Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Burns.
burns and interventions
| Question | Answer |
|---|---|
| First degree burns (superficial) | Only epidermis is damaged. skin is red and swollen |
| Second degree (superficial partial thickness) | Dermis is burned but hair follicles and sabaceous and sweat glands are not |
| Second degree (deep partial thickness) | Dermis and hair follicles are burned. Sabaceous glands and sweat glands are not. |
| Third degree (full thickness) | Destroys entire skin layer, sabacous and sweat glands and pain and touch receptors are destroyed. Burn is black or gray/white. |
| Critical burns? | 25 percent of body is second degree or 10 percent is 3rd degree |
| Critical burns? | Face, hands feet are 3rd degree burned, smoke inhalation, electrical burns. |
| When are most dramatic physiological changes? | first few minutes to first 24 hours after injury . |
| two elements determining effect of burns to body | Extent of burn (body surface, rule of 9s) Depth (thickness) |
| what burns are least painful? | 3rd degree |
| Why are 3rd degree burns least painful | pain and touch receptor are destroyed |
| Severe burns interfere with | synthesizing vitamin d |
| biggest concern with electrical burns | cardiac arrest |
| Phase one of burns | Emergent |
| when does the emergent phase take place | 1st 48 hours. often extends to 72 hours |
| Second phase of burns | Acute |
| When does acute begin | usually 72 can easily be as early as 48 |
| What is the third phase | Rehabilitation |
| When does the rehab stage start and how long does it take | when 20 percent or less of surface body area is burned. can take years. |
| Things to do in emergent phase | Stop burning process, Airway, remove non adherent clothing, cover with clean cloth and transport, rinse skin generously for chemical burn , find entry and exit for electrical |
| Major concern in first 48 hours? | hypovolemic shock |
| interventions before transport | Airway, fluids relevant to sba burned, foley for hourly output of 30-50,ng tube to prevent aspiration, iv analgesics, maintain airway and fluids, tetanus prophylaxis |
| burn shock includes | acute dehydration, bad renal perfusion, falsly elevated hct, hypotension, decreased urine out, increased pulse, decreased pule pressure, tachypnea |
Created by:
780341728
Popular Nursing sets