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
DVT, consent for possibility of open procedure, voiding to empty bladder and prevent
puncture during trocar placement/unnecessary catheterization
1/39
,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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)
Thermal Methods of Hemostasis - ✔️✔️Correct-ECU via coagulation, bipolar sealing
devices, lasers, ultrasonic energy, Argon gas
2/39
,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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
What is a Mosquito? - ✔️✔️Correct-A hemostat used to control superficial bleeders in
delicate surgery (hand/plastic)
3/39
, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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)
What is the Semi-Restricted Zone? - ✔️✔️Correct-Equipment and sterile supply storage,
SPD
4/39
