Burns Flashcards
Superficial (1st degree):
Superficial (1st degree): Red, dry, painful
Superficial partial thickness (2nd degree):
Superficial partial thickness (2nd degree): Red, moist, painful, blanches,clear blisters
Deep partial thickness (2nd degree):
Deep partial thickness (2nd degree):
Red and white, moist, painful, less blanching,bloody blisters,
Full thickness burn (3rd degree):
What is needed?
Full thickness burn (3rd degree): White/Brown, dry, leathery, painless, no blanching
Grafting needed
4th degree burns, which are characterized
This patient has 4th degree burns, which are characterized by the following: black, eschar, dry, painless, no blanching
What is the formula used to determine fluid replacement for the first 24 hours?
Parkland formula
How much of the fluid do you do you give in the first eight hours?
1/2 of total volume
How much do you give for the second eight hours?
1/4 0f total fluid volume
How much fluid do you give for the third eight hours??
1/4 of total fluid volume
Should you bust a blister?
No
What is the best route for pain meds?
IV
Would diet is appropriate for thus clients?
Hi calories, high-protein
What is the common electrolyte problem in clients with burns?
Hypokalemia or hyperkalemia both can be seen in clients with burns
Do superlong stress, clients are at risk for what types of ulcers?
Curling’s ulcer
What medication should be given before dressing changes ?
Pain medication
What are the two age groups most at risk burn injury?
The elderly and children
What are the four types of burns?
Thermal, Chemical, radiation, and electrical
If the face/Neck has been burned what is the nursing Priority?
Airway obstruction
You use what rule to estimate the body surface area that has been burned?
Rule of nines
What is the parkland formula?
4ml of LR x wt (kg) x % of body burn
Head =
9% (4.5 each front and back )
Chest/upper back =
18% ( 9 each front and back )
Abdomen/ Lower back
18% ( 9 each front and back )
Each arms
9% (4.5 each front and back )
Each leg
18% ( 9 each front and back )
Each palm is
1%
Genitals
1%