First aid for burn injuries:

First aid for burn injuries:

What can you do to help reduce the effects of a burn injury?

·         Ensure that all adults in the household know and understand proper first aid.

·         Teach children the general first aid principles.

First aid:

If on fire:

·         Stop, Drop, Cover and Roll

·         Smother the flames with a blanket

·         Move away from heat source

Protect your own safety at all times

For all burns apply cold running water:

·         For at least 20 minutes

·         If running water not available, wet 2 cloths and alternate them onto the burn every 2 minutes

·         Keep the rest of the body warm

Do NOT use ice, butter, creams, etc.

Remove clothing and jewellery

·         Clothing can hold heat on the burn

·         If swelling occurs jewellery can stop blood flow to the burn

Seek medical attention

·         For any burn bigger than 20c piece size, or that blisters

·         If there are any concerns

Prescription for wrist pain:02

Prescription for wrist pain: 05

b. Long Acting Opioids for Wrist Joint Pain-

Indications for long acting opioids are as follows-

·         Post Surgical Pain Not Responding To Short Acting Opioids.

·         Chronic Pain Caused By:

1.   Wrist Joint Sprain

2.   Wrist Joint Tendonitis

3.   Wrist Joint Dislocation

4.   Wrist Joint Fracture

5.   Wrist Joint Bursitis

·         Chronic Pain Not Responding To-

1.   NSAIDs

2.   Antiepileptic Analgesics

3.   Anti-depressant analgesics

Long Acting Medications-

Oxycodone- Oxycontin

·         Pills available as 10 mg, 20 mg, 40 mg and 80 mg.

·         Suggested safe dosage per day- 40 mg to 160 mg.

Morphine- MS Contin

·         Pills available as 15 mg, 30 mg, 60 mg, 100 mg and 200 mg.

·         Suggested safe dosage per day- 90 mg to 200 mg.

Methadone

·         Pills available as 10 mg.

·         Suggested safe dosage per day- 40 to 80 mg.

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Medications for Wrist Joint Pain-

Medications for Wrist Joint Pain-04

1. Opioids for Wrist Joint Pain

Opioids Medications-

Opioids are divided in two groups as

·         Short Acting Opioids

·         Long Acting Opioids

Indications for Short Acting Opioids for Wrist Pain Are As Follows-

·         Acute Pain- pain lasting less than 3 to 6 months.

·         Post Surgical Pain.

·         Breakthrough Pain.

a. Short Acting Opioid Medications for Wrist Joint Pain-

Hydrocodone: Vicodin, Lortab and Norco.

I.            Vicodin- Hydrocodone of quantity 5 mg, 7.5 mg and 10 mg is mixed with 650 mg of Tylenol.

II.            Daily Dosage- 15 to 60 mg of hydrocodone.

·         Lortab- Hydrocodone of quantity 5 mg, 7.5 mg and 10 mg is mixed with 500 mg of Tylenol.

·         Daily Dosage- 15 to 60 mg of hydrocodone.

1.    Norco- Hydrocodone of quantity 5 mg, 7.5 mg and 10 mg is mixed with 350 mg of Tylenol.

2.    Daily Dosage- 15 to 60 mg of hydrocodone.

3.    Norco is preferred if higher dosage like 30 to 60 mg of hydrocodone is prescribed for pain treatment so tylenol dosage is kept below 2 gram.

Oxycodone- Oxy IR and Percocet.

I.            Oxy-IR- Strength of pills- 5 mg, 7.5 mg and 10 mg.

II.            Daily dosage- 15 to 60 mg.

1.    Percocet- Pills contain Oxycodone and Tylenol.

2.    Strength of Oxycodone- 5 mg, 7.5 mg and 10 mg.

3.    Strength of Tylenol- 325 mg, 500 mg and 650 mg.

4.    Daily dosage- 15 to 60 mg.

5.    Maximum allowed dosage of Tylenol 4 gm.

Morphine-

1.    MS IR (Morphine Sulphate Immediate Release)

2.    Available as liquid and pill.

3.    Liquid Strength- 20 mg/mL

4.    Pill Strength- 15 and 30 mg

5.    Daily Dosage 60 mg to 120 mg.

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Prescription for Wrist Pain:

Prescription for Wrist Pain: 03

NSAIDs Most Often Prescribed-

Motrin-

·         Tablets are available as 200, mg, 600 mg and 800 mg.

