
Suggest Treatment For A Open Wound On Left Buttock Post A Surgery

I suggest a more concentrated firm of injection dilaudid HP
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query abd I have also reviewed the image.
Since it is a big wound and would have been infected therefore closing it immediately is not the right thing to do. Packing and daily dressing would help resolve infection, aided by antibiotics, as well as encourage formation of healthy granulation tissue from the walls of wound cavity so as to reduce the size of wound.
As far as pain is concerned she is obviously opioid tolerant. I wuld suggest dilaudid- HP injections which are a more concentrated form of hydromorphone than plain dilaudid. The dose can be titrated according to the severity of pain and her previous opioid dosing with oxymorphone. Hydromorphone and oxycodone are almost equipotent therefore she would require approximately the same daily dose Or higher of hydromorphone as she was used to with oxycodone prior to surgery to maintain adequate analgesia.
Regards


you are welcome
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