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Burns
| Question | Answer |
|---|---|
| Where do most burns occur? | At home |
| Why does plasma seep out into tissue? | Increased capillary permeability |
| When does the pulse increase? | Anytime you are in FVD |
| Why does cardiac output decrease? | Because there is less volume to pump out |
| Why does urine output decrease? | Kidneys either aren’t being perfused or they are trying to retain fluid |
| Why is epinephrine secreted? | It makes you vasoconstrict and shunts blood to vital organs |
| What is secreted to compensate for water loss? | ADH and aldosterone |
| What is the most common airway injury during a burn? | carbon monoxide poisoning |
| How is fluid distributed with the Parkland Formula? | 1st 8 hours, half the total volume, 2nd 8 hours, ¼ total volume, 3rd 8 hours, ¼ total volume |
| Give albumin why? | Albumin holds on to fluid in the vascular space which will increase kidney perfusion, BP, and cardiac output |
| What kind of test can you do to make sure you are not overloading the client with fluid? | CVP |
| What drugs might be ordered to flush out kidneys? | mannitol |
| Brown or red urine after a burn means? | Muscle destruction (myoglobin) |
| Monitor for hyperkalemia due to? | Cell rupture. Most potassium is found inside of the cells. When the cells rupture due to a burn, the potassium leaks into the vascular space and causes hyperkalemia |
| Why should antibiotics be alternated? | Bacteria will build tolerance or resistance |
| What should you worry about when giving –mycin drugs? | An increase in BUN or creatinine which can lead to ototoxicity |
| What should you assume in the client’s BUN and creatinine is increasing? | Nephrotoxicity |
| What arrhythmia is the client most at risk for in an electrical burn? | V-fib |