Difference between revisions of "Incision and drainage"

(Incision & Drainage)
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#Most patients need some pain medicine prior to procedure
 
#Most patients need some pain medicine prior to procedure
  
*Beware of toxic dose of lidocaine!
+
*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!!!
 
*Lido lasts 30-90 min, bupivicaine (.25%)  max= 2mg/kg lasts 6-8 hr. Do NOT inject bupivicaine intravascularly b/c= refractory cardiac arrest!!!
  

Revision as of 18:53, 10 September 2011

Background

Diagnosis

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

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

Lidocaine

Source