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6 Cards in this Set

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  • Back
What is the maximum dose of lidocaine?
7mg with adrenaline
5mg without adrenaline
What is the major factor for delayed wound healing and increased rates of infection?
Hyperglycaemia.
Delays capillary response to injury, reduces cellular function, causes defects in collagen synthesis, increases rates of infection.
How does nicotine inhibit healing
Decreases RBCs, fibroblasts and macrophages.
Increases platelete adhesiveness.
Most important cell in the inflammatory phase of wound healing?
Platelets: promote haemostasis and produce important growth factors that attract neutrophils and monocytes
Components of wound exudate?
Caused by failure of wound closure techniques.
Happens 7-10d post op
Heralded by serosanguinous discharge
Up to 30% mortality
Mgt: resuture under GA after analgesia, sterile dressing, fluid resuss.
Head trauma patient has GCS 13-15, LOC <30min and post traumatic amnesia < 1 day
Can they be discharged?
They have mild grade of injury.
If there a reliable individual to monitor them (wake every 2 hours to check neurlogical status) they can be discharged.