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tetanus - uterus
#1
what would you do if you see tetanus prone wound???
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#2
1..check for the wound whether it is just 1cm cut withuot devitalized tissue & the wound is less than 6hrs old give Tetanus vaccine.
But if wound is blunt, 1 cm deep & devitalized tissue present,& wound is more than 6hrs old ---TT & TIG
wound has to be cleaned first..

2..U also have to take immunization history in kids.

3..we have to give GABA agonist like Diazepam(it is a a spasmolytic drug). becoz tetanus causes spastic paralysis

4..Antibiotics---Metronidazole & penicillin.
5..First Mx is ABC..keep the airway open,
most imp-- pt has to be isolated .& he should be kept in dark room..

Taht's all I know..
anyone.wants to add more...????
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#3
I'm sorry guys....I'm not sure about keeping the pt in a dark room. Back in my country they do that..But I do not know whether they do it here or not....
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#4
yes in this case we do the same in my country, keeping the pt in a dark room
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#5
I think keeping them in the dark room is just a precaution when this patient goes into frank tetany. any stimulus would cause spasm --> airway issues
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