Surgical and Exam Procedures Flashcards

What is the correct way to open a sterile instrument pack for a gowned surgeon?

Answer: Open the far flap first, then sides, then nearest flap last

Opening the far flap first prevents reaching over sterile contents. Sides are opened next, and the nearest flap last.

During a canine spay, what vital sign change should be immediately reported?

Answer: Sudden drop in blood pressure below 60 mmHg systolic with pale gums

Systolic BP below 60 mmHg with pale membranes indicates severe hypotension that can lead to organ failure and requires immediate intervention.

What is the primary purpose of pulse oximetry during anesthesia?

Answer: To monitor oxygen saturation of hemoglobin and pulse rate

Pulse oximetry measures the percentage of hemoglobin saturated with oxygen (SpO2) and displays pulse rate using light absorption technology.

What is the correct pattern for applying surgical scrub to a surgical site?

Answer: Start at the incision site and scrub outward in expanding circles, never returning to center

Starting at the incision site and spiraling outward pushes bacteria away from the surgical site rather than toward it.

Which suture material is most commonly used for skin closure requiring removal in 10-14 days?

Answer: Nylon (non-absorbable monofilament)

Nylon monofilament is non-absorbable with low tissue reactivity, good tensile strength, and is easily removed.

What should you do when a patient shows hypothermia below 97 degrees F during surgery?

Answer: Apply active warming measures and inform the veterinarian

Hypothermia requires active warming including forced-air blankets, warm fluids, and communication with the veterinarian about temperature trends.