NUR305 week 10 Flashcards
Pathophysiological changes for urns patients systems affected?
cardiovascular system, resp system, metabolic system and immunological system
immediate management of burns
remove from danger, stop burning a-e
airway management of burns
oxygen, early intubation if signs of inhalation stridor wheezing hoarse voice
breathing management of burns
high flow O2 non-rebreather 15 L,dysopoea and tachyponea signs of resp distress
circulation manangement of burns
fluid resuscitation is a treatment and a preventative measure. IV large bore. rule of nines. escharotomy full thickness circumferential burns
disability management of burns
treat pain large doses of morphine general anesthesia
exposure management burn
insert catheter monitor output urine, FBC, NGT
formula for fluid resus
2mls/kg x %TBSA x pre-burn weight in kg = volume in mls. plus average daily 2000mls over 24 hours = 83mls
wallace rule of nines
TBSA total body surface affected
head %
9%
each arm%
9%
whole leg
18%
trunk front
18
trunk back
18
perineum
1