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Burn question: Just want to

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I had a family member end up with a second degree burn on a large section of his LUE resulting in several blisters that have already ruptured. In talking to him I discovered the only treatment his doc has recommended is daily dressing changes with some type of anti microbial scrub. I was kind if astonished he was not given a script for Silvadene (sp?) but he said his doc is against any kind of ointment. Now I understand my limits as a nurse on prescribing tx, however before I tell him his doc is moron and putting him at risk for infection, aside from a sulfa allergy is there any reason for choosing a Surgical scrub and dry dressing over silver sulfa ABX ointment? He said he is reopening the wound everytime he removed the gauze because it's sticking to it. (Which I would love to recommend Xeroform however I don't want to over step). To me doc sounds way off the mark, however I wanted to check myself first. After researching Mayo and Medline, and Nihm it looks like I'm right. Can anyone else add anything? Any wound care nurses out there??
Title was supposed to say just wanted to check myself

Comment:
Sorry, but per the terms of service we cannot give medical advice. Good luckHPRN

Comment:
Sorry, I must have miss phrased that. I'm not looking for medical advise or to give medical advise. I just have never heard of not going with a Silvadene based treatment and was wondering a reasoning behind that. More of a rationale I guess.

Comment:
I'd take family member to another provider, preferably an expert on skin and/or burns.

Comment:
I would check with another provider...however silvadine isn't always used.....As per the Terms of Service we cannot give medical adviceMedical Advice: ALLNURSES.COM, INC. or it's members do not offer medical advice. Any requests for such will be removed. If you have a medical problem, please seek attention from your healthcare provider. You are not allowed to ask for medical advice related to a health situation that affects you, a family member, or someone you know.
Author: jone  3-06-2015, 18:55   Views: 629   
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