Topical Agents Used In Burn Care

Question 1

Silver Sulfadiazine

Answer 1

Advantages: can be used with or without dressing, painless, can be applied to would directly, broad-spectrum, effective against yeast

Disadvantages: does. To penetrate into eschar

Question 2

Silver Nitrate

Answer 2

Advantages: broad-spectrum, non-allergenic, dressing application is painless

Disadvantages: poor penetration, discoloration, making assessment difficult, can cause severe electrolyte imbalance, removal if dressings is painful

Question 3

Povidone-iodine

Answer 3

Advantages: broad-spectrum, anitfungal, easily removed with water

Disadvantages: not effective against pseudomonas, may impair thyroid function, painful application

Question 4

Mafenide Acetate

Answer 4

Advantages: broad-spectrum, penetrates Burn eschar, may be used with or without occlusive dressing

Disadvantages: may cause metabolic acidosis, may compromise respiratory function, may inhibit epithelialization, painful application

Question 5

Gentamicin

Answer 5

Advantages: broad-spectrum, may be covered or left open to air

Disadvantages: has caused resistant strains, ototoxic, nephrotoxic

Question 6

Nitrofurazone

Answer 6

Advantages: bacteriocidal, broad-spectrum

Disadvantages: may lead to overgrowth of fungus and pseudomonas, painful application