiency
Question:
acquired hemostatic disorders
Answer:
bleeding disordrs caused by an outside source; liver disease, anticoagulant therapy with
heparin or warfarin sodium, aplastic anemia; and drug-therapy induced platelet
dysfunctions
Question:
mechanical hemostasis
Answer:
can be achieved with the use of several types of devices to control bleeding until a clot
forms; hemostatic instruments, ligatures, clips, sponges, pledgets, bone wax, pressure
devices
Question:
hemostatic instruments
Answer:
clamps are used to compress the walls of vessels and to grasp tissue; most commonly
used is the hemostat (straight or curved); vascular clamps are designed to be atraumatic
Question:
ligatures
Answer:
also called ties (referred to as stick ties when a needle is attached), are strands of suture
material used to tie off blood vessels; made of either natural or synthetic material and are
designed either to dissolve over a period of time or to remain in the body tissue
permanently; vessels are ligated using the smallest possible diameter in order to reduce
tissue reaction and the ends cut as close to the knot as possible
Question:
monofilament type, 1/8 in.
,Answer:
When the material used to tie off a bleeding vessel is of a ____________________________, the tails
of
the suture should be left approximately _______ long from the knot.
Question:
ligating clips
Answer:
used in place of suture ligatures when many small vessels need to be ligated in a short
period of time; made of nonreactive metal, such a titanium or stainless steel, or plastic
material and come in various sizes as well as absorbable or permanent varieties; applied
either from a manually leaded applicator or from any of several preloaded disposable
applicators
Question:
sponges
Answer:
used to apply pressure on bleeding areas or vessels and to absorb excess blood or body
fluids; Raytec, laparomtomy sponges, tonsil sponges, patties (cottonoids), kitners, and
peanuts
Question:
pledgets
Answer:
small squares of Teflon; used as buttresses over the suture line; using suture they are
sewn over the hole in the vessel and exert outside pressure over the small needle holes
to prevent bleeding and promote clotting; often used in peripheral vascular and
cardiovascular surgery
Question:
bone wax
Answer:
made of refined and sterilized beeswax; used on cut edges of bone as a mechanical
barrier to seal off oozing blood
, Question:
pressure devices
Answer:
tourniquets, sequential stockings; occludes the flow of blood until a clot has time to
form; may be used to prevent venous stasis and deep venous thrombosis;
Question:
biological hemostasis
Answer:
fibrin glue
Question:
fibrin glue
Answer:
consists of fibrinogen, cryoprecipitate derived from human plasma, calcium chloride,
thrombin; the thrombin immediately converts fibrinogen to fibrin to produce a clot; uses
of this include deep tissues as a liquid or spray to control bleeding and approximate
wound edges of tissues that are difficult to suture, fixation of ocular implants and middle
ear reconstructive procedures, and microsurgical anastomoses of nerves and blood
vessels
Question:
autologous fibrin glue
Answer:
plasma is collected from the patient and manufactured into a cryoprecipitate that
contains clotting factor XIII to produce fibrinogen; must be warmed to 98.6 degrees right
before use; thrombin is reconstituted to 1000 units/mL; the solutions are drawn up
separately in two syringes and applied simultaneously to the tissue
Question:
homologous fibrin glue
Answer:
