body regions
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Major Burn Injuries | Greater than 25% TBSA
Exception: Children under 10, adults over 40 = greater than 20%
Greater than 10% TBSA full thickness
Involve face, eyes, ears, hands, feet, perenium
Electrical burns
inhalation injury or major trauma
preexisting disease
🗑
|
||||
| Moderate Burn Injuries | 15%-25% TBSA partial thickness
Exception: Children under 10, adults over 40 = 10%-20%
Less than 10% TBSA, full thickness
Burns with no concurrent injury
Burns in patients with no preexisting disease
🗑
|
||||
| Minor Burn Injuries | Less than 15% TBSA
Exception: less than 10%
Less than 2% TBSA, full thickness
burns in patients with no preexisting disease
🗑
|
||||
| Medical Management of Burn Phases | 1. Emergent - stop the burning process, NO ICE, rinse all chemicals off skin
2. Provide open airway -
3. Control bleeding
4. remove nonadherent clothing and jewelry
5. Cover victim with clean cloth or sheet
6. Transport to hospital
🗑
|
||||
| Electrical burns result in... | cardiac arrest, requiring CPR or cardiac monitoring
🗑
|
||||
| Primary priority in ALL BURNS | OPEN AIRWAY
🗑
|
||||
| S/S of inhalation injury | singed facial hair, black-tinged sputum, soot in throat, hoarseness, neck or face burns. STRIDOR is LIFE THREATENING
🗑
|
||||
| During Emergent Phase, patient should be monitored | q 30min to 1 hr
🗑
|
||||
| Moderate to Severe burns treated with | 1. est airway& admin O2
2. Ringer's lactate. Amt dep %age of TBSA Weigh pt to ind fluid loss.
3. Foley Cath nn 30-50mL/h Out
4. NG prevent aspiration
5. Analgesics
6. maintain airway, fluids, monitor vitals
7. tetanus shot unless w/in 5 years ago
🗑
|
||||
| Primary goals of Emergent Phase burn treatment (hrs 1-72 post burn) | Maintain respiratory integrity
prevent hypovolemic shock (which can lead to death)
🗑
|
||||
| Acute Phase (72h after burn) can last 10 days to several months | MAIN PURPOSE - Treat wound; prevent and manage complications
metabolism increases
fluid shifts back into circulation, therefore output increases and edema decreases
🗑
|
||||
| complications of burns | infection - #1 cause of death after first 72 hours
heart failure, renal failure, contractures, paralytic ileus, Curling's ulcer - first sign usually vomiting bright red blood
🗑
|
||||
| Burn Care Nursing Interventions | ***Prioritize airway, breathing, circulation
1. respiratory pattern
2. vital signs
3. circulation
4. intake & output
5. ambulation
6. bowel sounds
7. inspection of wounds
8. mental status
🗑
|
||||
| assessment for infection | increasing erythema, odor, green or yellow exudate
🗑
|
||||
| Monitor closely during acute phase | elevated creatine, BUN, electrolyte levels, serum potassium levels may rise sharply, DAILY NUTRITIONAL STATUS - increase protein, vitamins, calories, SKIN GRAFTS REQUIRE ADEQUATE NUTRITION
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Created by:
Perfectlysusan
Popular Nursing sets