·         Daily dosage is 1600 to 2400 mg per day.

Naproxen-

·         Tablets are available as 275 mg, 350 mg and 500 mg.

·         Daily dosage- 750 to 1500 mg per day.

Daypro-

·         Tablets available as 600 mg.

·         Daily Dosage- 600 to 1200 mg per day.

Celebrex-

·         Tablet available as 100 mg and 200 mg.

·         Daily dosage- 200 to 400 mg per day.

Complete treatment for Wrist Pain:

Complete treatment for Wrist Pain: 02

1. Medication Therapy for Wrist Joint Pain

Following medications are prescribed for chronic pain and muscle spasm caused by wrist joint disease and injuries-

A.  NSAIDs

B.   Opioids

C.   Anti-depressant analgesics

D.  Anti-epileptic analgesics

E.   Muscle Relaxants

A. NSAIDS (Non-Steroidal Anti-inflammatory Medications) For Wrist Joint Pain.

Indications for NSAIDs treatment for Wrist Pain-

·         Chronic Pain Not Responding To Conservative Treatment.

·         Wrist Joint Bursitis.

·         Inflammation of the Ligament Following Injury (Sprained Wrist Joint).

·         Inflammation of the Tendon (Wrist Joint Tendonitis).

·         Inflammation of the Wrist Joint (Wrist Joint Arthritis).

·         Inflammation of the Joint Caused By Wrist Joint Dislocation and Fracture.

·         Inflammation associated with Wrist joint infection (septic arthritis).

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Wrist Joint Pain:Caused

Wrist Joint Pain: 01

A Complete Treatment Guide- Conservative, Medications, PT, Surgery:

Wrist joint pain is common following inflammatory disease of wrist joint and injuries. Wrist joint inflammatory disease includes bursitis, tendonitis, ligamental inflammation and arthritis. An injury to the wrist joints causes tendon tear, ligamental tear, dislocation and fracture. There are several choices of treatment for Wrist joint pain.

Wrist Joint Pain Can be Caused Due To:

·         Wrist Joint Sprain

·         Wrist Joint Bursitis

·         Wrist Joint Tendonitis

·         Wrist Joint Arthritis

·         Wrist Joint Dislocation

·         Wrist Joint Fracture

·         Wrist Joint Infection or Septic Arthritis.

Following Are the Treatment Options for Wrist Joint Pain:

1.   Conservative Treatment

2.   Medications

3.   Physical Therapy (PT)

4.   Interventional Pain therapy

5.   Close Reduction Of Dislocation and Fracture

6.   Surgical Treatment

Conservative Treatment for Wrist Joint Pain:

Conservative Treatments Advised Are As Follows-

A. Restriction of Wrist Joint Activities

B.  Heat and Cold Therapy

C.  Daily Exercise

A. Restriction of Wrist Joint Activities:

Wrist joint restriction is achieved by applying crape bandage to wrist, hand and forearm. Alternatively restriction is also achieved by use of wrist joint braces and placement of cast.

Indications for Wrist Joint Restriction Are As Follows-

·         Painful Wrist Joint Movement

·         Wrist Joint Swelling

·         Wrist Joint Dislocation

·         Wrist Joint Fracture

·         Wrist Joint Sprain

·         Wrist Joint Tendonitis

B. Heat or Cold Therapy for Wrist Joint Pain:

Indication for Heat and Cold Therapy Is As Follows-

·         Wrist Joint Soft Tissue Swelling

·         Wrist Joint Edema

·         Pain Caused By Tendon And Ligament Inflammation

·         Chronic Pain Caused By Dislocation And Fracture

·         Postoperative Pain

C. Daily Exercise:

Daily exercise is advised to prevent muscle atrophy, joint stiffness and muscle weakness of wrist, hand and forearm.

Indication for Daily Exercise for Wrist Pain Are-

·         Prevent Muscle Stiffness

·         Prevent Muscle Atrophy

·         Prevent Muscle Weakness

·         Prevent Wrist Joint Stiffness

·         Strengthen Hand And Forearm Muscle.

Continue……………………………………..for NEXT.