Methodical pointing to work of students on practical employment

Module 1

Semantic module 1

Practical employment №4

Theme: Antiseptic. Care of patients with festering pathology.

Theoretical questions for the extra auditory independent study and discussion to practical employment №4:

1. History of development of antiseptic as a method.

2. Methods of modern antiseptic, who is considered their founders.

3. Principles of mechanical antiseptic.

4. Facilities of physical antiseptic and mechanism of their action.

5. Classification of chemical antiseptic.

6. Biological antiseptic, what the mechanism of their action consists in.

7. Classification of antibiotics and basic principles of their application.

8. Organization of care of patients with a surgical infection. Utilization of bandaging material after the use.

9. Organization of examination and mode of stay in the separation of patient with an anaerobic infection.

Literature:

The basic literature:

3. Butyrsky A. General surgery. – Simferopol. 2004.

4. Schevchenko S.I. and others. Surgery. – Kharcov. 2004

The additional literature:

4. Kushnir R. Lectures of General surgery. – 2005.

5. Lyapis M.A. Methods of examination of a surgical patients. – 2004.

6. Methodological recommendations on surgical patients care. – Vinnitsa medical national university. 2006.

Distributing of the marks appropriated to the students:

At mastering of theme №4 with to the module №1 for educational activity to the student the estimation for 4th is proposed by a mark (traditional) scale which is after converted in marks as follows:

Estimation	Marks
“5”(fine)	6 marks
“4” (well)	4 marks
“3”(satisfactorily)	2 marks
“2” (unsatisfactorily)	0 marks

Methodical development for practical employment №4

Module №1

Semantic module №1.

Theme: Antiseptic. Care of patients with festering pathology

Tests and tasks for verification of initial level of knowledge

1.Який from the transferred methods behaves to physical antiseptic?

1. Primary surgical treatment of wound

2. Treatment of wound by an ultrasound

3. Drenouvannya of wound by a tampon

4. Washing of wound by solution of peroxide of hydrogen

5. Bandage on a wound with ointment which contains proteolitichni enzymes

2. To the ways of hit infections in a wound belong:

1. transmission

2. extensive

3. intraoperatsiyniy

4. implantatsiyniy

5. contact

3. The sources of infection are:

1. ecstraperitonealni

2. ecstracorporalni

3. exogenous

4. ecstravazatni

5. endogenous

4. The source of endogenous inficouvannya of wound can be:

1. caries

2. endoscopichne research of digestive highway

3. pislyaoperatsiyniy scar

4. unsterile perev'yazniy material

5. hirourg–bacterienosiy

5. The source of exogenous inficouvannya of wound can be:

1. hirourg-bacterienosiy

2. pislyaoperatsiyniy scar

3. chronic tonsillitis at a patient

4. carious teeth at a patient

5. surgical tool in bandaging

6. What lies in the basis of mechanical antiseptic?

1. imposition of sterile bandages

2. deleting of dead fabrics in a wound by means the scalpel

3. treatment of wound low by a power laser

4. deleting from the wound of strange bodies

5. irrigation of wound by solution of decametocsinou

7. Physical antiseptica is this application:

1. gauze drainages

2. local antibioticoterapii

3. УФО-therapies

4. ointments “Iroucsol”

