Burns Flashcards

1
Q

Phases

A
  1. 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
  2. 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
  3. 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)
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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
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