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Vancomycin

UnFiNiShEd CaSe CoMe BaCk LaTeR

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History of Present Illness:

A 42-year-old female is diagnosed with leg cellulitis in the ED.  It is determined she can go home on Keflex, but her doctor orders a dose of IV vancomycin to jump start her treatment.  Unfortunately the US placed IV infiltrates.

Vital Signs & Physical Exam after extravasation:

There is boggy swelling around the IV site but no necrosis, redness or tenderness.

QUESTIONS:

  1. What is the benefit of a dose of IV antibiotics prior to discharge home? 
  2. What should you do when and IV medication extravasates through an infiltrated IV?  
  3. Want a 1-minute consult/tutorial on this case? 
  4. Want to know what happened with this patient?

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ANSWERS:

  1. What is the benefit of a dose of IV antibiotics prior to discharge home? 
  2. What should you do when and IV medication extravasates through an infiltrated IV?  Consult your pharmacist &/or poison control
  3. Want a 1-minute consult/tutorial on this case?  See yellow area from sample page below.
  4. Want to know what happened with this patient?  See case conclusion below tutorial page.

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

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CASE CONCLUSION: We’ll just have to see

CASE LESSONS:

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