Burns Flashcards
1
Q
Phases
A
- Emergent Phase
- Begins with the injury and continues for 24-48hrs.
- Priorities include securing the airway, supporting circulation and organ perfusion by fluid replacement, managing pain, preventing infection through wound care, maintaining body temperature and providing emotional support
- Lab values:- Increased Hemoglobin, Hematocrit, and Potassium
- Decreased or normal sodium.
- Metabolic or respiratory acidosis
- low platelets, low fibrinogen, increase PTT, PT
- hypovolemia and signs of shock = high HR, low BP
- respiratory failure = edema to airway = increased RR
- HYPOthermia
- Acute Phase
- Begins 36-48hrs after injury when the fluid shift resolves.
- Ends with closure of the wound.
- Priorities include assessment and maintenance of cardiovascular, respiratory and GI systems including nutrition; wound care, pain control and psychosocial interventions - Rehabilitative Phase
- Begins when most of the burn area has healed.
- Ends when the client achieves the highest level of functioning possible.
- Priorities include psychosocial support; prevention of scars and contractors; resumption of activities, including work family and social roles. This phase can last for years.
- Curling’s Ulcer (develops 72 hours after the burn)
2
Q
Parkland Formula for fluid resusitation
A
- 4mL X kg X %TBSA
- ½ in first 8 hours; ½ in the next 16 hours
- Example: if patient (88kg) has a TBSA of 18%, what is the amount of fluid given in total 24 hours, first 8 hours, and remaining 16 hours?
4 X 64 X 18 =
total 24 hours: 4,608mL of fluid
first 8 hours: 2,304
second 16 hours: 2,304