To avoid the reaction of exotoxic shock, the patient is injected with fentanyl, analgin or promedol, and in addition spasmolytic drugs - such as papaverine or halidor. To prevent pain, the patient should be given an atropitol solution or a glucose-novocaine mixture. These treatment measures will be very effective, but only if they are started no later than 6 hours after receiving the damage.
Treatment of internal burns mainly consists of the use of anti-inflammatory drugs, as well as antibiotics. Often the process of therapy is based on the implementation of such a complex of therapeutic measures:
- Execution of forced diuresis, in which blood alkalization is additionally carried out;
- The use of sodium hydrogencarbonate in the case of metabolic acidosis;
- To eliminate a burn shock, use drugs stabilazol or refortan;
- As prevention of the development of secondary infection, antibacterial agents may be prescribed;
- To reduce the risk of narrowing the esophagus, hormones are used;
- With the development of DIC syndrome, a freshly frozen plasma is transfused;
- If massive erythrocytolysis is observed, it is necessary to perform the procedure of early hemodialysis;
- If the process of destruction of the liver has begun, glutargic acid is used.
If the digestive system burn is too strong, the patient is given parenteral nutrition.
As local therapy, you can use Almagel with the addition of anesthesin (every 3 hours). To accelerate the healing, sea buckthorn oil is used (orally).
If cicatricial compression of the digestive tract occurs, the bougie procedure is performed. With its help restore patency and diameter of the esophagus. For this, special tubes are used, which are introduced to the victim in the esophagus.
Buzhirovanie appointed individually. There are several ways to carry out the procedure - using a metal conductor or an esophagoscope, or blindly.
Before the operation, the patient is administered drugs that reduce salivation, as well as pain medications. In accordance with the narrowing form, a suitable bougie is chosen, then it is lubricated with petroleum jelly and injected into the patient's esophagus, where it remains for 30 minutes. This procedure can cause internal bleeding and the development of inflammatory processes.
Help with acetic acid burns
Providing quick help with external burn with acetic acid
In the event that the vinegar has poured out on clothes, the victim first thing is to remove this thing from himself. If you can not remove, it should be cut, and in parts removed from the body.
After that, the place of burn immediately needs to be placed under running water - this is one of the most important stages of the first aid procedure. The washing process should be abundant and lasting - at least 20 minutes. The plus of this procedure is also the fact that cold water reduces pain from burns. To weaken influence of vinegar it is possible a soda solution or simple solution of soap.
In the event of an aggressive substance entering the eye mucosa, the rinsing is carried out in a similar manner. Running water can be alternated with a low-concentration soda solution, which must be thoroughly mixed.
After washing, you need to put a moist compress on the burned place for a short time. It will remove vinegar residues on the skin if they are left after rinsing.
It is also necessary to treat the burn with a disinfectant and a special anti-burn agent (Ricinol or Panthenol). After this, the bandage should be applied to the wound (it should be free and do not squeeze the lesion).
Providing quick help with an internal burn of vinegar
Internal burns are considered much more dangerous to health than external burns. They are fraught with serious consequences for the victim. If vinegar enters the esophagus, then such a person needs to urgently perform a procedure of washing the stomach with simple water with the addition of a solution of soda. At the same time, an ambulance team must be called in immediately to provide professional assistance.
Refortan is prescribed to treat shock conditions caused by infections, injuries or burns.
Contraindications to the use of the drug: high sensitivity to the elements of the drug (for example, starch), water poisoning, hypervolemia, lack of potassium, excess sodium or chloride, heart failure, decompensated heart failure, renal failure with concomitant oliguria or anuria, hemorrhages inside the skull, cardiogenic edema lungs, HD, expressed problems with blood coagulability, dehydration of the body. Be wary appoint with renal, compensated cardiac (in chronic form) or liver failure, hemorrhagic diathesis, as well as HFG.
Among the side effects: the drug causes liquefaction of the infusion, which may decrease the hematocrit value, as well as the saturation of the blood plasma protein (depending on the dosage). In addition, there may be a transient decrease in the rate of blood clotting, but this does not affect the function of platelets, so it does not cause clinically significant bleeding.
The continued daily use of Refortan in high and medium dosages often causes itchy skin, which is not easily eliminated. In addition, it can occur and a few weeks after the end of treatment and persist for a long time.
If there are no other prescriptions, Refortan is administered intravenously via a dropper depending on the need for replacement of the VCP. The daily dosage, as well as the rate of intravenous administration, are selected depending on the hematocrit number, hemorrhage and hemoglobin concentration. For young patients, the hematocrit limit, at which there is no risk of developing pulmonary or cardiovascular complications, is 30%.
Dosages of the drug are as follows: for adults and children 12+ years, the average daily dose is 33 ml / kg; for children 3-6 and 6-12 years old - an average of 15-20 ml / kg; for children under 3 years - an average of 10-15 ml / kg. For all ages, the maximum daily limit is 33 ml / kg.
Panthenol is used to accelerate the healing process of the skin and mucous membranes for lesions of various origins. The spray is used as follows - before applying to the skin, the can should be shaken. You need to apply the medicine on a burn several times a day. The duration of therapy depends on the severity of the damage to the skin.
Among the side effects of the drug: in case of high sensitivity, allergy may occur.
Contraindication to the use of Panthenol is a high individual sensitivity to the components of the spray.
There are methods of alternative treatment of burns with acetic acid.
Bark of summer oak: 1-2 tbsp. Sliced bark cook about 15-30 minutes (take water 500 ml), then strain and leave to cool. Use the resulting medicine as compresses. It should be noted that you can only use freshly prepared broth.
Bark of a crooked elm: 2 tablespoons chopped bark with boiling water (2 stacks), then keep on low heat until the volume of water is reduced by 2 times, and then strain. The broth should be used for lotions, and the treatment procedure should be performed 4-5 times a day.
Aspen bark: 1 tbsp. Cut the bark with hot water (2 stacks), then hold in a water bath in a closed container for 30 minutes. Hot broth should be filtered through 2-3 gauze layers, and then boiled water bring the volume of the medicine to the original value. Use the decoction, after sweetening, 1-2 tablespoons. 3-4 rubles / day. During the meal.