Cyndi - Week 14 - Exam 7 Flashcards

Question

what are the characteristics of TBSA calculation?

Answer 1

•TBSA calculation - takes age into account • Rule of nines chart • Lund-Browder chart • Superficial partial-thickness not represented • Tracks only deep partial-thickness and full thickness injury

Answer 2

* Indoor smoke or fire exposure, or entrapment * Carbon stain or singed hair on face or neck * Hoarse voice or dark sputum * Carbon monoxide poisoning * Clues for suspicion of injury * Damage to the respiratory tract from heat or chemicals * Injury above glottis * Injury below glottis

Answer 3

* CBC * Lytes * CPK * UA * ABG * Carboxyhemoglobin level if indicated

Answer 4

Hands, feet, face, eyes, ears, joints or perineum, circumferential burns

Answer 5

* Zone of coagulation * Zone of stasis * Zone of hyperemia

Answer 6

* Stress response * Fluid loss * Hypermetabolic state * Systemic effects of burns – pulmonary, GI, kidney, immunity systems`

Answer 7

volume of LR = 4 mL x % BSA x weight (kg) | **1/2 first 8 hrs then 1/2 next 16 hours

Answer 8

- emergent phase - acute phase - rehabilitation phase

Answer 9

- until immediate life threatening issues resolved - up to 72 hours •Prehospital phase – rescue and transport •Hospital – emergent care – may be transferred to burn center

Answer 10

- from mobilization of extracellular fluid to wound | stability

Answer 11

Onset of injury until fluid resuscitation complete • ↑ capillary permeability = intravascular volume depletion •Insensible fluid loss – skin and respiratory •Electrolyte shifts • Na+ out of blood - into interstitium and cell • K+ out of cell - into interstitium and blood •Inflammation response •Immune dysfunction •Chemical burn – flush area with water for 20 min •Electrical burn – may have other trauma •Radiation – contain contamination

Answer 12

``` •Shock From Pain And Hypovolemia •There may be other injuries and trauma as well •Blisters •Bowel Ileus •Shivering •Frightened •Altered Mental Status ***opioid analgesic before any intervention ```

Answer 13

* Airway management – watch closely and intubate early * Fluid resuscitation – Parkland Formula – accurate hourly I&O (F catheter) * Wound care - decrease infection risk * Dressing changes, premedicate with pain meds, debridement as needed * ROM to preserve function of joints * Medications * Nutrition

Answer 14

* Treat pain with analgesics (IV, PCA) * Administer tetanus booster if indicated * Give antimicrobials * Administer DVT and ulcer prophylaxis

Answer 15

Begins when extracellular fluid begins to shift back to normal compartments (48-72 hrs) until wound healed •Diuresis of extra fluid – continued strict I&O •Patient more aware, has anxiety, needs emotional support ****Most common cause of death after 72 hours is infection

Answer 16

* Nutritional needs - increased protein, calories, and vitamins * Bowel sounds return - enteral feeding will keep GI tract healthy * Dressing changes - strict surgical aseptic technique * Pain control plan * Usually not ATBs unless infection or surgery

Answer 17

- early and continuous • Dressing changes – • Topical antimicrobial agents • Silvadene, Acticoat antimicrobial barrier dressing

Answer 18

* Escharotomy – fasciotomy * Grafting – donor and graft sites * Debridement * Hydrotherapy * The skin gun

Answer 19

``` Prevent complications! Assess for erythema, odor, and green or yellow exudate •Electrolyte imbalances •Infection •Cardiovascular •Respiratory •Neurologic •Musculoskeletal •Gastrointestinal •Endocrine ```

Answer 20

Begins when acute care needs are met • Goal to return the patient to productive life • Mobility limitations: positioning, skin care, exercise, ADLs, ambulatio

Answer 21

* Wound care and dressings * Signs and symptoms of complications * Exercises * Clothing and ADLs * Social skills

Cyndi - Week 14 - Exam 7 Flashcards

(47 cards)