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Development of a Postburn Pruritis Relief Protocol

doi: 10.1097/RNJ.0000000000000206
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Back to Top | Article Outline


Purpose: To provide information about an evidence-based protocol for postburn pruritis (PBP) relief with a primary focus on nonpharmacological interventions.

Learning Objectives/Outcomes: After completing this continuing education activity, you should be able to:

1. Summarize literature findings regarding pharmacological interventions for PBP relief.

2. Identify nonpharmacological alternatives for PBP relief.

3. Specify the evidence-based PBP relief interventions recommended in the PBP protocol presented.

  1. Goutos (2013) found that once wounds begin granulating toward the healing stage when pruritis is more concerned, most pharmacological interventions
    1. address the pruritis effectively.
    2. are not as effective as nonpharmacological interventions.
    3. are more effective than nonpharmacological interventions.
  2. Medilixir is a combination of herbal oil cream and
    1. ash.
    2. beeswax.
    3. charcoal.
  3. Which of the following nonpharmacological interventions can be used for its antipruritis effects regardless of the stage of healing?
    1. Benson muscle relaxation therapy
    2. silicone gel sheeting
    3. nanocrystalline silver
  4. The 2001 case study by Whitaker demonstrated that 2 weeks of TENS therapy for 9 hours per day resulted in a decrease in PBP from 100% to
    1. 0%.
    2. 20%.
    3. 40%.
  5. Which interventions are recommended first in the PBP protocol?
    1. pharmacological
    2. nonpharmacological
    3. a combination of pharmacological and nonpharmacological
  6. During the pre-healing and healing stage, the dosage range of pregabalin alone is
    1. 50–150 mg/day.
    2. 150–300 mg/day.
    3. 300–900 mg/day.
  7. What topical agent is recommended for use during the healing stage?
    1. corticosteroid cream
    2. hyaluronic acid gel
    3. provase
  8. During the healed stage, which nonpharmacological therapy is recommended once a day for 2-3 weeks?
    1. silicone gel sheeting
    2. triamcinolone acetonide phonophoresis
    3. transcutaneous electrical nerve stimulation
  9. The recommended administration schedule for medilixir during the healed stage is
    1. once per day for 2 weeks.
    2. twice per day for 1 month.
    3. twice per day for 2 months.
  10. If all other PBP protocol interventions fail, the protocol recommends
    1. botulinum toxin.
    2. regular or low-level laser therapy.
    3. topical corticosteroids.
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