Incision and drainage: Difference between revisions
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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! | |||
*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!!! | ||
==Follow-up== | ==Follow-up== | ||
Wound check in 1-2 days and wound care sheet | Wound check in 1-2 days and wound care sheet | ||
==See Also== | |||
[[Lidocaine]] | |||
==Source== | ==Source== |
Revision as of 18:53, 26 July 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