Small Animal Surgical Nursing

by Tracy

• ISBN13: 9781556645037
• ISBN10: 1556645031
• Edition: 3rd
• Format: Paperback
• Copyright: 2000-02-14
• Publisher: Mosby

Summary

SMALL ANIMAL SURGICAL NURSING, 3rd edition, is a straightforward presentation of practical information that the veterinary technician must know in order to assist during surgeries of cats and dogs. Specifically, the book covers the principles and practice of asepsis; the most efficient layout and working of the surgical area; the principles of surgery, particularly those related to wound healing; and the surgical procedures that are most commonly employed by the veterinary technician during small animal surgery and surgical emergencies.

Table of Contents

Principles of Asepsis	1	(71)
Historical Development of Aseptic Technique	4	(3)
The Microbial World	7	(12)
Protozoa	13	(1)
Fungi	14	(1)
Bacteria	14	(1)
Rickettsiae	14	(1)
Chlamydiae	14	(2)
Mycoplasmas	16	(1)
Viruses	16	(3)
Disease	19	(14)
Causes of Diseases	19	(4)
Sources of Pathogens	23	(1)
Means of Transmission	24	(1)
Invasion of the Host	24	(1)
Portal of Entry	24	(1)
Virulence of the Pathogen	24	(1)
Infection	25	(1)
Host Resistance	26	(1)
Species Resistance	26	(2)
Individual Resistance	28	(1)
The Anatomic Barrier	28	(1)
Phagocytosis and the Inflammatory Response	28	(3)
Humoral and Cell-Mediated Immunity	31	(1)
Prevention of Infection	32	(1)
Control of Microbes	33	(39)
Factors Influencing Methods of Control	34	(1)
Nature and Number of Microorganisms	34	(1)
Nature, Mode of Action, and Concentration of Agent	34	(1)
Environment	34	(1)
Physical Methods of Control	35	(1)
Dry Heat	35	(4)
Moist Heat	39	(8)
Ultrasonic Vibration	47	(3)
Radiation	50	(2)
Filtration	52	(1)
Chemical Methods of Control	53	(1)
The Ideal Chemical Agent	53	(1)
Terminology	54	(2)
Agents in Solution Form	56	(7)
Chemical Sterilization Using Gases	63	(9)
Practical Applications of Aseptic Technique	72	(92)
Routine Maintenance of Surgical Area and Equipment	72	(10)
Cleaning Equipment and Supplies	73	(1)
Operating Room	74	(1)
Before Surgical Session	74	(1)
Between Surgical Cases	74	(1)
After Surgical Session	75	(1)
After Sterilization Procedures Are Completed: Restocking the Operating Room	75	(1)
Preparation Room	75	(1)
Area Used for the Preparation of Scrubbed Personnel	76	(1)
Patient Preparation Area	76	(1)
Pack Room	77	(1)
Recovery Room	77	(1)
Daily Cleaning Procedure	78	(1)
Patient Care: Concurrent and Terminal Disinfection	78	(1)
Treatment Room	79	(1)
Between Procedures	80	(1)
Daily Cleaning	80	(1)
Weekly Cleaning	80	(1)
Surgical Room	81	(1)
Other Rooms of the Surgical Area	81	(1)
Special Care of Equipment	81	(1)
Preparation of Sterile Packs	82	(23)
Procedure Manual	84	(1)
Supplies Needed in Pack Preparation	85	(1)
Sterile Pack Wrapping Materials	85	(1)
Textile Wraps	86	(1)
Paper Wraps	87	(1)
Pack Preparation	88	(1)
Instrument Packs	89	(7)
Soft Goods Packs	96	(1)
Sterile Rubber and Plastic Supplies	97	(1)
Fluids	98	(1)
Use of the Steam Autoclave	98	(2)
Storage of Sterilized Items	100	(4)
Emergency Sterilization	104	(1)
Preparation of Surgical Patient	105	(12)
Positioning the Patient	111	(2)
Positions for Surgery	113	(1)
Draping the Patient	114	(3)
Preparation of Operating Room Personnel	117	(20)
All Personnel	117	(1)
Visitors	117	(1)
General Handwashing Procedure	117	(1)
Sequence of Events During the Preparation of Sterile Personnel	118	(1)
Headgear	118	(2)
The Surgical Scrub	120	(6)
Drying Hands After the Surgical Scrub	126	(3)
Gowning	129	(2)
Gloving	131	(5)
Aseptic Procedure for Personnel Between Surgical Cases	136	(1)
Maintenance of Asepsis	137	(13)
Rules of Asepsis	137	(1)
The Sterile Zone	138	(1)
Scrubbed Personnel and Nonscrubbed Personnel	138	(1)
Scrubbed Personnel	139	(1)
Nonscrubbed Personnel	139	(1)
Contamination	139	(1)
AIDS and Surgical Nursing	140	(1)
Sterile Personnel and Nonsterile Items	141	(1)
Nonsterile Personnel and Sterile Items	141	(1)
Opening Sterile Packs	141	(6)
Aseptic Transfer	147	(2)
Pouring Sterile Solutions	149	(1)
The Surgical Team: Related Duties	150	(14)
Preparation of Sterile Packs and Supplies	150	(1)
Induction and Monitoring of Anesthesia	150	(1)
Surgical Preparation of the Patient	151	(1)
