A 15-year-old, Suresh sustains 20% total body surface area (TBSA) burns while bursting crackers. After primary assessment, Burn dressing with silver nitrate is applied on his wounds. Which of the following is associated with use of silver nitrate?
Topical antimicrobials used in the management of burns includes: Silver nitrate (0.5%) Highly effective against Pseudomonas colonization Causes "Black staining" of furniture around patients Lead to electrolyte imbalance (hyponatremia, hypokalemia, hypocalcemia, hypochloremia) and methemoglobinemia Silver sulphadiazine (1%) Provides Broad spectrum anti-microbialprophylaxis - mainly against Pseudomonas & MRSA Mafenide acetate (5%) Painful to apply Usage is associated with Metabolic acidosis Silver sulphadiazine & Cerium nitrate Used for full thickness burns Induces sterile Eschar on burned skin Mainly used in elderly because Cerium nitrate formssterile eschar & boost cell mediated immunity
Metabolic acidosis
Painful application
boosts cell mediated immunity.
Has to be changed/wounds resoaked every 2 to 4 hours
Burns