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Discussion

Silvadene-HELP

: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:

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Noooo, people who puke after taking codeine or morphine and such honestly think they're allergic to it.

but nausea, vomiting (and diarrhea, cramping, and abdominal pain)

ARE GI clinical manifestations of a systemic anaphylactic reaction.

But you will also see other symptoms of anaphylaxis.

One little old lady we admitted to hospice stated she was allergic to codiene. Then she stated she really wasn't. She always told people she was because her mom had it once and had hallucenations and she didn't want that to happen to her.

  • Author

my dad temporarily took himself off one of his medication so he could eat grapefruit! i asked, "does your doctor know?" he said, "no." i just shook my head and walked away. he said, "i just love grapefruit." i felt bad b/c he couldn't have it, but he should never have discontinued a med abruptly just to eat it. sometimes parents make you want to scream!

sometimes parents make you want to scream!

you mean it's not just mine??? :lol2:

  • Experts

mom carries list of 15 meds she's allergic to--ie had some side effects.

ds lists nuts as allergy--- 1/2 cashew nut eaten at age 8 sent him into full blown anaphylaxis. epipen and benedryl in tackle box he carries at culinary college. camper one summer showed me her "white hands" after evening sickcall, other rn commented she was stung by bee earlier in day and had wheezing mid afternoon & neb treatment then---never put picture together of anaphylaxis. stat call to camp doc, loading dose of prednisone and epipen prevented her from crumping in front of me.

i treat these all patients "allergies" as real thing and attempt to elicit reactions meds to be on look out for similar reactions other categories.

kudos to you for recognizing a problem, reading up on med and educating others with this tale. any med requiring a prescription needs to be looked up prior to first time administration to protect patient and your license.

remember too that silvadene cream has silver as part of compound; if using on large areas can develop silver poisoning definition - medical dictionary definitions of ....

  • Author
Any med requiring a PRESCRIPTION needs to be looked up prior to first time administration to protect patient and your license.

That's a good pearl of advice;)

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