ChrisPAinED Posted February 24 Share Posted February 24 I've got a pt diabetic ED allergies to Neosporin and other tropical antibiotic ointments history of CHF and diabetes pt wants to know what we can for her doesn't want admission, called the dermatologist they're coming into see them in the emerg, let's see who gives ideas first. What would you do? Ps. Pt on diuretics and BGL been 200s stable Pss. Hospital, age, sex, etc etc removed for past privacy Quote Link to comment Share on other sites More sharing options...
ChrisPAinED Posted February 24 Author Share Posted February 24 Patient privacy maintained by removing details like age, sex, hospital, as well as no patient identifiers like name & DOB Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 25 Moderator Share Posted February 25 Duoderm dressing, refer to wound care and d/c. 1 Quote Link to comment Share on other sites More sharing options...
SedRate Posted February 25 Share Posted February 25 I can't really tell from the pic if the drainage is clear serosang or somewhat opaque; it has a bit of opacity to me... If it's clear, I'd do wound care. If there's active drainage with a purulent component, I'd also put them on a course of abx. If there's a bit of pus but not actively draining and not concerning for infection, I'd unroof the scab a bit as it can harbor bacteria and create a nidus for infection. I'd then use Xeroform on the unroofed skin. You can cut a square and send the rest home with the pt until they can get in to see someone. 1 Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.