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Tetanus

  • Tx

    • Tetanus Ig 3000-6000 units IM single dose (before wound debridement, opposite arm to toxoid)
    • Tetanus toxoid (DTap or Td depending on age) 0.5 mL IM now, in 6 weeks, and 6 months
    • Sedative: midazolam 0.05-0.15 mg/kg/h IV continuous drip to effect
    • NM blockade: vecuronium 0.1 mg/kg IV bolus, followed by 1 ug/kg/min
    • Wound debridement

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