![]() Two minutes of contact time is generally sufficient monitor patient pain and discomfort throughout the application. ![]() Do not touch any other part of the body with the tip. Rub and rotate the tip of the applicator along the tissue to be cauterized.Slightly moisten the caustic tip of the silver nitrate applicator stick by dipping the tip into distilled or deionized water.Silver nitrate will stain or burn anything it comes into contact with, thus making it important not to allow drips on any surface. Cover the wound base tissue with moistened normal saline gauze to protect from spillage.Confine the area to be treated by encircling it with a barrier, such as petroleum jelly or an equivalent barrier cream or ointment.Remove gloves, wash hands again, and put on new gloves. Clean the wound with sterile saline solution following proper wound cleansing procedures.If the wound is dressed, remove the dressings following standard removal procedures and wash hands again, and put on new gloves. Wash hands thoroughly and put on gloves.Consider whether there may be a need for medication, such as topical anesthesia, before the procedure, to reduce patient discomfort. 13 Chemical cauterization treatment using silver nitrate frequently requires the following steps 7: Treatment with silver nitrate can be painful, requiring the preparation of a suitable barrier using petroleum jelly or soft white paraffin as necessary. Careful assessment of the wound is essential before treatment to determine whether one treatment is sufficient or whether additional applications will be necessary, although it is not recommended for long-term use. 12 Those handling silver nitrate should wear protective equipment, as needed. It can injure or irritate healthy skin and damage fabric, so it should be handled with care. ![]() Silver nitrate for chemical cauterization is indicated for short-term topical use only. 11Ĭhemical Cauterization's Application in Wound Care Bartholin abscesses or cysts: Silver nitrate stick insertion can be effective in many patients with Bartholin abscesses or cysts.Cervical ectropion: Silver nitrate chemical cauterization can be used on glandular cells that develop outside of the cervix.Neonatal umbilical granuloma: Silver nitrate chemical cauterization can be applied to address umbilical granuloma, the most common umbilical abnormality in neonates.Ulcerations: Application of silver nitrate can shorten the healing time of ulcers.Aphthous stomatitis: Silver nitrate cautery can be an effective and rapid treatment option for pain relief in aphthous stomatitis.Wound epibole: Applied to epibole, silver nitrate may restart the healing process.Hypergranulation tissue: Chemical cauterization with silver nitrate can remove hypergranulation tissues in stomas and wounds.Skin tag or wart removal: Silver nitrate can be used to eliminate unwanted skin tags and warts.4 Silver nitrate can also be used for vasomotor rhinitis when applied to the nasal mucosa. 3 When compared with other treatment modalities, silver nitrate has the highest success rate (80%) for controlling bleeding. It controls the bleeding associated with small vessels and ulceration of the nasal mucosa. Nosebleeds or anterior epistaxis: The application of silver nitrate to the mucous membrane or blood vessels in the nostril can control bleeding of the nose.Some of the common ones encountered include: Indications for Use of Chemical CauterizationĬhemical cauterization through the use of silver nitrate can help accelerate the clotting process and achieve hemostasis on a variety of different wounds. 2 When applied to the site of the wound, this reaction seals the capillaries. When exposed to water, the chemical activates, catalyzing a chemical reaction. 1 On an applicator stick, silver nitrate is a small, dark tip. 1 As a cauterizing agent, silver nitrate delivers free silver ions that can bind to the tissue and form an eschar and obstructing vessels. It is an inorganic and radiodense material with antimicrobial properties that can be used as a solution or an applicator stick. Silver nitrate is commonly used to chemically cauterize a wound for hemostasis after debridement or treatment of hypergranulation tissue.
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