BURN

Question 1

silver sulfadiazine side effect and contraindicaiton

Answer 1

transient neutropenia.

contraindicated on areas of new skin grafting as it is destructive to grafts.

sula allergy

Question 2

Silver Nitrate side effect

Answer 2

Hyponatremia,

caused by electrolyte extravasation,

methemoglobinemia.

Question 3

Mafenide acetate side effect

Answer 3

absorbed systemically,

metabolic acidosis

(through the inhibition of carbonic anhydrase)

Question 4

bacitracin side effect

Answer 4

renal

if large dose?

Question 5

What should be included in the laboratory evaluation of a patient burned the house fire

Answer 5

carboxy hemoglobin level

Consider cyanate level?

Question 6

What is coverage for Pseudomonas

Answer 6

Levofloxacin 750 mg once daily

Imipenem 500 mg every eight hours¥

Penicillins* Ticarcillin-clavulanate 3.1 g every four hours

Piperacillin-tazobactam

4.5 g every six hours HIGHER DOSE ZOSYN

OR
3.375 g every four hours¶

Cephalosporins Ceftazidime 2 g every eight hours
Cefepime 2 g every eight hours
Cefoperazone 2 g every 12 hours

FlouroquinolonesΔ Ciprofloxacin 400 mg every eight hours