Difference between revisions of "Incision and drainage"

(See Also)
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#May use US or needle aspiration
 
#May use US or needle aspiration
 
#Check: Blood Glucose, IV drug use (XR r/o needle), consider HIV counseling/testing
 
#Check: Blood Glucose, IV drug use (XR r/o needle), consider HIV counseling/testing
 +
 +
==Differential Diagnosis==
 +
{{Template:SSTI DDX}}
  
 
==Treatment==
 
==Treatment==
#Antibiotics
+
#[[Antibiotics]]
##Give if there is a large cellulitic component or fever
+
##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]]
  
 
===Incision & Drainage===
 
===Incision & Drainage===
 
#Be sure to document if packing was placed in the wound
 
#Be sure to document if packing was placed in the wound
#Anesthesia should be lidocaine or Marcaine without epinephrine
+
#Anesthesia should be [[lidocaine]] or Marcaine without epinephrine
 
#Most patients need some pain medicine prior to procedure
 
#Most patients need some pain medicine prior to procedure
  

Revision as of 04:20, 28 April 2014

Background

Diagnosis

  1. May use US or needle aspiration
  2. Check: Blood Glucose, IV drug use (XR r/o needle), consider HIV counseling/testing

Differential Diagnosis

Skin and Soft Tissue Infection

Look-A-Likes

Treatment

  1. Antibiotics
    1. Give if there is a large cellulitic component or fever
    2. Need to cover staph and strep
  2. Update Tetanus

Incision & Drainage

  1. Be sure to document if packing was placed in the wound
  2. Anesthesia should be lidocaine or Marcaine without epinephrine
  3. 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

See Also

Source