Burn Flashcards
what can influence burn etiology
cog and physical development
depth of burn superficial thickness superficial - partial thickness deep partial thickness full thickness 4th degree
superficial thickness - epidermis - red
superficial - partial thickness - papillary dermis - blister- hair intact 7-20
deep partial thickness - reticular dermis - pain varies (possible nerve) 21+ days
full thickness sub dermal - not painful -white gray black
4th degree - destruction of tendon muscle bone
burn inhalation dangers
super-heated air
could lead to excessive inflammation
parkland formula
fluid replacement to address burn induced intravascular fluid loss
escharotomy
surgical incision through eschar w/ goal of relieving pressure
fasciotomy
incision through fascia of muscle to relieve pressure
nutrition w/ burns
can lead to hypermetabolic and catabolic state
cutaneous functional unit
the areas of skin which contribute to mvmt
mobility w/ burn
the farther they walk the pain will decrease bc of muscle pump
positioning considerations
pt comfort
and stretching as much CFU’s as possible
splinting w/ burn
prevent scar contracture
early splinting key
remove 5 times a day for PROM if complaint to HEP
always splint at night
compression garment therapy for burns
fabricated to decrease vascular symptoms such as edema itching and promote wound healing