Question

A patient comes to the clinic following a burn at work on the hand. The burn is red, painful, and has a small, unruptured blister. The patient is allergic to penicillin, sulfa-drugs, shrimp, and peanuts. Which of the following medications is contraindicated in this patient?

a. mupirocin (Bactroban)
b. Azithromycin (z-pack
c. Clarithromycin (Biaxin)
d. Silver sulfadiazine

Answer 1

For the burn patient with allergies to penicillin and sulfa-drugs, silver sulfadiazine is contraindicated due to its sulfa drug composition. The other listed medications do not pose a known allergy risk based on the patient's profile.

Step-by-step explanation:

A patient coming to the clinic with a hand burn that is red, painful, and has a small, unruptured blister should be assessed carefully especially when knowing their allergies. Given the listed allergies particularly to penicillin and sulfa-drugs silver sulfadiazine is contraindicated because it is a sulfa drug, and there is a risk of an allergic reaction.

The other medications listed, such as mupirocin (Bactroban), azithromycin (Z-pack), and clarithromycin (Biaxin) do not fall into the categories of drugs to which the patient has known allergies and thus are not contraindicated based merely on the patient's allergy profile.