1. I've got a 3rd degree burn the size of a nickle under my collarbone and it is driving me crazy. I got it on Friday when I splashed boiling water om myself while trying to make coffee. I have it covered with tegaderm right now because that's what I had, and it has been hurting ever since a changed the dressing today. What should I do with it?

    Draining mod amt serous drainage, open area 3X3 cm. Not reddened beyond borders.
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    About adrienurse

    Joined: Apr '02; Posts: 4,740; Likes: 104


  3. by   NurseDennie
    I'd cover it with neosporin (triple antibiotic cream) and a loose telfa pad - only the edges taped.

    Take NSAID for pain

    Poor ((((((Adrinurse)))))))

    Nothing hurts like a burn. I would NOT have found this amusing.


  4. by   l.rae
    silvadene cream....need an rx though.......tegraderm?....OUCH! Are you sure it is 3d degree, not 2nd?...that is serious...l would see a dr......feel better......LR
  5. by   NurseDennie
    LR - I thought you didn't use silvadene unless there was eschar? But it's been a while since I've been @ BS.


  6. by   CashewLPN
    hmm... dahlink-- I'd go see a doctor... sometimes... it takes a skin graft to get the bigger ones to heal... I cant remember how big the guideline is....

    plus, god forbid it get infected... they get nasty fast...
  7. by   adrienurse
    Can tell I'm not a wound care nurse eh? Okay, we'll call it a second degree burn. The thing is 3 days old and hasn't bugged me till now. If I were a dog, I'd have to wear a cone around my neck. So thank you ladies for your advice. I went to the 24 hr drug store and got some supplies. Discharge is kinda purulent looking hope it's not getting infected. I put on a good layer of polysporine.
  8. by   Youda
    The biggest deal with burns is to prevent infection. So, yes, to the neosporin. If the purulent drainage continues, get some silvadene from your doc (it's a wider spectrum med and kills more germies). Practice good sterile technique when doing dressing changes. Sterile NS should be used to clean, or antibacterial soaps. Lots of controversy between closed and open dressings, but usually if any signs of infection are present, closed dressings are contraindicated.

    If you're having pain, it is probably a 2nd degree burn. 3rd degree burns destroy all nerve endings, so you don't feel pain. If pain is not relieved with OTC pain relievers, you may need to get something a little stronger from the doc.

    {{{{{{{HUGS}}}}}}} Those are really painful! Take a shot of bourbon!
  9. by   CashewLPN
    from personal experience...
    3rd deg. burns DO hurt...
    maybe not the wound bed itself... but, the surrounding tissues, and wound edges do hurt like a basta*d.....
    AKA.... thats why you dope up a burn patient BEFORE you do the dressing changes....

    always accident prone
    klutizally yours
  10. by   Youda
    I'll take your experience over my books any day, Yeti! Thanks for the information!
  11. by   JonRN
    If you don't want to go to the Doc, go to a healthfood store and get some silver salve, same thing as Silvadene only you don't need a script. Hope you get it healed soon, burns are so nasty and infection is lurking everywhere, esp. when you are a nurse. Feel good soon, and keep us posted so we can worry about you.
  12. by   adrienurse
    Thanks my buddies

    Just came back from University Health Centre. Saw a Doc there (2 hr wait!). Got prescription for flamazine top 1-3X daily with dry dressing (Gonna have to raid the supply cupboard at work tomorrow [I did NOT say that!]) Gave me an Rx for Cloxacillin to fill in a few days if it continues to be purulent and angry. Doc was pretty cool, she sent me home with flamazine in a spec. container so I wouldn't need to shell out the cash for it (because I'm a nurse-- let the taxpayers pay for it)

    I don't think silvadine cream is very common here. I've never used it (but then again, I work in psychogeriatrics). You gave me a topic for an assignment tho!

    Thanks again.
  13. by   nurseman

    One big electronic kiss to help with the healing
  14. by   adrienurse
    Woohoo! [big grin on face]