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Medical Care Guide for burn victims Medical Care Guide
Medications

Thermal, Electrical and chemical burns require different treatments and medications. Medications have a limited role in the treatment of most chemical burns. Where as the key to treating electrical burns is hydration and thermal burns require analgesics and topical antibiotics. Be sure to discuss with your physician any drug allergies you may have, medications you are currently taking and any medical conditions. Furthermore be sure to inform your physician of any unusual or allergic reactions to any medications.

Thermal Burn Medications

Analgesics

For thermal burns doctors will prescribe analgesics for pain control to ensure that the patient is as comfortable as possible. Morphine sulfate, Demerol and Vicodin may be prescribed. These analgesics are prescribed for severe pain.

Nonsteroidal Anti-inflammatory Agents

These are used for the relief of mild to moderate pain. Ibuprofen (Advil, Motrin) is usually used for initial therapy, but other options such as Naproxen, Ansaid, and Anaprox may be prescribed.

Topical Antibiotics

Topical antibiotics are used to prevent infections and bacteria growth. Neosporin is used to treat minor infections and is applied to the skin 1 to 3 times a day to the affected areas.

Silvadene is a topical cream that is used for more severe burns. Silvadene is a sulfa medicine used to prevent and treat bacterial or fungus infections. Silvadene should be applied using a sterile technique to affected areas and the areas should be washed before applying. Avoid applying Silvaden to the face and it should not be use in newborns, infants younger than 2 years or in late pregnancy.

Chemical Burn MedicationsChemical Burn Medications

Though medications play a limited role in the treatment of most chemical burns topical antibiotics, calcium and magnesium salts may be used. After decontamination is performed a standard IV fluid and narcotic therapy is administered.

Antibiotics

Silvadene is used for dermal burns and is useful in the prevention of infections in second or third degree burns. It should be applied to skin once or twice daily and all previous medication must be removed before applying each new dose. Erythromycin ointment (Bacitracin) is used to prevent infections following ocular burns.

Analgesics

Morphine, and Acetaminophen are prescribed for pain management and may be used for sedation which beneficial for patients who have sustained injuries to their eyes.

Nonsteroidal Anti-inflammatory Agents

Advil, Motrin Ansaid, Naprosyn and Anaprox are anti-inflammatory agents used to control mild to moderate pain.

Electrical Injuries

When treating electrical injuries hydration is the key to reducing morbidity. If muscle damage is severe an osmotic diuretic will be administered.

Fluids

Lactated ringers are used for fluid resuscitation. It is an isotonic and has volume restorative properties. They are administered using an IV and should be stopped if pulmonary edema develops.

Osmotic Diuretics

Mannitol is an osmotic diuretic which is not significantly metabolized which passes to through the glomerulus without being reabsorbed by the kidneys. It is used to restore and maintain urinary output.

Scar Treatment Medications

Mederma is a topical gel used to reduce the visibility of scars. The gel should be rubbed into the scar 3 to 4 times a day for 3 to 6 months for burn scars.

Cica-Care gel sheets are made of a silicone gel and they are designed to flatten and soften scars. These sheets are self adhesive and one sheet can be for up to 28 days.

 

 

Medical Care Guide


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