- •Methodical development for practical employment №4 Module №1 Semantic module №1.
- •I. Actuality of theme
- •III. Providing of initial level of knowledge-abilities
- •Tests for verification of initial level of knowledge
- •IV. Table of contents of teaching Structural-logical chart of theme
- •V. Reference basis of action
- •Vі. System of teaching tasks for verification of eventual level of knowledge.
- •For verification of eventual level of knowledge can be the use the tests ііі level of complication.
- •Vіі. The method of conducting of employment is that organizational structure of employment
- •Technological card of employment
- •Methodical pointing to work of students on practical employment
- •Module 1
- •Semantic module 1
- •Practical employment №4
- •Distributing of the marks appropriated to the students:
- •Methodical development for practical employment №4
- •Tests of the ііі level of complication
Vі. System of teaching tasks for verification of eventual level of knowledge.
Situation tasks
A patient with the burn of right forearm of the ІІ degree appealed in a policlinic, area of burn 1%. To the patient the conducted rest room of burn surface by solution of Furacillin 1:5000. What mean antiseptic needs to be applied for local medical treatment of the this victim?
Answer: it is possible to apply yodobac, yodopiron.
At a patient the development of anaerobic infection is diagnosed in a wound. The state of him quickly gets worse. What types of antiseptic need to be applied for medical treatment of this patient?
Answer: at the given patient the facilities of all types of antiseptic are to be applied.
It is exposed at the review of patient, that a bandage on a wound got wet the pus of blue-green color with a characteristic “sweetish smell”. What antiseptic must be applied for the fight against this infection?
Answer: boric acid, antibiotics, that have activity of relatively dark blue-festering stick.
After treatment of the operating field by a 5% alcoholic solution of iodine, in a few hours after the operation, at a patient there was hyperemia and edema of those areas of skin, that was treated, rashes on other areas of body appeared, cold, indisposition. What these symptoms testify about? What error was assumed by a surgeon?
Answer: for treatment of the operating field it not impossible to apply alcoholic solution of iodine. At a patient the chemical burn of the treated area and allergic reaction developed on the applied preparation for treatment of operating I weed.
Bandaging material, that was applied at a patient with an anaerobic surgical infection, a junior nurse threw out in a capacity with a 1% solution of Chloramin, after a working day she delivered maintenance of capacity on rubbish. How did a junior nurse act right? If no, that she was to do with the higher noted bandaging material?
Answer: bandaging material is collected in specially selected bics, add autoclave steam sterilizer.
After bandaging of patient with an anaerobic surgical infection the used instrument was submerged in a 0,2% solution of Disactin on a 1 hour with the purpose of disinfection. After it to him before sterilization preparation was conducted. How right did act with the higher noted instrument? If no, that and as was to be it is executed?
Answer: dip the used tool in a 6% solution hydrogen peroxide with 0,5% SMZ on a 1 hour, then before sterilization preparation and sterilization is conducted.
In the fastening bandaging to the patient operative interference concerning a purulent-necrotic process in the area of the left thigh was executed. By surgeons at the given patient the suspected presence of anaerobic surgical infection. By What appearance is to prepare a personnel bandaging for subsequent work?
Answer: in bandaging the general cleaning up not provided for by the plan is to be executed.
A surgeon executed primary surgical treatment of wound in the area of right brush at a patient., 33 years, which was injured during the joineries 2 o'clock of poton. A surgeon deleted a strange body from a wound, blood clots, carved nonviable fabrics. What purpose did he do it with? What type of antiseptic he applied at viconi the noted actions?
Answer: a surgeon executed the given actions with the purpose of creation in the wound of unfavorable terms for development of infection, he applied mechanical antisepticou in this case?
Sick S, 44 years, after treatment of burn surface, was appointed to enter 1 ml antitetanus serum to anatoxin internal-muscular and 3000 FROM a antitetanus serum whey after a method Bezredco. What method of antiseptic was applied in this case? What principle consists in of action of antitetanus serum to anatoxin and antitetanus serum whey?
Answer: the biological type of antiseptic was applied in this case, anatoxin causes making of antibodies by the organism of man, a whey contains prepared immunoglobulin.
The victim with the accidental wound of right shin executed treatment of the last, during which were the applied carving of dead fabrics, deleting of maintenance of wound, treatment of wound by solutions hydrogen peroxide and deca of dignity, on a well-educated ranovou surface an aseptic bandage with ointment “Oflocain” was imposed. What type of modern antiseptic was applied in this case?
Answer: the combined method of antiseptic was applied in this case.
On one of stages of medical treatment of infection wound ointment “Iroucsol”, which contains in the composition of clostridilpeptidazou, was applied. What method of antiseptic was applied in this case?
Answer: the biological type of antiseptic was applied in this case, because clostridilpeptidaza is the proteolitic enzyme of microbus origin.
The junior nurse of the festering bandaging collected bandaging material, that was taken off from patients during a working day and placed him in a waterproof sack, strung a sack and took away him on rubbish. How did a junior nurse act right?
Answer: bandaging material after the use is subject disinfection one of methods and only after it can be taken away on rubbish.