Burn Notecards

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Author:
speckledfreckles
ID:
195678
Filename:
Burn Notecards
Updated:
2013-01-27 11:34:20
Tags:
burn
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Description:
Chapter Iggy Chapter 20 Sole
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  1. Curling's Ulcer
    *may develop with in 24 hours

    acute gastroduodenal ulcer that occurs with the stress of severe injury

    The mucus lining of the stomach normally acts as a barrier to the presence of hydrogen ions secreted into the stomach contents. With decreased gastric mucus production, this barrier is disrupted and hydrogen ion production increases and ulcers may form as a result.
  2. Resuls of a fluid shift
    • *hypovolemia
    • *metabolic acidosis
    • *hyperkalemia
    • *hyponatremia
    • *hemoconcentration
  3. Treatment at Home for 2nd degree burns
    • cool with water
    • if small, apply cream daily
    • if large seek medical care
    • cover with dry nonstick dressing
    • be sure Tetanus is up to date
    • observe for S&S of infection
    • AVOID breaking blisters
  4. Inhalation Injury
    • carbon monoxide poisoning-cherry red
    • above the glottis-caused by breathing in heat or noxious chemicals produced during the burning process
    • below the glottis-caused by breathing noxious chemical byproducts of burning material and smoke (lung damage)
  5. Electrical Injuries
    • AC-alternating current-most commercial
    • DC-direct current-lightening, car batteries
    • above 1000 volts=high
    • below 1000 volts=low
    • current passes through the body and follows the path least resistant to the ground
    • usually full thickness
    • WATCH CARDIAC!
  6. Functions of the skin
    • protect from infection
    • prevention of loss of body fluids
    • thermoregulation
    • production of Vitamin D
    • excretion
    • sensory contact with the environment
    • determination of identity
  7. Methamphetamine
    • cause thermal & chemical burns with an increased probability of inhalation injury
    • more extensive TBSA burned
    • risk to the health care provider(contamination)
    • vague or inconsistent history, burns to the hands and face & signs of agitation or substance with drawl are red flags!
  8. Chemical Injury
    • Alkalis-oven cleaners, lye, wet cement
    • Acids-bathroom cleaners, rust removers
    • Organic Compounds-gas & kerosene
    • Methods of Injury-contact, inhalation of fumes, ingestion or injection
  9. Thermal Injury
    • flame
    • scalding liquids
    • steam
    • direct contact with heat source
  10. Highest Morbidity related to burns:
    • burns that cover >50% of the TBSA
    • older patient
    • younger patient
  11. The Extent of Local & Systemic Problems is R/T
    • age
    • general health
    • extent of injury
    • depth of injury
    • specific body area injured
  12. Local & Systemic Burn Problems
    • fluid & protein losses
    • sepsis changes in_ functioning:
    • -metabolic
    • -endocrine
    • -respiratory
    • -cardiac
    • -hematologic
    • -immune

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