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Burns

QuestionAnswer
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
Created by: karenmarie927