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Module 14: Outpatient management of Minor Burns
Terms in this set (6)
How would you treat a first degree burn?
First-degree burns (erythema only) are best treated with application of nonadherent dressings (eg, petrolatum-impregnated gauze). Have patient elevate affected extremities to minimize development of edema. All patients should receive tetanus prophylaxis. Prophylactic systemic antibiotics are not indicated. Control pain with oral opiate analgesics or a combination of NSAIDs and opiates.
Clean deeper burns by gently irrigating them with sterile normal saline solution. Studies have shown faster healing of burn wounds by leaving blisters intact, so minimal debridement should be performed. Open blisters can be unroofed with removal of nonadherent epidermal fragments.
Wounds may be covered with a topical antibiotic such as silver sulfadiazine cream or triple antibiotic ointment and wrapped in a bulky dressing. Instruct the patient to keep the wound clean and to change dressings and apply topical antibiotic cream twice a day at home. Control pain with oral opiate analgesics or a combination of NSAIDs and opiates.
What vaccination is it important to consider in the burn patient?
All patients should receive tetanus prophylaxis.
In outpatient management of burns are oral prophylactic antibiotics indicated?
Prophylactic systemic antibiotics are not indicated.
What patients would you prefer to be treated in the inpatient setting?
Patients who develop infections (fever, extensive cellulitis , lymphadenitis), poor-risk patients (diabetics), and unreliable patients must be hospitalized for administration of parenteral antibiotics and continued wound care.
How often should the outpatient being treated for burns be seen?
Patients should be seen on an outpatient basis in 1-2 days. Ruptured blisters or dead tissue may be debrided at that time. Promptly treat any minor infection with oral antistaphylococcal drugs.
THIS SET IS OFTEN IN FOLDERS WITH...
Module 14: Further Evaluation of the Burn Patient
Module 14--Current Emergency-Blow Out Fracture:
Module 14--Current Emergency--Corneal Abrasion:
Module 14--Current Emergency--Smoke Inhalation:
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