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pt buurns
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| Question | Answer |
|---|---|
| heat burns | cause cell damage and protein coagulation |
| electrical burns | cause cardiac dysrhythmias and central nervous complications |
| things that burns can cause within the body | increase the amt of fluid production due to the inflammatory response increase h&h due to concentration and abnormal fluid and electrolyte |
| first degree burn | top layer of the skil metabloic increases no scar heals in five days |
| second degree burn | takes 14 days to heal will have color change in the epidermus layer might require skin graft |
| full thickness burn | detroys all layers of the skin no pain cause nerve endings are destroyed involves muscle and bone |
| signs of hypovolmic shock | increase hr and rr decrease bp and urine output |
| fluids u gve a burn vic in hypovolemic shock and goal | crystalloids (ns lr d10w)the goal is to restore intravascular volume prevent ischemia and maintain vital organ function |
| drug you give in hypovolemic shock | intropin to increase output of heart to get fluid to the organs |
| stage ll/acute phase | occurs from the beginning of diuresis to near completion of wound closure, occurs 72 hours to 2wks aft initial injurs |
| nrg care for acute phase | infection control colloids to keep fluid in vascular space no free water increase protein |
| nrg mngment for acute phase | morphine give iv narcan for respiratory depression |
| what is a fasciotomy | surgical procedure tht cuts away the fascia to relieve tension or pressure |
| wht is a escharotomy | slice throught burn are so that fluid can escape |
| md mgmnt for burn injuries | silver sulfadiazine and nitrate pertrolium guaze and nonadherent dressings |