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  1. What is the outer layer of skin?
  2. What makes dermis different than epidermis?
    • Dermis is thicker and is made of collagen, fibrous connective tissue and elastic fibers.
    • Dermis also includes: Blood Vessels, Sensory Nerves, Hair Follicles, Lymph Vessels, Sebaceous and sweat glands
  3. Functions of the Skin
    • Protective barrier
    • Fluid and electrolyte balance: break in skin =loss of fluid
    • excretes sweat
    • sensations: pain, pressure, temp, touch
  4. the skin can tolerate temps up to ___
    • 104
    • temp of 158 and above cause rapid cell destruction
  5. Main Concern for patient with  burns
  6. Superficial - thickness wounds
    • 1st degree, least serious
    • Involves outer layer of skin
    • Causes: Redness, Swelling, Pain
    • Usually treated as minor burn
    • Small Blister OK, Big blister will need to see doctor. If large part of the body is covered see physician
  7. Treatment for superficial/1st degree burns
    • Do Not Bust the Blister, but when it busts on its own keep clean and covered
    • Motrin, tylenol for pain
    • May need tetnus shot
    • Remove Constrictiong clothing, jewlerly 
    • Cool water, Not Cold for 10-15 mins until pain decreases
    • May Apley Aloe Vera
  8. Superficial Partial - Thickness Wounds
    • 2nd degree (involves epidermis and some of the dermis)
    • Red with white splotchy patches
    • usually have blisters
    • Painful
    • If large or covers hands, feet, face, buttock, groin or major joint seek medical attention
  9. Deep Partial thickness wounds
    • 2nd degree
    • Red or white area
    • Tend not to see blisters because the damage to the underlying tissue
    • **closer to the nerve ending the pain changes
  10. Full Thickness wounds
    • 3rd degree
    • involves all layers of the skin, destruction to the entire dermis and epidermis
    • Hard, dry, leathery eschar that forms.
    • eschar is dead tissue that must be removed before healing can occur. 
    • Charred Look
    • Not uncommon to have white areas
    • If injuries are this bad they will prob have inhalation injuries too regardless of burn location
    • Consider breathing issues, Were there toxins/chemicals in the flames?
    • Carbon Monoxide Knocks the O2 off the Hgb (crank up the O2 to 100%)
  11. Deep Full Thickness
    Goes into the

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2015-10-06 10:54:15

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