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VTI: Microbes (Surgical Nursing 1)
Introduction to types of Radiation, Sterilization of Instruments etc...
53
Veterinary Medicine
Undergraduate 3
03/02/2011

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
The primary goal of the surgeon is:
Definition
The correction of disease
Term
The primary goal of the technician is:
Definition
The patient's life
Term

One celled organisms creating parasitic disease

Ex: Toxoplasmosis, Coccidiosis

Definition
Protozoa
Term
Plants that must exist as parasites due to their inability to synthesis their own food and normally cause skin disease
Definition

Fungi

 

Ex: Fungal pneumonia's, fungal infection of internal organs(liver,kidneys, etc...)

Term
A Major concern when cleaning & sterilizing, you should always educate clients on its importance of prevention:
Definition
Bacteria
Term
The prevention of hospital-acquired infections is the desired result of:
Definition

Aseptic Technique

 

 

 

Note: This involves Pre & Post- surgical asepsis

Term
Usually occurs over a boney providence and can have added problems if urine scolding occurs, the best treatment is prevention
Definition
Decubital Ulcer "Bed Sores"
Term
Elimination or control of the source of disease can be accomplished if efforts are made by:
Definition
  • Quarantine
  • Isolation
  • Euthanasia
Term
How can you increase the ability of the host to resist disease?
Definition
  • Adequate diet
  • Therapeutic agents
    • Antibiotics
    • Vaccines
  • General Hygiene

 

 

 

Term
Preventing transmission of microbes by:
Definition
  • Washing Hands
  • Adequate ventilation
  • Physical and chemical control
Term
Name three types of physical classification:
Definition
  • Filtration
  • Radiation
  • Heat
    • Dry
    • Moist
Term
The use of a filter to separate particulate matter from liquids or gases:
Definition

Filtration

 

Note: Commonly used on pharmaceuticals

Term

These are primarly used during production & packaging of certain surgical products:

 

Ex: Gloves & Some suture material

Definition

Radiation

 

 

Remember: There are differnt types of radiation

Term
This type of radiation has a drying effect that causes mutations of the nucleic acid in microorganisms and is commonly used on surfaces and can disinfect air.
Definition

Ultraviolet

 

 

 

Term
Type of radiation that is rapid and continuous
Definition

Gamma

(γ)

Term
This radiation is commonly used to prepackage suture material, gloves, and rubber tubing
Definition

Beta

(β)

Term
The most common method of sterilization
Definition
Heat
Term
Accomplished by either boiling or steam under pressure and kills microbes by coagulating critical cellular proteins
Definition
Moist (heat)
Term
More difficult to control unlike its counterpart, longer sterilization period and kills microbes by protein oxidation
Definition
Dry (Heat)
Term
Only sanitizes at 60°C(140°F) or higher and sanitizing can be increased with scrubbing and detergent use, this doesn't sterilize
Definition

Hot Water

 

Ex: Automatic dishwashers, Clothes washers

Term
Rarely used because spores and viruses resist destruction at this temperature for extended periods of time, the maximum temperature is reached at 100°C(212°F)
Definition

Boiling

 

Remember: When boiling for 10 minutes it will only destroy vegetative bacteria

Term
Has the same problem as boiling but is used at a large scale (steel cages) and the temperature must be at 212°F for 30 to 45 minutes to be effective
Definition
Free Flowing Steam
Term
When used properly it kills all forms of microbial life including spores and cysts and incorporates steam under pressure
Definition
Autoclave
Term
Generally an autoclave is run for 30 minutes ideally at what temperature and psi does it run at?
Definition
250°F-270°F at 15psi
Term
Why is tap water contraindicated when using an autoclave?
Definition
Tap water has minerals that will deposit and clog over time which is why, it is ideal for distilled water to be used.
Term
When can the autoclave door be opened?
Definition
The autoclave door can be opend when there is 0 psi and the temperature has dropped to 212°F
Term
What is the common protocol for flash sterilization use?
Definition
3-4 minutes unwrapped at 270°F-272°F at 15 psi
Term
As moisture evaporates from soiled materials this occurs
Definition

Particles from the soiled material disperse by small air currents

 

Remember: Although drying inhibits growth of MO's-it may also increase dispersal of particles containing viable microbes if not cleaned ASAP

