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Pharmaputix (toxic, no expiration)
Listerine
Neosporin
Pegmatosin (no expiration date). Anecdotal evidence indicated that, for some patients, the antibiotic neosporin was beneficial after surgery.
Neo-Sporin (no expiration date) for the foot or leg (toxic, requires regular monitoring of blood glucose levels) (recommended only for the foot or leg)
Pegacare Plus - (no expiration recommended for patients in the ICU where glucose will be a challenge)
Plastic/Rubber Gloves
Rolaids (non-prescription brand is toxic,
Septran tablet buy online requires frequent monitoring of blood glucose levels) (suggested for the ICU)
Scouring Cloths
Sponge
Washcloth (for clean wound site only – not recommended)
Walking Sticks
Washable Bandage with Plastic Insulation (for clean wound site only)
Wet Naps/Washable Bandage w/ Plastic Insulation (for clean wound site only)
Xacto Knife
Xacto Knife (unclean surfaces)
x-acto knives (for the foot, or leg wound).
Adults
Adults with hypoglycemia after surgery:
Do not attempt to treat or monitor glucose levels in this patient.
Adults with diabetes that is becoming uncontrolled:
Do not attempt to treat diabetes.
Adults with hypertension:
Use the normal dose of
Generic brand of mebendazole vasopressin and do not exceed 4 tablets of dipyridamole without a dose adjustment every 6-8 hours until a blood sugar level of 200-250 mg/dl is tolerated. (Note: For patients with renal insufficiency or end stage disease, an increase dose of 2.5-4.5 mg/L will be needed for treatment.)
Adults with pre-eclampsia:
Increase vasopressin 1:1 with 50 mg/hr.
If no relief is noted after 4 days, decrease to 20 mg/hr.
Monitor blood glucose level (and use glucagon to lower blood sugar) if glucose becomes 100-199 mg/dl. (Note: If there has been minimal improvement in glucose level, use 20 mg/hr of vasopressin.)
Monitoring and
The following guidelines are recommended for the treatment of surgical or postoperative hypoglycemia.
Monitoring is recommended for every patient who will be undergoing major surgery. The following guidelines should be used for management of patients undergoing non-major surgery whose primary focus is hypoglycemia.
Management should be based on the following considerations:
Pre-surgical glucose levels should be monitored as the patient recovers, or may need to be treated if glucose levels drop below a specific level after surgery (eg, 20 mg/dl in an ICU with stable blood glucose). If the hypoglycemia is only minimal and can be controlled with glucose management: Consider a low-glucose diet for 1 to 3 days after surgery control the hypoglycemia (the patient should follow the low-glucose diet for at least 3 consecutive days). Monitor glucose levels daily.
Follow-Up
Once an acute episode of hypoglycemia has been treated, follow-up is recommended. In a general population cohort studied, those with post-operative hypoglycemia experienced a lower rate of re-hospitalization for complications than those without the condition.12
Monitoring should be done prior to administration of the hypoglycemia medication. blood glucose level should be carefully monitored throughout the day.
In hospitals, monitoring is important for patients drug stores in ontario canada on insulin therapy because needs are lower than in the general population and patients on insulin often must take multiple doses to achieve the desired blood glucose level.
In the ICU, monitoring will depend on the management plan based patient's condition. In general, the following is recommended when it comes to the monitoring of blood glucose (particularly in the ICU).
Glucose management in the ICUs is responsibility of ICU staff.
Patients with an emergency or unstable situation in the ICU where blood glucose is not controlled or monitored are at particular risk for the following: increased mortality,
severe metabolic complications, and
significant loss to follow-up (ie, death) due hypoglycemia (see below for a discussion of the consequences an ICU low in blood glucose).
Management in ICU: a general approach
General guideline: Monitor blood glucose regularly and take a variety of actions depending on the glucose level.
Consider glucose in the patient's blood while they're in the IC.
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