:uhoh21: I never knew that Silvadene was a sulfa drug!!! I can't believe it...I got burned this a.m. and the nurse said "if you open this stuff in the same room w/ a pt who is allergic to sulfa they'll..." and then she acted like she was dying. I used that stuff on burn pts in the ER for FOUR years, and even though the MD ordered it and, hopefully, checked allergies, I still didn't know. I feel awful. I never saw any of my pts go into anaphylaxis after I applied it, and I never had any reports of pts coming back and c/o allergic reaction to the Silvadene, but I feel like a class A idiot. I thought it was just for the pain of the burn, and to cool the skin until the burn healed. I didn't even know it was an antibiotic cream! Jeez, I'm an IDIOT. Should I worry that I put this stuff on some sulfa sensitive pt or should I let it go? Another RN I worked w/ said she didn't know this either. Has anyone else experienced something similar? Please help me!:uhoh21:
May 21, '07
by Roy Fokker
As far as possible - always try and look up unfamiliar drugs!
I agree with the others - live and let learn!
PS: Allergy indexes are somewhat screwy sometimes. I know I've given Toradol to patients claiming allergy to NSAIDs and Vicodin to patients claiming allergy to Codeine.
They've done fine and have continued to do fine.
Sometimes we don't know the "kind" of allergy the patient has (for example, my "Codeine allergy" patient eventually stated that she gets constipated if she takes it.
Some of my Morphine "allergy" patients will fess up that they "threw up" the last time they had some)
Last edit by Roy Fokker on May 21, '07