A child suffered through trauma and had to undergo splenectomy for splenic injury and blood loss. The further management includes all of the following EXCEPT
Correct Answer: Continue aspirin to prevent coagulation
Description: (B) Continue aspirin to prevent coagulation # Splenectomised patients are at increased risk of septicemia due to Streptococcus pneumoniae, Neisseria meningitidis, Haemophilus influenzae & Bahesia microti.> The risk becomes even greater in Splenectomised patients treated with cytotoxic chemotherapy or radiation, & in patients who have undergone splenectomy for thalassacmia, sickle cell disease, & autoimmune anaemia or thrombocytopenia> Vaccination to be done in elective splenectomized patients> Before the age of 5 yrs should be treated with daily dose of penicillin until the age of 10 yrs> Satisfactory prophylaxis can be obtained by penicillin , erythromycin , amoxycillin , co-amoxiclav.> Suspected infections can be treated with same antibiotics & cefotaxime, cefitriaxone, or chloramphenicol
Category:
Surgery
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