Chat 26 RESUSCITATION PHASE OF BURN INJURY Flashcards
Immediate care focuses on
maintaining an open airway, ensuring adequate breathing and circulation, limiting the extent of injury, and maintaining the function of vital organs.
Assess the burn patient’s
airway and adequacy of breathing before assessing any other body system.
Keep an endotracheal kit or tracheostomy kit at the bedside of any patient with
facial burns, burns inside the mouth, singed nasal hairs, or a “smoky” smell to the breath.
Check ventilator alarms
hourly for patients who are receiving paralytic drugs during mechanical ventilation,
Give analgesics, sedatives, and antianxiety drugs to patients
receiving paralytic drugs during mechanical ventilation.
Notify the physician immediately if the patient with an inhalation injury
becomes more breathless or audible wheezes disappear.
When signs of pulmonary edema are present, elevate the head of the bed to
at least 45 degrees, apply oxygen and facilitate immediate intubation.
Use strict aseptic technique when caring for patients who have
open burn wounds.
Nonsurgical interventions include
airway maintenance, promotion of ventilation, monitoring gas exchange, oxygen therapy, drug therapy, positioning, and deep breathing.