Diferencia entre revisiones de «Incision and drainage»
Sin resumen de edición |
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| Línea 7: | Línea 7: | ||
==Treatment== | ==Treatment== | ||
#Antibiotics | #Antibiotics | ||
## | ##Give if there is a large cellulitic component or fever | ||
##Need to cover staph and strep. | ##Need to cover staph and strep. | ||
#Update Tetanus | #Update Tetanus | ||
Revisión del 04:10 20 sep 2011
Background
Diagnosis
- May use US or needle aspiration
- Check: Blood Glucose, IV drug use (XR r/o needle), consider HIV counseling/testing
Treatment
- Antibiotics
- Give if there is a large cellulitic component or fever
- Need to cover staph and strep.
- Update Tetanus
Incision & Drainage
- Be sure to document if packing was placed in the wound
- Anesthesia should be lidocaine or Marcaine without epinephrine
- Most patients need some pain medicine prior to procedure
- Beware of toxic dose of lidocaine!
- Lido lasts 30-90 min, bupivicaine (.25%) max= 2mg/kg lasts 6-8 hr. Do NOT inject bupivicaine intravascularly b/c= refractory cardiac arrest!!!
Follow-up
Wound check in 1-2 days and wound care sheet