Differences

This shows you the differences between two versions of the page.

--- resident:common_consults [2020/03/26 15:59] – serafin
+++ resident:common_consults [2025/08/09 16:22] (current) – [Distal radius fracture] victoria
@@ Line 15: / Line 15: @@
   * If going to surgery, need to make NPO, IVF, pre-op abx.
+No nicotine patch
 Example:\\
@@ Line 24: / Line 26: @@
 [ ] Mark and consent\\
 [X] CTA runoff: L AT open to hardware, DP open. L PT open. L peroneal occluded in zone of injury.\\
-[ ] Lovenox ppx: Change to SQH TID 500U after Ortho OR\\
+[ ] Lovenox ppx: Change to SQH TID 5000U after Ortho OR\\
 [ ] F/u CBC- pending this AM (need pre-op trx?)\\
 [ ] T&C 2u RBC for OR 2/5.\\
@@ Line 30: / Line 32: @@
 - OR cx 1/29: NGTD.\\
 - Abx: none.\\
+==== Hand Pus ====
+Dr. Gordon is particularly  particular about these. You "wick" the wound, not pack it. He likes a 1/4 inch penrose drain, but he understands more practically, that a sliver of a glove is the easier option. Suture it to itself so it can't possibly fall out. ALWAYS get a culture if you would like to stay in this program. If the patient is compliant and able to care for themselves, he wants the patient to soak the hand once an hour for 10-20 minutes. If you are deciding between the OR, it's best to have inflammatory markers (WBC, ESR, CRP) and trend them.
 ==== Chest Wall Recon after sternal dehisence of sternectomy ====
@@ Line 75: / Line 82: @@
 Gather plaster roll (normally will fold into two sets 13-15 sheets each for a dorsal-volar splint, webril, a basin for warm water, bias wrap and an ACE to splint the patient after the reduction
+Call XR 88657
+Place order XR fluoro diagnostic set up less than one hour