CNOR 2024 Zander Notes Questions And Answers With Latest Solutions
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CNOR 2024 Zander Notes
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CNOR 2024 Zander Notes
What is the dose and preparation of Dantrolene? - ** 2.5mg/kg ** 2-3mg/kg
- Mix with PF STERILE WATER ONLY
- Pull 60ml PF Sterile water out, add to Dantrolene vial
- Pull back out of vial and administer
Decontamination processes - -Disassemble everything
-Brush lumens/channels using a brush ba...
Most important step to prevent infection: - Cleaning and Pre-treating with a non-drying enzymatic
solution in order to avoid biofilm, which encapsulates spores.
Two Types of Steam Sterilization - -Pre-Vac Autoclave/Dynamic Air Removal
-Gravity Displacement
PreVac settings - 270-276
3 min (NON porous instruments/regular instruments)
4 min (POROUS or LUMEN instruments, heavy plastic, rubber, wooden handles, poole suction)
PreVac/Dynamic Air Removal setting for porous (heavy plastic, rubber, wood handels) or lumen
instruments (poole suction/channels) - 270-276 for 4 min
PreVac/Dynamic Air Removal setting for Non Porous instruments - 270-276 for 3 min
How does PreVac/Dynamic Air Removal autoclave work? - -Sucks air out of chamber with a
VACCUM then steam is released and snaps down onto inst/trays.
-DRAINS MUST BE CLEAN
-Most common. Most effective.
Gravity Displacement Autoclave settings - 270-276
3 min: NonPorous/reg instruments
, 10 min: Porous/Lumens
Gravity Displacement autoclave settings for porous/lumens - 270-276 10 min
Gravity Displacement autoclave settings for NonPorous/reg inst - 270-276 3 min
How does Gravity Displacement autoclave work? - Steam pushes air down to a thermometer in
the drain, the air exits the chamber, drain closes, cycle starts.
-Not great for trays or packages.
-Rarely used.
Both PreVac/Dynamic Air Removal and Gravity time and temperature requirements are for the
instrument and autoclave only.
For certain containers/systems such as One Tray system or containers with lids: - I will follow the
manufacturers instructions!
3 ways to avoid condensation with steam sterilization items: - - Allow airflow between trays and
pkgs and all the way around.
-Remove loads immediately (don't crack the door to cool).
-Don't place items on cooling racks or solid surfaces (can place on lined surfaces).
How many classes of Chemical Integrators? - 6
What kind of chemical integrators react to heat? - Class 1 Chemical Indicator
-Reacts to HEAT only. Verifies exposure only.
-Tape-Locks-Filter dots
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