Hamate Fracture Medication
- Author: Amy Powell, MD; Chief Editor: Sherwin SW Ho, MD more...
Pain control following surgery is the most common medication concern. Usually, 5-7 days of a low-strength narcotic analgesic, followed by over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs), is sufficient to control pain in most patients. Sufficient amounts of pain medication should be used in the early phases of physical therapy to allow maximum movement with minimal discomfort. Pain control encourages the patient to continue in the program and speeds recovery of the wrist.
Antibiotic coverage has proven to have little value in the full spectrum of hand injuries; however, its use in open fractures is of definite value.[26, 27] Although only a short course, 1-5 days of cephalosporin therapy must be administered. The speed of administration is of primary concern. Continued therapy more than 48 hours after definitive wound closure has been achieved is not necessary. No antibiotic therapy can compensate for a lack of adequate debridement.
Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties, which are beneficial for patients who have sustained trauma.
Related Medscape resources:
Resource CenterPain Management: Advanced Approaches to Chronic Pain Management
Resource CenterPain Management: Pharmacologic Approaches
Indicated for moderate to severe pain.
Nonsteroidal anti-inflammatory drugs
Although most NSAIDs are used primarily for their anti-inflammatory effects, they are effective analgesics and are useful for mild to moderate pain.
Related Medscape Reference topic:
Nonsteroidal Anti-inflammatory Agent Toxicity
DOC for mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.
Antibiotic therapy must be comprehensive and cover all likely pathogens in the context of this clinical setting.
Related Medscape resource:
Resource CenterSepsis: Pathophysiology and Treatment
Cefazolin sodium (Ancef, Kefzol, Zolicef)
First-generation cephalosporin. Bactericidal, binds to bacterial membranes, and inhibits cell wall synthesis. Has a half-life of 1.4-1.8 h, which is increased in the presence of renal dysfunction. Excreted primarily unchanged in urine.
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