Minor Surgery - NPLEX II Updated 2024/2025 Verified 100%
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Course
Minor Surgery - NPLEX II
Institution
Minor Surgery - NPLEX II
Horizontal Mattress Stitch
(1) indications
(2) advantages
(3) disadvantages - (1) high tension wound (can approximate long distances), holds fragile skin
together well
(2) optimizes eversion, increased closure strength, good tension distribution
(3) not good for areas at risk for scarring (eg...
Minor Surgery - NPLEX II
Horizontal Mattress Stitch
(1) indications
(2) advantages
(3) disadvantages - (1) high tension wound (can approximate long distances), holds fragile skin
together well
(2) optimizes eversion, increased closure strength, good tension distribution
(3) not good for areas at risk for scarring (eg face)
Components of the Sterile Field (5) - (1) DRAPES (placed over all operative sites/supply sites)
(2) GLOVES (well-fitting, sterile)
(3) SYRINGES/NEEDLES/SUTURES
(4) instruments
(5) WOUND/SKIN PREP
list the contents of a basic minor surgery pack - - needle holder
- iris scissors (for tissue)
- suture scissors (for non-tissue)
- forceps (adsons w/teeth, adsons w'o teeth)
- hemostat
- scalpel
Differentiate
(1) sterilizaiton
(2) disinfection
(3) disinfectant
, (4) antiseptic - (1) destruction of all living organisms
(2) reduction of pathogenic microorganism population
(3) used on inanimate objects to kill pathogenic microorganisms
(4) applied to the body to disinfect
Methods of Disinfecting/Sterilization
(1) for emergency disinfection only
(2) liquid disinfectant of choice
(3) can you boil in water?
(4) can you use hot air ovens?
(5) autoclave - (1) alcohol 70%/chlorhexadine 5%
(2) 2% Glutaraldehyde (soak 10 minutes for disinfection, 10 hours for sterilization)
(3) yes, 5m for disinfection, 30m for sterilization
(4) for metal instruments; 320' F x 1h
(5) *most efficient and reliable method (steam 121' C under pressure at 15psi x 15m
Sutures
(1) naming sizes
(2) which non-absorbable cause tissue rxn
(3) pros/cons of multifilament sutures - (1) larger number = smaller size; 3/0, 3-0, and 000 are all
the same size
(2) silk (severe), polyester (moderate)
(3) stronger, more flexible, but > chance for infx
Sutures: indicate type, tensile strength time (and indications)
(1) plain catgut
(2) chromic catgut
(3) polyglactic/polyglycolic/polydioxanone
(4) silk
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