Card Set Information
What is the outer layer of skin?
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
Functions of the Skin
Fluid and electrolyte balance
: break in skin =loss of fluid
: pain, pressure, temp, touch
the skin can tolerate temps up to ___
temp of 158 and above cause rapid cell destruction
Main Concern for patient with burns
Superficial - thickness wounds
1st degree, least serious
Involves outer layer of skin
: 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
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
Superficial Partial - Thickness Wounds
2nd degree (involves epidermis and some of the dermis)
Red with white splotchy patches
usually have blisters
If large or covers hands, feet, face, buttock, groin or major joint seek medical attention
Deep Partial thickness wounds
Red or white area
Tend not to see blisters because the damage to the underlying tissue
**closer to the nerve ending the pain changes
Full Thickness wounds
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.
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%)
Deep Full Thickness
Goes into the