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'[�should be continued for intervals varying from 1-4 11 curs depending on pain and <br /> t}1ci app�4rance of the burn. Avoid freezing the tissues. Benzalkonium chloride and <br /> alohcl solutions should no be used around the eyes since they may cause irritation and <br /> damage. <br /> Calcium Gluconate Gel (2.5'/) - Topically applied gel raust be rubbed in continuously <br /> til pain has completely subsided. Calcium gluconate gel should riot be used until after <br /> �tlhorough and complete washing of the skin with water, <br /> Calcium Gluconate Topical Injections - When there is evidence of skin penetration as <br /> in second or third degree burns, a 5% calcium gluconate solution (the standard ami)ule is <br /> 107. for intravenous use) is mixed with a 2% xylocaine solution and is injected by in- <br /> filterating Che skin and subcutaneous tissues in the same manner as the injection of a <br /> local anesthetic subcutaneously. Care should be taken to avoid over-dosing with calcium. <br /> All skin which has been exposed should be infiltrated including up to 1/4 inch around the <br /> area. This may prevent the development of severe burns. <br /> Burns around the fingernail may require splitting the nail from the distal end in <br /> order to relieve pain and facilitate drainage prior to soaking wit1.Z orze of Cite above raeu- <br /> tioned solutions. <br /> Topical Applications - After admi.nstering first aid, routine burn treatment including <br /> A&1) Ointment, topical steroid cream, or ointment may be applied. <br /> Surgical Excision - 1=ediate excision of small areas burned with concentrated solu- <br /> tiotls of 17 may prevent a painful, slcra healing burn. Pri+n-ry closure after excision or <br /> skin grafting if indicated, may prcraicie more rapid healing and less scarring. <br /> Eve Contact: <br /> Apply first aid measures as described and a specialist should be consulted inu,ediately <br /> VADor Inhalation: <br /> Apply first aid mer+sures . When in doubt, victim should be hospitalized and a.>sarved <br /> for signs of pulmonaryedema or onccir respiratory di_sLress_ T-he hospital.izatinn should <br /> cover a 48-hour period minimum anu treatment with bronchial dilators . Syste:aic steroids <br /> and antibiotics may be used as required, <br /> Ingestion : <br /> Apply first aid measures as described. Gastric lavage with lime water or milk may be <br /> performed by a physician only. Do not induce vomiting. <br />