Surgical Technology, Concepts, Unit 4, Laparoscopy

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Concepts of surgical procedures Unit 4, Laparoscopy
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Quiz por hey ohh, atualizado more than 1 year ago
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Criado por hey ohh quase 5 anos atrás
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Resumo de Recurso

Questão 1

Questão
What basic instrument would you not put on your mayo for a laparoscopic procedure?
Responda
  • Suture scciors
  • kelly
  • tissue forceps with teeth
  • deaver

Questão 2

Questão
When making an incision into the fascia the edges of the fascia are grasped with what instrument?
Responda
  • debakey
  • mayo clamp
  • carmalt
  • kochers

Questão 3

Questão
What order would you stock your cords in a basin, from top to bottom, when preparing for a laparoscopic case?
Responda
  • suction irrigator, insuflation tubing , light cord, camera, cautery cord,
  • camera, insuflation tubing, light cord, cautery cord, suction irrigator tubing
  • cautery cord, insuflation tubing, light cord, camera, suction irrigator tubing
  • insuflation tubing, light cord, camera, cautery cord, suction irrigator tubing

Questão 4

Questão
If your camera has a cap on the end that you hand off to the circulator, what is special about that end and important to remember when preparing for the case?
Responda
  • the whole end of the cord is sterile
  • inside the cap is sterile
  • the whole end of the cord is unsterile
  • inside the cap is unsterile

Questão 5

Questão
Spiked end of suction irrigator tubing is connected to what type of solution?
Responda
  • aseptic solution
  • glycine
  • injectable saline
  • water

Questão 6

Questão
The buttons on the suction irrigator do what during the procedure?
Responda
  • blue-irrigation
  • red-irrigation
  • blue-suction
  • white-suction

Questão 7

Questão
Check three contraindications for laparoscopic procedure?
Responda
  • unsterile instruments
  • bacteria
  • gross fecal contamination
  • uncontrollable bleeding
  • abdominal adhesions

Questão 8

Questão
check three instruments that would be placed on the mayo stand during set up for a laparoscopic procedure?
Responda
  • 2 mayo clamps
  • suture scissors
  • utility scissors
  • cautery pencil
  • 2 kellys

Questão 9

Questão
check three advantages for performing a case laparoscopically?
Responda
  • least invasive
  • less chance of SSI
  • less chance of bacterial infection
  • less anesthesia time
  • faster recovery

Questão 10

Questão
What is important to remember with the lightbox for patient safety?
Responda
  • make sure to turn on right away before procedure starts
  • wait till the circulating nurse has entered the OR before turning on
  • wait till the sterile field has been made
  • Do not turn on till surgeon is ready as well as the surgical technologist

Questão 11

Questão
what type of gas is instilled into the patients peritoneal cavity for pneumoperitoneum?
Responda
  • fresh air
  • carbon dixide
  • co2
  • oxygen

Questão 12

Questão
check off two pieces of information that are enetered into the printer before the laparoscopic case starts?
Responda
  • procedure
  • type of hospital
  • street address for hospital
  • patient name

Questão 13

Questão
when using a disposable scope warmer, how is the warmer activated?
Responda
  • let circulator prep the scope warmer
  • put scope warmer in the heating box
  • plug in the warmer to the outlet
  • pop the silver disk

Questão 14

Questão
When should the disposable warmer be activated and approximately how long will it stay warm?
Responda
  • should be activated when patient enters OR, stays warm for one hour which is enough time before the instrument will be inserted into the patient preventing fogging
  • should be activated when patient enters OR, stays warm for 20 minutes which is enough time before the instrument will be inserted into the patient preventing fogging
  • should be activated when patient enters OR, stays warm for hour and half which is enough time before the instrument will be inserted into the patient preventing fogging
  • should be activated when patient enters OR, stays warm for half hour which is enough time before the instrument will be inserted into the patient preventing fogging

Questão 15

Questão
What needs to be done with the camera after the scope and light cord are attached to make sure the picture quality is best for the surgeon?
Responda
  • camera needs to be checked for defects
  • camera needs to be reset
  • camera needs to be cleaned
  • camera white balance needs to be performed

Questão 16

Questão
check the steps that need to be done when performing a white balance on a camera?
Responda
  • connect scope with the white balance machine
  • aim scope at white raytec
  • wait for monitor to initialize with scope
  • wait till monitor says white balance is ok
  • hit white balance button

Questão 17

Questão
what is important to remember once the light source is turned on?
Responda
  • light cables should always be placed on the patients drape
  • light cables should always be placed on sterile skin
  • light cables should be held in place with suture
  • light cable should never be placed on a patient skin or drape

Questão 18

Questão
what does the light cord have inside and what do we need to be careful of when handling the light cord?
Responda
  • glass fibers, make sure to always bend and wind it so it wont break
  • glass fibers, make sure to always clamp light cord with a mayo clamp for security
  • glass fibers, make sure to always bend at the ends to prevent fraying
  • glass fibers, do not bend or wind it to far which would break it

Questão 19

Questão
When preparing the OR for the laparoscopic case, what is important to remember when positioning video monitors? List two procedures and where the monitors would be placed for those procedures.
Responda
  • It depends on the anatomy of the procedure; laparoscopic appendectomy will be placed at head and laparoscopic cholecystectomy will be placed at the feet.
  • It depends on the anatomy of the procedure; laparoscopic appendectomy will be placed at feet and laparoscopic cholecystectomy will be placed at the head.

Questão 20

Questão
check three steps used in the process of establishing pneumoperitoneum and placing a trocar for a laparoscopic procedure?
Responda
  • an incision will be made with a #10 blade
  • verres needle inserted
  • dissect through layers with kelly camp
  • an incision will be made with a #15 or #11 blade
  • needle holders will be used to suture trocar to skin for security

Questão 21

Questão
Laparoscopy was adopted by many to perform which procedures?
Responda
  • extractions
  • abdominal wall repair
  • major resection
  • minor resections
  • repair of intra-abdominal orgrans

Questão 22

Questão
which equipment is needed for laparoscopy?
Responda
  • camera box
  • cautery
  • suctioning
  • rover suction
  • light box
  • insuflator

Questão 23

Questão
A monitoring device for CO2 is called a [blank_start]insufflator[blank_end]?
Responda
  • insufflator

Questão 24

Questão
A suction machine with filter used in laparoscopic procedures that is self cleaning after procedures is known as a [blank_start]neptune[blank_end]?
Responda
  • neptune

Questão 25

Questão
Which common Instruments used in laparoscopic procedures?
Responda
  • endo scissors
  • endo retractors
  • trocars
  • endo
  • endo stapler
  • endo monitors

Questão 26

Questão
In Laparoscopic small bowel resection where is the monitor placed?
Responda
  • head
  • feet
  • side of patient

Questão 27

Questão
What disposable device comes in 5mm, 11mm, and 12mm?
Responda
  • tubing
  • trocars
  • table linens

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