MSII_7_BURNS

Card Set Information

Author:
vanwin
ID:
273330
Filename:
MSII_7_BURNS
Updated:
2014-05-05 20:56:34
Tags:
MSII
Folders:
MSII,MSII_E3
Description:
UTTYLER NURSING
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  1. Carbon Monoxide inhalation
    • Cherry red skin
    • airway
    • *assess now!
  2. Fluid Resuscitation parameters (4)
    • Output 1ml/kg/ first 24 hrs
    • MAP >65
    • SBP <90
    • HR <120
  3. Thermal Burns:
    Heat above 140*
  4. Chemical Burns signs and symptoms (4)
    • grey to brown on assessment
    • persistent pain
    • deeper than what it looks like
  5. Risk r/t electrical burn
    Cervical injury; Cspine percaustion
  6. Smoke Inhalation Injury Management (4)
    • Airway
    • Humidified o2
    • intubation - to decrease edema
    • HOB 30*
  7. Partial thickness vs full thickness burn healing
    • partial: heals from base & edge
    • full: heals only at edges
  8. TBSA:
    • Head: 9
    • chest: 18
    • back: 18
    • Arm: 9
    • leg: 18
    • genitalia
  9. Facial burn assessment (3)
    • airway/ respiratory destruction
    • singed nasal hair - missing eyebrows!
    • cough up black streaks
  10. Nasal & Ear burns
    heals slower bc of cartilage is less vasculated..
  11. Circumferential Burn
    circulation compromise distal of burn, r/t compartment syndrome
  12. Prehospital stage of burn (5)
    • Remove pt from burn
    • A
    • B
    • C
    • IV acess
  13. Thermal burn initial assessment
    • cover with cool damp towel to prevent heat loss
    • wrap rest of body with dry blanket
  14. dysrhythmia management
    • place on heart monitor
    • prophylactic meds
    • amiodarone & fluids
  15. Cardio complication - decreased tissue perfusion management
    if not treated -> ischemia -> necrosis - > gangrene

    Treat with escharotomy to restore circulation
  16. Renal complications
    hypovolemic -> decreased flow to kidneys ->AKI - > ATN
  17. Parkland baxter formula
    • 4ml/kgxTBSA
    • 1st 24hrs: LR, 50%first 8 then rest over 16hrs
    • 2ns 24hrs: albumin

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