Pediatric burns

Card Set Information

Author:
alyn217
ID:
186520
Filename:
Pediatric burns
Updated:
2012-12-02 09:21:00
Tags:
PT3
Folders:

Description:
Pediatric Trauma, Burns, and Emergency Care
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  1. How are burns rated?
    • By depth of tissue damage:
    • • 1st degree- superficial
    • • 2nd degree-partial thickness
    • • 3rd degree-full thickness
    • • 4th degree-full thickness + underlying tissue
  2. Why should you triage burns to head/face ahead of other more extensive burns?
    • • **Burns to face/head triaged ahead of
    • other burns, even if BSA is >
    • Trauma following inhalation of heating gases and toxic chemicals produced during combustion
    • Upper airway obstruction may require endotracheal intubation 
  3. What are some complications associated with burns?
    • • Immediate threat of airway compromise
    • • Profound shock
    • • Infection (local and systemic sepsis)
    • • Inhalation injuries, aspiration, pulmonary edema, pulmonary embolus 
  4. What are emergency care priorities for the burn victum?
    • – Stop the burning process
    • – Assess victim’s condition
    • – Cover burn to prevent contamination
    • – Transport child to appropriate level of care
    • – Provide reassurance 
  5. Tx for burn patients?
    • • First priority: airway maintenance
    • • Fluid replacement therapy: critical in first 24 hours
    • • Nutrition: enhanced metabolic demands
    • • Medication: antibiotics, analgesics, anesthetics for procedural pain 
  6. Tx for MAJOR burns?
    • • Primary excision
    • • Debridement
    • • Topical antimicrobial agents
    • • Biologic skin coverings
    • – Allograft (human cadaver skin)
    • – Xenograft (porcine skin)
    • – Synthetic skin substitutes
    • – Split-thickness skin grafts (sheet or mesh graft) 
  7. What kinds of sunlight is responsible for sunburns and skin cancer?
    Ultraviolet B waves. 
  8. What is cold damage/frost bite?
    • --Tissue damage due to ice crystals in the tissues. 
    • – EBP: Rapid rewarming is associated with less tissue necrosis
    • Blisters appear 24 to 48 hours after rewarming
    • – Treatment of blisters similar to burn treatment 
  9. What are some possible nursing diagnosis for frost bite?
    • • Impaired skin integrity rt
    • • Risk for infection rt
    • • Fluid volume deficit rt
    • • Anxiety/pain rt
    • • Risk for fluid volume excess rt
    • • Impaired physical mobility rt
    • • Ineffective thermoregulation rt
    • • Altered family processes rt
    • • Body-image/self-esteem disturbance rt 

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