Difference between revisions of "Incision and drainage"

(Incision & Drainage)
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==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

Revision as of 04:10, 20 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