- Joined
- Dec 24, 2002
- Messages
- 376
- Reaction score
- 1
Hi to all-
Just wanted to get opinions on what to do for a s/p laparoscopic appy patient (found to have a gangrenous appendix) with an ileus 4 days post-op, abdominal distention, C. diff positive stool, and a WBC=36. Afebrile and vital signs stable with good UOP.
We're hydrating and treating with Fortaz and Clinda, as well as PO Flagyl for the C. diff. I'm worried about a possible abscess and don't want this poor patient to deteriorate. Is it too early to order a CT (should I wait until at least 5 days post-op?)
Any advice is appreciated!
Just wanted to get opinions on what to do for a s/p laparoscopic appy patient (found to have a gangrenous appendix) with an ileus 4 days post-op, abdominal distention, C. diff positive stool, and a WBC=36. Afebrile and vital signs stable with good UOP.
We're hydrating and treating with Fortaz and Clinda, as well as PO Flagyl for the C. diff. I'm worried about a possible abscess and don't want this poor patient to deteriorate. Is it too early to order a CT (should I wait until at least 5 days post-op?)
Any advice is appreciated!