Surgical Supplies By Pharmacist PDF

SURGICAL SUPPLIES BY PHARMACIST LECTURE BY DR.SAIQUA LASHARI LECTURER DEPARTMENT OF PHARMACY  The special service that is assigned to pharmacist on the basis of his interest and persona in which he supplies surgical instruments , sutures , surgical dressings and other equipm...

SURGICAL SUPPLIES BY PHARMACIST LECTURE BY DR.SAIQUA LASHARI LECTURER DEPARTMENT OF PHARMACY  The special service that is assigned to pharmacist on the basis of his interest and persona in which he supplies surgical instruments , sutures , surgical dressings and other equipment's used by the surgeon prior to , during and after a surgical operation. The pharmacist must have the ability to chose the specific type of instrument in order to ensure the safety and welfare of the patient undergoing surgery. The following items are being frequently supplied by the pharmacists. Surgical dressings. Operation room supplies. Suture’s and ligatures  Surgical dressings : Material used for dressing of wounds or injured or diseased tissue to provide safety and healing environment. It may have the following properties: Moist environment Prevention of maceration of exudative wound Protection of wound from dehydration, echanical or chemicaldamage, microbial invasion, and pH. alteration Healing facilitation Support Overall cost reduction  TYPES OF SURGICAL DRESSINGS Dependent on the basis of degree of exudation, presence or likelihood of infection and presence of necrotic tissue and anatomical sites. Functionally they are classified as 01.Primary wound dressings 02.Secondary wound dressing 03.Adhesive tapes  01).Primary wound dressings: Type of dressings which are directly in contact with the wound and may provide absorptive capacity, prevent desiccation, infection and adhesion of the secondary dressing to the wound. These includes: Plain gauze Impregnated gauze Film dressings 1.PLAIN GAUZE It is used as primary dressing to reduce the exudative , infected, and necrotic wounds. Problem: It sticks to the wound so its removal gets painful. 2.Impregnated gauze: It is impregnated , so reduction of adherence to the wounds is there. 3.Film dressings: Transparent , occlusive , or semi occlusive and are made up of polyurethane with acrylic or polyether adhesives Used for exuding wounds Disadvantage: It may wrinkle , forming channels for microbial entrance.  02.Secondary wound dressing: Dressings that are intended to be placed over primary dressing, providing further protection, absorptive capacity and compression or occlusion. It has following types: 1. Absorbents: its subtypes are o Nonabsorbent unbleached cotton. o Nonabsorbent bleached cotton. o Absorbent cotton o Rayon o Surgical gauze o Filmated gauze o Nonwoven surgical sponges o Medicated sugical gauze o Selvage-edge gauze strips o Gauze pads or sponges o X ray detectable gauze pads o Sanitary napkins Salvage o Disposable under pads gauze o Disposable cleaners o Eye pads o Nursing pads X-ray detactable gauze pads 2. Bandages: sub types are Gauze roller bandage Muslin bandage rolls Elastic bandages Woven elastic bandage Crepe bandage: High bulk bandage Triangular bandages Orthopedic bandages 3.Adhesive tapes: Acrylate adhesives Rubber based adhesives Combined primary-secondary wound dressings a. Hydrogels b. Hydrocolloid dressings c. Calcium alginate dressings Protective: Products for adhesion prevention  HYDROCOLLOID DRESSINGS A hydrocolloid dressing is an opaque or transparent dressing for wounds. A hydrocolloid dressing is biodegradeable, breathable, and adheres to the skin, so no separate taping is needed. The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxymethyl cellulose together with other polymers and adhesives forming a flexible wafer. In contact with wound exudate, the polysaccharides and other polymers absorb water and swell, forming a gel. The gel may be designed to drain, or to remain within the structure of the adhesive matrix. The moist conditions produced under the dressing are intended to promote fibrinolysis, angiogenesis and wound healing, without causing softening and breaking down of tissue. The gel which is formed as a result of the absorption of wound exudate is held in place within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing  Calcium Alginate Dressing is made of natural fibers derived from seaweed. It is designed to be highly absorbent. Alginates absorb wound exudate and form a gel-like covering over the wound, helping to maintain a moist wound healing environment, promote the healing process, and minimize bleeding. The gel-like surface helps keep the dressing from adhering to the wound. Operating room supplies: Δ Haemostatic products Δ Thrombin solutions(control of bleeding) Δ Disposable sterile packs Δ PPE e.g;Face masks Sutures ligature and their materials:  Absorbable sutures: types are ◙ surgical gut: Plain surgical gut: Treated surgical gut:  Synthetic absorbable sutures. o Fascia lata  Natural Non absorbable sutures: o Silk o Dermal silk sutures  Synthetic non absorbable suture o Nylon o Polyester fiber o Polyolefin fibers  Metallic sutures o Silver o Stainless steel Surgical needles o Eyed needles o Eyeless needles