5. diathermies

8. What facilities behave to biological antiseptic?

1. biseptol

2. hlorgecsidinou biglyoconat

3. tsefazolin

4. dimecsid

5. himopsin

9. What facilities behave to biological antiseptic:

1. tamponada wounds by a stuffing-box

2. tamponada wounds by a gemostatichnoyo tube

3. introduction to the wound of terrilitinou

4. intravenous introduction of poliglyocinou

5. intravenous introduction of giperimmounnoy plasma

10. To facilities of active immunization belongs:

1. anatocsin

2. gamut-globulin

3. whey

4. poliglyocin

5. vaccine

11. To facilities of passive immunization belongs:

1. anatocsin

2. immune whey

3. gamut-globulin

4. gelatinol

5. red corpuscles mass

12. To the group of oxidants belong:

1. peroxide of hydrogen

2. brilyantoviy green

3. permanganate to potassium

4. dimecsid

5. hlorgecsidinou biglyoconat

13. What preparation owns bactericidal and superficial-active action?

1. decametocsin

2. rivanol

3. hloramin

4. etoniy

5. metronidazol

14. What preparation most effective in attitude toward a neclostridialnoi anaerobic surgical infection?

1. solution of decametocsinou

2. solution of hlorgecsidinou biglyoconatou

3. nitazol

4. metronidazol

5. tsefazolin

15. What behaves to soulfanilamidnih preparations ?

1. etazol sodium

2. dimecsid

3. biseptol

4. metronidazol

5. hlorgecsidinou biglyoconat

16. What facilities for dezinfectsii use for care of patient with an anaerobic infection?

1. Treatment, wetting in pervomouri

2. Treatment, wetting in a 6% solution of peroxide of hydrogen

3. Boiling in a 2% solution of soda

4. Wetting in a 2% solution of himopsinou

5. Treatment, wetting in a 70% solution of ethyl alcohol.

17. To superficial-active chemical facilities antiseptichnih belong:

1. Peroxide of hydrogen

2. Yodobac

3. Potash-soap

4. Formalin

5. Soulfadimetocsin

18. It is possible to take to mechanical antiseptic:

1. Imposition of surgical to the stitch on the edges of wound

2. Deleting of maintenance of wound

3. Treatment of wound by solution of decametocsinou

4. Carving of edges, walls and bottom of accidental wound

5. Deleting from the wound of spores of anaerobic infection

19. It is possible to take to physical antiseptic:

1. Establishment in the pocket of wound of rubber strips

2. Sucking of maintenance of wound by means vacuum device

3. Introduction to the cavity of wound of bacteriofaga

4. Treatment of wound by solution, that contains tseftriacson

5. Deleting from the wound of gnoyno-necrotichnogo maintenance for the help to pincers

20.До chemical antiseptic it is possible to take:

1. Treatment of wound by solution of permanganate to potassium

2. Treatment of wound by solution of etamzilatou sodium

3. Treatment of wound by solution with himopsinom

4. Imposition of bandage on a wound with ointment “Iroucsol”

5. Imposition of bandage on a wound with solution of hlorgecsedinou

21. It is possible to take to biological antiseptic:

1. V/v introduction of metronidazolou

2. V/v introduction of tseftriacsonou

3. Imposition on the wound of bandage with “Gelevinom”

4. Imposition on the wound of bandage with ointment “Iroucsol”

5. Imposition on the wound of bandage from a sterile bandage

Situation tasks

1. 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 fouratsilinou 1:5000. What mean antiseptichniy needs to be applied for local medical treatment of the this victim?

2. 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?

3. It is exposed at the review of patient, that a bandage on a wound got wet the pus of sino-zelenogo color with a characteristic “sweetish smell”. What antiseptic must be applied for the fight against this infection?

4. 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?

5. 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 hloraminou, after a working day she delivered maintenance of capacity on smitnic. How did a junior nurse act right? If no, that she was to do with the higher noted bandaging material?

6. After bandaging of patient with an anaerobic surgical infection the used instrument was submerged in a 0,2% solution of dezactinou on a 1 hour with the purpose of dezinfectsii. After it to him peredsterilizatsiyna preparation was conducted. How right did act with the higher noted instrument? If no, that and as was to be it is executed?

7. In the festering bandaging to the patient operative interference concerning a gnoyno-necrotichnogo 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?

8. 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 potomou. 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?

9. Sick Sh, 44 years, after treatment of burn surface, was appointed to enter 1 ml protipravtsevogo to anatocsinou internal-muscular and 3000 FROM a protipravtsevoi whey after a method Bezredco. What method of antiseptic was applied in this case? What principle consists in of action of protipravtsevogo to anatocsinou and protipravtsevoi whey?

10. 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 of peroxide of hydrogen and deca of dignity, on a well-educated ranovou surface an aseptic bandage with ointment “Oflocain”, which has a giperosmolyarnou gidrofilnou basis, was imposed. What type of modern antiseptic was applied in this case?

11. On one of stages of medical treatment of inficovanoi wound ointment “Iroucsol”, which contains in the composition of clostridilpeptidazou, was applied. What method of antiseptic was applied in this case?

12. 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 smitnic. How did a junior nurse act right?