Applying silver nitrate may be painful. Giving your child acetaminophen or ibuprofen before application may help your child stay comfortable. Avoid using hypertonic saline soaks and antibiotic creams on the stoma if you are applying silver nitrate. Contact your G tube specialist or doctor to check the stoma after two weeks of applying silver nitrate. What are G and GJ tubes? About the treatment. What are silver nitrate sticks?
Do not use this product if your child has a sensitivity or allergy to silver. Where can I get silver nitrate sticks? Clean the stoma with soap and water, and pat or let air dry. Protect the healthy skin around the stoma by applying a barrier cream for example, zinc oxide, diaper rash cream, or petroleum jelly.
Dip the silver nitrate stick into a small amount of sterile or distilled water. The water will activate the silver. Do not use salt water, or saline, because it will deactivate the silver and stop it from working.
Roll the tip of the stick only over the granulation tissue—avoid applying it to healthy skin. One stick is usually enough for each application. The tissue may turn a grayish-black colour—this is normal. The silver nitrate stick is activated by contact with moisture. When applied to wounds, silver nitrate sticks deliver free silver ions to the tissue that form an eschar as they bind to tissue and obstruct vessels. The cauterizing action of silver nitrate sticks is considered an effective and rapid means of accelerating the clotting process to achieve hemostasis.
The chemical compounds are activated with moisture either through the application of water or by contacting a moist membrane or wound. When treating with silver nitrate sticks, the hands are first washed thoroughly with soap and water before putting on nitrile gloves vinyl gloves do not provide protection from burns or staining. The application site is prepared by removing the wound dressing if treating a wound , and then the wound or target site is cleaned with sterile saline solution or an approved wound cleanser.
Following cleansing, any excess moisture is removed from the treatment site. The area to be treated should be isolated, and the surrounding tissue should be protected through the application of a barrier such as petroleum jelly.
If there is adequate moisture at the treatment site, then the stick can be used dry; otherwise, the tip must be moistened with sterile distilled or de-ionized water. The use of saline solution to moisten the tip of the stick should be avoided because this may decrease the effectiveness of the silver nitrate. The stick should be applied to the wound with a gentle, rolling motion.
Two minutes of application time is usually sufficient, but treatment will vary case by case. The length of time that the tip contacts the tissue determines the degree of the resulting caustic action. When silver nitrate sticks are used for cauterization, it may be necessary to apply some pressure during treatment. The patient is monitored carefully, and treatment is stopped if the burning sensation is too great. After the procedure, damp saline gauze can be used to clean the treatment area gently, patting dry to minimize trauma to the surrounding tissue.
Once gloves have been removed and replaced, an appropriate wound dressing can be applied. Depending on the procedure, a wound dressing may support hemostasis or encourage a minimally moist wound environment.
The frequency of silver nitrate treatment varies depending on wound needs. In cases of cauterization to control bleeding, a single application should be sufficient.
When treating hypergranulation tissue or epibole, the procedure may need to be repeated daily to three times a week, depending on the result. Silver nitrate is corrosive to both clothing and skin, and protective measures should be taken to protect both while treating with silver nitrate sticks. Any contamination of healthy skin with silver nitrate can be resolved by rinsing the area immediately with saline solution.
Silver nitrate is an effective tool for treating a number of specific conditions but must be used with caution to achieve optimal results. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Medicine used on the skin is not likely to be affected by other drugs you use.
But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise.
Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information.
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