Burns Flashcards
1
Q
Anatomical changes
A
Infection Pain Loss of vitamin D Evaporation Sweating loss Contractures
2
Q
Greater risk of death if
A
Over 60 years old
TBSA 40% or more
3
Q
Superficial thickness
A
Only epidermis Peels 2-3 days after Redness Pain Edema
4
Q
Superficial partial thickness
A
Epidermis and upper 1/3 of dermis Pink Wet, blistered Good blood supply Intense pain Exposed nerves 10-21 days healing
5
Q
Deep-partial thickness
A
Extends into dermis Dry Shiny Decreased pain (destroyed nerves) 2-6 weeks healing Skin graft?
6
Q
Full thickness
A
Destruction of epidermis and dermis Skin does not regrow Forms eschar Decreased pain Needs graft
7
Q
Deep full thickness burns
A
Destruction of skin, bone, muscle
May require amputation
Skin graft
8
Q
Resuscitation phase goals
A
Until diuresis occurs ABC Fluids Infection Body temp Emotional
9
Q
S/Dx of airway involvement
A
Source of burn Burns to face, nose area Smoky smell in breath Horse, brassy cough Drooling, dysphagia Wheezing, stridor
10
Q
What to do for airway
A
Notify provider
Apply O2
Prepare intubation
11
Q
ARDS can occur
What to do?
A
HOB 45
O2
Notify provider
Monitor ABGs, O2 sat
12
Q
Circulation assessment
A
Hypovolemia shock
ECG changes
Use invasive monitoring for vitals
13
Q
Vascular changes
A
Fluid shift Third spacing (12-36 hours) Profound electrolyte imbalance Diuretics stage begins 48-72 hours after injury Hypokalemia Hyponatremia
14
Q
Kidney/ urinary changes
A
Monitor kidney function
Myoglobin (rust color)
Labs
15
Q
GI assessment
A
Paralytic ileus Curlings (stress ulcer) Monitor for Absent bowel Blood in emesis or stool NG placement PPIs and H2 blockers Feed a working gut