Term
Gives complete destruction of materials that are non-reuseable and have no value
Definition
Incineration
Term
Refering to incineration the material must be completely reduced to ash and if any partially burned lumps remain this can occur:
Definition
Microorganisms may still be present and the partially charred piece may actually protect the microorganism
Term
Used at a temperature of 150°C-170°C(340°F) for 3 hours this is economical and does not corroid metals or dull sharp edges however it does take longer and is not recommended for paper, cloth, plastic, or rubber. What am I?
Definition
Hot Air Ovens
Term
Gluteraldehyde and Chlorhexidine (Diluted Nolvasan Solution) are the most common agents of what chemical classification category?
Definition
Liquids
Term
Gases are used on items that cannot tolerate high temperatures or steam. Name two of the most common gas agents.
Definition
  • Ethlene Oxide
  • Hydrogen Peroxide Gas Plasma (Safer than EO but cannot penetrate walls of an instruement)
Term
Primarily used in an industry, institution and military this gas inactivates DNA preventing cell reproduction and very poisonous, explosive and flammable.
Definition

Ethylene Oxide (EO Gas)

 

Remember: Item must air out for a minimum of 7 days

Term
Required with every pack these indicate whether or not the autoclave are working properly there are many types
Definition
Sterilization Indicators
Term
This item changes color when exposed to heat and does not indicate sterility but indicates whether or not an item has been processed
Definition
Autoclave Tape
Term
Vials or paper strips impregnated with lead that is inoculated onto a growth medium to determine sterility. This process takes two days. What am I?
Definition

Biological Indicators

 (Bacillus Stearothermophilus)

Term
Water pulling through sterile material contaminating it with bacteria is called:
Definition
Strike Through
Term
A practice of soaking objects in disinfectant solutions mainly used for dirty or minor procedures cleaning the instruments well within a minimum 15 minutes soaking or 3 hours to be considered sterile.
Definition

Cold Sterilization

 

Remember: Solution should be changed in a minimum of every 2 weeks or more often if it gets dirty and date labeled with name or intitals.

Term
The use of disinfectants are used for animal cages, counters and floors which are examples of inanimate or animate objects?
Definition
Inanimate
Term
The use of antiseptics are used on wounds, surgical sites, and the surgeon's hands these are examples of inanimate or animate ?
Definition
Animate
Term
What type of chemical disinfectant are used on inanmate objects?
Definition
  • Phenols
  • Quaternary Ammonium Compounds
  • Aldehydes
  • Alcohols
Term
What type of antiseptics are used on animate objects?
Definition
  • Halogens
  • Biguanides
  • Hydrogen Peroxide
  • Soaps and Detergents
Term
Commonly used if an allegry to Chlorhexidine or Iodine is present, this conatins carbonic acid-Hexacholorophene.
Definition

Phenols

Example: PhisoHex Hand Scrub

Term
Never to be mixed with bleach because it will form a toxic cloud which can cause a fatal acute asthmatic attack resulting in death.
Definition

Quaternary Ammonium

Example: Roccal, Benzalkonium, Chloride

 

Remember:Very effective against bacteria not spores or viruses

Term
These are toxic and irritating and it is important to wear gloves when handling.
Definition

Aldehydes

Ex: Formaldehyde & Gluteraldehyde

Term
This evaporates rapidly and leaves no residue and should also not be used in open wounds because it is cytotoxic/painful.
Definition

Alcohol

Example: 50% or 70% Isopropyl/Ethyl and 99% Isopropyl (Not use don patients but suture material)

 

Remember: Bactericidial and ineffective against spores and fungus.

Term

A common surface disinfectant which is among one of the very first agents used, that can be cytotoxic at improper dilutions.

 

Hint: Dilution at 1:30 kills viruses including parvo

Definition

Example of Halogens: Chloride Compounds

 

Note: An example of Chloride Compounds is Sodium Hypochlorite (Bleach)

Term
Used only on intact skin and is not common in vet practices. An aqueous solution must be greatly diluted to use on living tissue.
Definition

Iodines

 

Example: Tincture(2% Iodine/50% Ethyl Alcohol

Term
Iodine combined with carrier molecule more commonly used in vet practices and is available as a scrub solution.
Definition

Idophors

Example: Providine-Iodine Srub/Solution

Term
Examples of Biguanides are:
Definition
Chlorhexidine (Nolvasan) and Nolvasan-S which is used only on inanimate objects unlike Chlorhexidine
Term

True or False

There are ideal chemical disinfectants

Definition
False
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