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15 Cards in this Set
- Front
- Back
What is an abscess?
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localized infection of tissue marked by a collection of pus surrounded by inflamed tissue
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Where are most abscesses found?
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extremities, buttocks, breast, perianal area, or from a hair follicle (but may be found anywhere on the body).
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When do abscesses begin? Or how do they begin?
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When the normal skin barrier is breached, & microorganisms invade the underlying tissues
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What are some of the most common causative organisms?
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Staph, strep, enteric bacteria (perianal abscesses), or a combination of anaerobic & gram-negative organisms
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How do abscesses typically resolve?
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drainage
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What are some contraindications to I&D?
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-extremely large abscesses which require extensive incision, debridement, or irrigation
-deep abscesses in sensitive areas -palmar space abscesses or those in deep plantar spaces -those in nasolabial folds |
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What are some steps to procedure education?
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-obtain informed consent
-inform pt of complications & tx -explain steps of the procedure, including possible pain -explain f/u, including packing change or removal |
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What materials are needed to perform an I&D?
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-I&D kit
-skin prep solution -lidocaine WITH epi -#11 blade -draping -gauze & tape -hemostat, scissors, packing -culture swab |
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When getting a culture swab of the abscess, where do you want to take your swab from?
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INSIDE the abscess cavity
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What are some possible complications to an I&D?
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-insufficient anesthesia
-no drainage -drainage is sebaceous material |
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Why might there be insufficient anesthesia?
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B/c the tissue surrounding an abscess is acidotic, & local anesthetic loses effectiveness in acidotic tissues
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How might you prevent insufficient anesthesia when performing an I&D?
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-do a field block
-use sufficient quantity of anesthetic -allow time for anesthetic effect |
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What might it mean if the drainage of the abscess was sebaceous material?
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The abscess was an inflamed sebaceous cyst.
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How would you treat it?
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Same as though it were an abscess
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Where is a pilonidal cyst located?
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near the buttocks, at the level of the coccyx
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