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Periop 101 Final Exam Study Guide with Complete Solutions Major components of medical video imaging include: - ️️ Correct-Fiber optic light cable, Camera Control Unit (CCU) Special considerations when using a endoscopic light source are: - ️️ Correct-Place in "standby" mode, do not tur...

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

Periop 101 Final Exam Study Guide with
Complete Solutions


Major components of medical video imaging include: - ✔️✔️Correct-Fiber optic light

cable, Camera Control Unit (CCU)


Special considerations when using a endoscopic light source are: - ✔️✔️Correct-Place in

"standby" mode, do not turn on until light cable is connected to the telescope, set

according to manufacturer's parameters

Special considerations when using insufflation (establishing a pneumoperitoneum) -

✔️✔️Correct-Always have a backup tank available, position at the level of the patients

heart or higher to prevent gases from contaminating the device, make sure alarm is on

and audible, maintain pressure under 12 mm/Hg

Advantage of endoscopic surgery versus open surgery - ✔️✔️Correct-Smaller incisions

Special considerations when using laparoscopic instruments - ✔️✔️Correct-Scrub should

inspect more closely because of unapparent defects that may not be apparent with

casual observation, focus on insulation because of risk for thermal burns if not intact

Special considerations for patient undergoing MIS/Endoscopic Surgery - ✔️✔️Correct-

Previous incisions (Hasson minilap) that may require additional sterile supplies, hx of




1/48

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
DVT, consent for possibility of open procedure, voiding to empty bladder and prevent

puncture during trocar placement/unnecessary catheterization

Correct fluid management procedures in MIS - ✔️✔️Correct-Monitor overload of

IV/irrigation fluids dispensed and returned during procedure (prevent hypervolemia/fluid

overload)

Mechanical Methods of Hemostasis - ✔️✔️Correct-Manual pressure (sponges),

hemostatic clamps, sutures, staples, clips, ligatures, and/or pledgets

What is a ligature? - ✔️✔️Correct-Also known as a tie, strand tied around a blood vessel

to occlude bleeding; large vessels may require transfixion suture (crosscriss stitch)

What is a pledget? - ✔️✔️Correct-Non-absorbable suture support used when possibility

of sutures tearing through tissue

Where is a pledget most commonly used? - ✔️✔️Correct-Vascular closure, septal repair,

heart repair and hepatic repair

What is bone wax? - ✔️✔️Correct-A mixture of beeswax, isopropyl, and a softening agent

Where is bone wax used? - ✔️✔️Correct-Ortho, neuro, and the sternum during heart

procedures

Chemical Methods of Hemostasis - ✔️✔️Correct-Pharmocological methods (meds such

as epi, vit K, protamine, lysine, tranexamic acid)

Topical methods (thrombins, collagen gelatins, phenol sealants)




2/48

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Thermal Methods of Hemostasis - ✔️✔️Correct-ECU via coagulation, bipolar sealing

devices, lasers, ultrasonic energy, Argon gas

Types of Surgical Sponges - ✔️✔️Correct-Laps, tonsils, neuro-patties, dissector sponges,

raytecs (4x4)

Counting of Sponges - ✔️✔️Correct-Before, during and after surgical procedures

Separate as you count

Two people, one of whom is RN should count

Participation in Sponge Counts - ✔️✔️Correct-All personnel in case are responsible for

counts including remaining aware of location of sponges

RN responsibilities in Sponge Counts - ✔️✔️Correct-Initiate count (any team member can

initiate count??), perform count, document count activities, reporting count deficiency

Drainage is achieved by ________ or ___________ means - ✔️✔️Correct-passive

(gravity) or active (suction)

Types of Drains - ✔️✔️Correct-Penrose, nasogastric, T-tube, suction drains, chest tubes

What are Suction Drains and their purpose? - ✔️✔️Correct-Remove blood, pus, necrotic

material from wounds via suctions (Jackson-Pratt for abdominal/breast, Hemovac for

ortho)

What is a Neutral Zone? - ✔️✔️Correct-Designated area on surgical field where scrub

and surgeon place all sharp instruments

What is a Crile? - ✔️✔️Correct-A hemostat used to control bleeders in SQ tissue


3/48

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
What is a Mosquito? - ✔️✔️Correct-A hemostat used to control superficial bleeders in

delicate surgery (hand/plastic)

What is a Kelly? - ✔️✔️Correct-A hemostat used to control bleeders in muscle tissues

What are the Surgical Powered Cutting Instruments? - ✔️✔️Correct-Bone reamers,

variable speed saws, tissue shavers

Care and handling of powered cutting instruments? - ✔️✔️Correct-Always hand to

surgeon with safety on, always use with drill guard in place, always have irrigation ready

because of heat generation

What are the Critical Concepts to the Periop Environment - ✔️✔️Correct-Geographic

isolation

Bacteriologic isolation through specific practices (attire, delivery/disposal systems)

Centralize equipment and supplies

What is Individualized Care? - ✔️✔️Correct-Reflects art of nursing, meets individual

needs of pt, provide comfort measures

What is Standardized Care? - ✔️✔️Correct-Derived from body of scientific knowledge

developed through research and clinical practice such as counting sponges

What is the Restricted Zone? - ✔️✔️Correct-Located in the semi-restricted area and only

accessible via semi-restricted area; includes actual OR

How should air be cleaned in OR rooms? - ✔️✔️Correct-Via HEPA filter, under POSITIVE

pressure and by 20 air exchanges per hour (minimum of 4 exchanges from outdoor air)


4/48

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