Burn question: Just want to

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Specializes in ICU.

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??

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Specializes in ICU.

Title was supposed to say just wanted to check myself

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Specializes in Adult and Pediatric Vascular Access, Paramedic.

Sorry, but per the terms of service we cannot give medical advice. Good luck

HPRN

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Specializes in ICU.

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.

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Specializes in Trauma, Teaching.

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

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I would check with another provider...however silvadine isn't always used.....As per the Terms of Service we cannot give medical advice

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