• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/15

Click to flip

15 Cards in this Set

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