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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 |