Preparation and Conduct of Sterile Personnel	152	(1)
Immediate Postsurgical Care	152	(12)
The Surgical Area: Design, Equipment, and Instrumentation	164	(95)
Physical Design of Surgical Area and Basic Equipment	164	(18)
Preparation Room	164	(1)
Basic Equipment	165	(2)
Pack Room	167	(1)
Basic Equipment	167	(1)
Patient Recovery Room	167	(2)
Basic Equipment	169	(2)
Treatment Room	171	(1)
Basic Equipment	171	(2)
Veterinary Ultrasonography	173	(4)
Operating Room	177	(1)
Fire Hazards in the Operating Room	178	(1)
Basic Equipment	179	(3)
Surgical Instruments	182	(77)
Instrument Manufacture	183	(2)
Cutting Instruments	185	(1)
Scalpel Blades and Handles	185	(1)
Electrosurgery Unit	185	(1)
Surgical Scissors	186	(6)
Forceps	192	(1)
Thumb Forceps	192	(2)
Hemostatic and Tissue Forceps	194	(1)
Retractors	195	(9)
Needle Holders	204	(4)
Orthopedic Instruments	208	(13)
Dental Instruments	221	(5)
Miscellaneous Surgical Instruments	226	(1)
Surgical Instrument Sets	226	(3)
Basic Abdominal Set	229	(1)
Cardiovascular Thoracotomy Set	230	(1)
Basic Orthopedic Set	231	(1)
Care and Handling of Surgical Instruments	231	(2)
Suture Material and Needles	233	(1)
Suture Material	233	(5)
Suture Needles	238	(2)
Care and Handling of Suture Materials and Needles	240	(1)
Intraoperative Handling of Surgical Instruments and Supplies	240	(1)
Preparing and Arranging the Instrument Tray	240	(2)
Passing Instruments	242	(1)
Applying and/or Holding Instruments	243	(1)
Cutting Sutures	243	(1)
Sponging Off or Suctioning the Surgical Site	244	(15)
Small Animal Surgery	259	(64)
General Surgical Principles and Practices	260	(4)
Wound Healing	260	(1)
First Intention Wound Healing	260	(1)
Second Intention Wound Healing	261	(1)
Sutures and Staples	262	(1)
Suture Removal	262	(1)
Electrocautery	262	(2)
General Surgical Packs	264	(1)
General Rules for the Technician in Surgery	264	(3)
Surgical Procedures	267	(56)
Reproductive Tract Surgery	267	(1)
Ovariohysterectomy (Spay, Neutering, OVH, OHE)	267	(8)
Pyometra (Pyometritis)	275	(2)
Caesarean Section (C-Section, Section, Hysterotomy)	277	(3)
Canine Castration (Orchiectomy, Altering, Neutering)	280	(3)
Feline Castration	283	(2)
Other Reproductive Tract Operations	285	(1)
Gastrointestinal Tract Surgery	285	(1)
Pharyngostomy Tube Placement	286	(1)
Intestinal Resection and Anastomosis	287	(4)
Other Gatrointestinal Tract Operations	291	(1)
Cutaneous and Subcutaneous System Surgery	291	(1)
Abscess	291	(2)
Lacerations	293	(2)
Declaw (Feline) (Onychectomy)	295	(2)
Orthopedics	297	(10)
Auditory System Surgery	307	(1)
Lateral Ear Wall Resection (Zepp Modified LaCroix Operation)	307	(3)
Other Auditory System Operations	310	(1)
Ophthalmic Surgery	310	(1)
Nictitating Membrane Flap Placement (Temporary Tarsorrhaphy)	310	(1)
Other Ophthalmic System Operations	311	(12)
Surgical Emergencies	323	(1)
Shock	324	(1)
Clinical Signs of Shock	324	(1)
Pathophysiology of Shock	324	(2)
Target Organs	326	(1)
Management of the Trauma Victim	326	(5)
Cardiopulmonary Emergencies	331	(1)
Respiratory and Cardiac Arrest	331	(2)
Cardiopulmonary Resuscitation (CPR)	333	(5)
Trauma	338	(2)
Airway Obstruction	340	(1)
Therapy	341	(1)
Anesthetic Emergencies	342	(10)
Neurologic Emergencies	352	(1)
Trauma	352	(1)
Spinal Cord Injury	352	(1)
Patient Evaluation	352	(1)
Therapy	353	(1)
Ophthalmic Emergencies	354	(1)
Trauma	354	(1)
Proptosis of the Globe	354	(1)
Conjunctival and Eyelid Injuries	355	(1)
Corneal Injuries	355	(1)
Perforating Wounds	356	(1)
Lens Luxation	356	(1)
Protocol for Technician in Treating Ophthalmic Emergencies	356	(1)
Gastrointestinal Emergencies	357	(1)
Oral and Esophageal Trauma	357	(1)
Blunt Abdominal Trauma	358	(1)
Acute Abdomen	359	(1)
Differential Diagnosis of Acute Abdomen Syndrome	360	(1)
Intestinal Surgical Emergencies	360	(1)
Postoperative Care	361	(1)
Gastric Dilation/Volmulus	362	(1)
Therapy	362	(2)
Postoperative Care	364	(1)
Home Advice: the Treatment of GDV	364	(1)
Home Advice: the Prevention of GDV	364	(1)
Urinary Emergencies	364	(1)
Blunt Trauma	364	(1)
Urethral Obstruction	365	(1)
Reproductive Emergencies	366	(1)
Male Genital Emergencies	366	(4)
Female Genital Emergencies	370	(1)
Signs of Impending Dystocia	371