Burns, Integumentary, Pre-op, Intra-op, Post-op
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each of the black spaces below before clicking
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| Burn (definition) | show 🗑
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| show | caused by flamed, flash, scald, or contact with hot objects (most common type)
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| Chemical burns | show 🗑
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| Smoke and Inhalation Injury | show 🗑
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| Electrical burns | show 🗑
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| show | results in the formation of ice crystals in the tissues and cells
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| How is severity of a burn determined? | show 🗑
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| show | First degree and second degree burns
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| First-Degree | show 🗑
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| show | epidermis and dermis involved to varying depth: mild to moderate edema and blisters
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| show | Third and Fourth degree burns
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| show | all skin elements and local nerve endings destroyed. Necrosis present. Surgical intervention required for healing
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| show | Location
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| Lund-Browder chart | show 🗑
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| Rule of Nines | show 🗑
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| show | Dysrhythmias and hypovolemic shock
Ischemia, paresthesias, necrosis, gangrene
Increase in blood viscosity
Microcirculation is impaired
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| Respiratory complications of burn injury | show 🗑
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| Urinary complications of burn injury | show 🗑
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| show | elimates the necessity for emergency tracheostomy after respiratory problems have become apparent
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| show | establish IV access that can accommodate large volumes of fluid.
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| show | necrotic skin is removed
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| Open method of wound care | show 🗑
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| Multiple dressing change method of wound care | show 🗑
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| Drug therapy for burn pts | show 🗑
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| _________ takes PRIORITY over nutritional needs | show 🗑
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| What nutritional needs do burn pts have? | show 🗑
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| show | the period of time required to resolve the immediate, life-threatening problems resulting from the burn injury
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| Acute phase | show 🗑
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| From the onset of the burn event until the pt is stabilized, nursing and collaborative management predominately consists of airway management, fluid therapy, and wound care. | show 🗑
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| show | avoiding environmental hazards, adequate rest/exercise, proper hygiene/nutrition, use of self-examination techniques
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| show | premature aging, precancerous and cancerous lesions. Tanning is skin's response to injury. Some medications enhance the sun's effect
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| show | excessive radiation can cause edema, erythema, and hypo/hyperpigmentation
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| Adequate rest | show 🗑
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| Exercise | show 🗑
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| _______ and __________ protect from bacterial overgrowth | show 🗑
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| Most soaps _________ skin surface | show 🗑
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| Nutrition | show 🗑
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| show | flat, nonpalpable change in skin color, smaller than 1 cm
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| show | Palpable, circumscribed, solid elevation in skin, smaller than 1 cm
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| show | irregularly shaped, elevated area or superficial localized edema, varies in size
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| Vesicle | show 🗑
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| show | Circumscribed elevation of skin similar to vesicle but filled with pus; varies in size
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| show | A = asymmetry
B = Border irregularity
C = Color variation
D = Diameter > 6 mm
E = elevation
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| Malignant melanoma | show 🗑
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| show | staph aureus and strep b
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| show | moisture, obesity, skin disease, systemic corticosteroids, antibiotics, chronic diseases
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| show | Impetigo, Furuncle, Folliculitis, Carbuncle
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| show | erythema, tenderness, edema
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| show | Herpes simplex (types 1/2), Herpes Zoster (shingles), Warts/plantar warts
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| show | a natural antibiotic
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| Fungal infections of the skin | show 🗑
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| Scabies | show 🗑
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| show | severe itching at night
usually not on face, on hands, wrists, genitals, axillary folds
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| treatment of scabies | show 🗑
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| Begbugs | show 🗑
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| Urticaria | show 🗑
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| Rashes from drug reactions can occur _______ days after medication. | show 🗑
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| Lesions from contact dermatitis can appear ______ after contact with allergen | show 🗑
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| show | acne, nevi, psoiasis, seborrheic keratoses, acrochordons, lipoma, vitiligo, lentigo
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| What are the uses of wet dressings? | show 🗑
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| show | saline, water, sodium bicarb, oatmeal
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| Surgery (definition) | show 🗑
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| Surgery involves... | show 🗑
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| show | Diagnosis, cure, palliation, prevention, exploration, and cosmetic improvement
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| show | determination of the presence and/or extent of pathology
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| Cure: | show 🗑
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| show | alleviation of symptoms without cure
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| show | examples include removal of a mole before it becomes malignant or removal of the colon in a pt with familial polyposis to prevent cancer
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| show | surgical examination to determine the nature or extent of a disease
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| Cosmetic Improvement | show 🗑
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| show | carefully planned surgery
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| Emergency surgery | show 🗑
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| show | pt is admitted to the hospital on the day of surgery. Usually pts who are in the hospital before surgery due to medical conditions
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| Ambulatory surgery is also called what? | show 🗑
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| show | more convenient, involves fewer laboratory tests, fewer pre/post op meds, less psychological stress, less susceptibility to hospital-acquired infections, do not require an overnight hospital stay
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| Who prefers ambulatory surgery? | show 🗑
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| show | general, regional, or local anesthetic
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| show | prepare pt for surgery, care for pt during surgery, facilitate pt recovery following surgery
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| show | to obtain health information, to determine pt's expectation about surgery/anesthesia, to provide and clarify information about the surgical experience, to assess pt's emotional state/ readiness for surgery
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| show | to gather data in order to identify risk factors and plan care to ensure pt safety throughout the surgical experience
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| The most common psychologic factors in surgery are | show 🗑
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| show | Comes from facing the unknown
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| Anxiety | show 🗑
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| Anxiety | show 🗑
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| show | can arise when surgical interventions are in conflict with the pt's religious and cultural beliefs
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| show | potential for death or permanent disability resulting from surgery
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| Hope | show 🗑
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| show | drugs and herbal products may interact with anesthetics
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| Why should a medication hx be taken? | show 🗑
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| Allergies | show 🗑
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| What type of allergy should the nurse screen for? | show 🗑
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