You are currently browsing the category archive for the ‘Snarky ER Nurse’ category.

You stopped by this site on Saturday or Sunday using those words as your search term.

I hope you had some fun while you were here but I doubt you found the answer to your query.

Disclaimer: The following information is given for its anecdotal value only and is not meant to be perceived as offering medical advice or practicing my profession. In other words, I’m warning you to take this at your own risk and, if you get fucked up as a result and think about suing my fucking ass, you can kiss my rosy ass.

Anyway, “tooth abscess keflex,” I have learned in my experience as an ER nurse that the large majority of physicians I’ve worked with like to prescribe Keflex for skin wounds. Apparently, it covers a lot of the bacteria that regularly colonize the skin.

For dental problems, they usually prescribe a penicillin, usually Pen-Vee K. If Pen-Vee K doesn’t do the trick, they usually move to Clindamycin. I’ve seen my oral surgeon do just that when I had a mandibular cellulitis last summer. Unfortunately, Clindamycin is a very potent antibiotic which can nearly sterilize the gut, so developing Clostridium difficile following a course of Clinda is a distinct possibility if your bowel contains c. diff.

If you are a woman, any of the ‘cillin’s can interfere with hormonal contraceptives. If you use the pill, patch, Depo, etc, you’ll need to use barrier contraceptives (condom or diaphragm) for the duration of the therapy. I would continue until my next cycle, or at least for three extra days, just to be safe.

For prevention of c. diff. and the vaginal yeast infections many women suffer during or following a course of antibiotics, eat a yogurt every day (with active cultures) or get some acidophilus pearls/pills from a health-food store and use as directed. The refrigerated kind of acidophilus works best. I’d continue with the yogurt or acidophilus for 2 or 3 days after the antibiotics, a minimum of 7 days following a course of a long-acting abtibiotic like Rocephin or Zithromax.

The only cure for dental issues is to see a dentist / dental clinic and have the work done. Go see a dentist!

If you show up to my ER once, I will tell you that personally.

If you present yourself to me on two or more occasions with the same complaint, I will yell at you.

I promise.

Before that she bitched about: