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Table 1 Nurse treatment protocol for patients with skin injury

From: A program of nurse algorithm-guided care for adult patients with acute minor illnesses in primary care

Signs of alarm

Involvement of head, joints, nerves and/or tendons

Profuse hemorrhage

Report to the police, if violence was involved

Treatment approach

No signs of infection or bites

1. Cleansing and disinfection with clorhexidine

2. Moist environment

3. Suture, if needed (open injuries of less than 6 hours).

4. Haemostasis, if needed.

5. If pain, paracetamol 500 mg tid, as needed

6. Tetanus prophylaxis, if needed.

Signs of infection or bite injury

1. Cleansing and disinfection with clorhexidine.

2. Moist environment

3. No suture

4. Haemostasis, if needed

5. If pain, paracetamol 500/1,000 mg qid, as needed.

6. Tetanus prophylaxis, if needed. In bites, consider rabies prophylaxis

7. Amoxycillin-clavulanic acid 500/125 mg tid for 8 days. Erithromycin 500 mg qid for 8 days in patients with known allergy to penicillin.