Wound Care Flashcards
should you suture a puncture wound??
NO
what to worry about with puncture wounds on the feet?
pseudomonas in shoe sole, give a flq
what do you always need to do with a bite?
give anbx
gold standard to r/o osteomyelitis
MRI
stage 1 pressure ulcer 2 3 4 unstageable
redness epidermis/dermis fat bone then gangrenous
how long to leave sutures in?
7-10 days
wound dehiscence is most likely to occur during fibroplasia
MC anesthetic used?
lidocaine-onset 2-5 mins lasting 1-2hours
where should you not used lido with epi?
fingers, toes, genitals, ears, nose
after how many hours should you no longer suture?
12 hours
when should you use staples?
on the scalp
when to use dermabond?
face or tiny lacerations
when would you use delayed primary closure?
More than 12 hours, large and gaping, f/u w/plastics
when should you remove facial sutures
5 days
if you see a soft tissue FB, make sure to get this
x-ray after removal to check everything is gone
common pathogens associated with dog/cat bites and
pasteurella multocida
dog bite tx
augmentin
ceftin
doxy
cat bite tx
augmentin
clinda+cipro
human bite tx
mild-augmentin
moderate-ampicillin/sulbactam
PCN allergy-clinda + cipro
what vaccine should you consider with wounds?
tetanus
what definitely requires antibiotics
Bites Intraoral lacerations Open fractures Wounds that exposed joints or tendons Wounds in areas of lymphedema
