NOTE:
Reaction is usually immediate, but may be delayed due to hypersensitivity
allergic reaction.
(2) Treatment. Remove offending agent immediately (that is, wash it off),
cool soak affected area; bathe affected area in lukewarm water.
(3) Referral. Refer patient to a physician if fever is more than 101F, or
signs of infection (smelling, tenderness, redness, or warmth) develops at site of
irritation.
c. Blisters. These are a collection of elevated fluids between the epidermis and
the dermis. They are caused by repeated friction and pressure against the skin, cold
injuries, and burns.
(1)
Treatment.
(a) Blisters should be opened routinely unless there is severe pain or
infection. For blisters on the toe or foot, cover with petroleum jelly and adhesive tape or
moleskin wrapped completely around the toe or foot.
(b) Blisters on the heel can be protected with a donut-shaped piece of
felt or moleskin taped in place around margin of blister.
(2)
Prevention.
(a) Wear properly fitted footgear, and wear gloves to protect hands.
(b) Avoid walking long distances in new shoes/boots.
(c) Wear cotton or cotton wool socks. They are less likely to cause
blisters than synthetic materials.
(d) Avoid tube socks.
(e) Put tape on vulnerable areas prior to exercise/use.
(3)
Refer patient to a physician if:
(a) Signs of infection occur (increased heat, redness, swelling, or pus
in the blister).
(b) Patient is incapacitated, unable to perform mission.
MD0550
4-9
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