Posted: December 13th, 2022
Antimicrobial Medications Essay Discussion Paper
To prepare for the procedure, patients should wash or bathe (entire body) with detergent (antimicrobial or nonantimicrobial) or an antiseptic substance at least one night prior to the surgery. It is recommended that antimicrobial prophylaxis be applied only when demonstrated by published clinical practice guidelines and applied at the time of the incision so that a bactericidal composition of the antimicrobial agents has been set up in the tissues and serum at the moment of the incision. Antimicrobial prophylaxis should be given before skin incisions in cesarean section operations to prevent the spread of bacteria. Unless otherwise specified, skin prepping in the operating room should be done utilizing an alcohol-based agent. It is recommended that further prophylactic antimicrobial agent doses not be given following the surgical incision is sealed in the operating room for both clean and clean-contaminated operations, regardless of whether or not a drain is present Antimicrobial Medications Essay Discussion Paper.
Topical antimicrobial medications should not be administered to the surgical incision site since they may cause infection. Patients should be kept warm and comfortable throughout surgery, and glycemic management should be established with blood glucose targets of fewer than 200 mg/dL in order to preserve normothermia. Patients with a normal pulmonary function who have general anesthesia with endotracheal intubation should have an increased percentage of supplied oxygen given throughout surgery and immediately after extubation in the early postoperative period. Transfusion of blood components should not be denied to surgical clients to prevent surgical site infection (SSI)Antimicrobial Medications Essay Discussion Paper.
It is recommended to use antibiotic prophylaxis in situations or wounds that are at high risk of infection, like penetrating wounds, contaminated wounds, compound fractures, lacerations greater than 5 cm, abdominal trauma, and increased risk anatomical sites such as the foot or hand, and wounds with devitalized tissue. Surgical treatment may or may not be required in the case of the injuries listed in these circumstances.
Lacerations are injuries that occur when the skin and underneath tissues are cut or ripped in a pattern. Lacerations are something that healthcare professionals deal with on a daily basis. According to the National Centre for Health Statistics, laceration treatment accounted for almost 12 per cent of all ER visits in 2005 or 14.8 million visits. The severity and location of the injury determine whether or not a laceration should be treated in an outpatient environment. The clinical appearance of lacerations may vary depending on location, depth, breadth, and length. Because of this extremely varied appearance, the healthcare staff must have a good knowledge of the essential history and physical exam items each laceration needs. Deep wounds over a joint, mainly if the incision opens when the joint is moved or if pulling the margins of the wound apart exposes fat, muscle, bone, or joint components, deep wounds on the hands or fingers, w wounds on the face, lips, or any region where you are concerned about scarring (for aesthetic reasons) should not be sutured. If the injury continues bleeding even after you apply physical pressure for 6 to 12 minutes like it bleeds enough to soak through a bandage, spurts blood should as well not be sutured. Is it becoming infected? Red streaks around the wound hills or fever of 100 F or higher, red streaks around the wound, skin becomes redder or more painful, sore is warm, oozing pus or feeling like you’re going to vomit Antimicrobial Medications Essay Discussion Paper
References
Akiki, R. K., & Mehrzad, R. (2020). Practical management of common skin injuries, lacerations, wounds, trigger fingers, and burns. The Journal of the American Board of Family Medicine, 33(5), 799-808.
Heal, C., Lepper, P., & Banks, J. (2017). Topical antibiotics to prevent surgical site infection after minor surgery in primary care. Dermatology practical & conceptual, 7(3), 16 Antimicrobial Medications Essay Discussion Paper
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