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Complex Health

Nursing Complex Health ATI Final

Burns: Most severe areas for burns? Body: Face, Hand/Feet, Perineum Areas where skin is thin & around face where respiratory involvement is more likely.
Burns: 3 Phases & Priority treatments Emergent: Fluid Resusitation Acute: Infection Control Rehabilitation: Preservation of function
Burns: Signs of Inhalation Singed nasal hair, eye brows, or eye lashes Sooty sputum; Hoarseness; Wheezing; Increased secretions
Burns: Labs Initially: Elevated H&H, Potassium, BG; Low Na; Hypoxemia with Metabolic Acidosis; Proteins low After 48 Hrs: Elevated H&H, Potassium, with persistent low Na due to decreased Renal function and wound loss
Burns: Fluid Resusitation Isotonic Solutions: NS and LR; maintain 30 mL/hour urine OP
Burns: Signs of Shock Confusion, Increased Cap refill, Urine OP <30 mL/hour, Fever, Decreased BS, BP normal or low
Burns: Escharotomy Surgical incision in circumferential burned tissue to allow expansion; typically done on chest for breathing or extremities if circulation is compromised
Burns: Rule of Nines Whole Head: 9% Abdomen: 18% Back: 18% Whole Leg: 18% Whole Arm: 9% Perineum: 1% 1 hand (fingers & palm) = 1%
Created by: Babble05