Shock From Burns

Question 1

Why is burn victim at risk for shock

Answer 1

Circulatory collapse from fluid loss

Question 2

What are the two most important measures to relieve profound shock in a burn patient

Answer 2

Replacement of lost fluid and electrolyte

Enhancement of tissue fluid

Question 3

But lots of fluids and electrolytes results from

Answer 3

Sudden capillary leak and shifting of blood plasma

Tissue fluid from their normal site to the area of the burn

Question 4

The shift of tissue fluid And Capillary leak occurs in

Answer 4

The first 24 to 48 hours

Question 5

What measurement should be done in daily while a patient has an open wound

Answer 5

Daily wt

And I&O

Question 6

From the time of fluid mobilization an diuresis when the burned area is complete covered by skin graft or when are healed

Answer 6

Acute phase

Question 7

List the 6 general principles or the daily care of burns wounds

Answer 7

Cardiopulmonary status monitor

Tubes and catches s/s of infection

Keep warm

Analgesic and sedation (open nerve so everything hurts)

No impairment

Question 8

What type of dressing will most likely be applied on a burns wound

Answer 8

Biologic or biosynthetic skin

Question 9

IV morphine or hydromorphone hydrochloride;

Prior to wound care procedures: fentanyl & benzodiazepine,

ketamine (anesthetic),

propofol (anesthetic);

Chronic: gabapentin, methadone

Answer 9

pain

Question 10

pain

Answer 10

IV morphine or hydromorphone hydrochloride

; Prior to wound care procedures: fentanyl & benzodiazepine,

ketamine (anesthetic),

propofol (anesthetic);

Chronic: gabapentin, methadone

Question 11

antibiotic, binds to bacterial cell membrane

Answer 11

silver sulfadiazine:

Question 12

what should you observe while taking sliver sulfadiazine

Answer 12

allergy to sulfur

check: rash
itching
or burning

Question 13

what sliver sulfadiazine is not effective on?

and how many times a day should you apply it ?

Answer 13

pseudomonas infection

cream must be removed and reapplied once or twice a day

Question 14

bacteriostatic agent, effective against gram-positive and gram-negative organisms;

penetrates eschar and is highly effective for electrical burns

Answer 14

mafenide acetate

Question 15

what should you observe while taking mafenide acetate?

Answer 15

assess for allergy sulfur

Check for: metabolic acidosis

monitor blood gasses and electrolytes level

Question 16

what is mafenide acetate effective for?

Answer 16

penetrates eschar and

against pseudomonas

Question 17

what should you do before you give mafenide acetate ?

Answer 17

Application may cause pain 30-40mins medicate before applying

Question 18

antimicrobial

Answer 18

silver nitrate

Question 19

when using sliver nitrate how should the dressing be kept?

Answer 19

must be kept wet stings on apply w/ 0.5% solution

Question 20

what should you monitor while taking silver nitrate?

Answer 20

monitor electrolyte level

and balance

Question 21

antimicrobial only used on superficial burns

Answer 21

chlorhexidine gluconate

Question 22

long lasting. does not interfere w/ the ability of the wound to epithelialize

Answer 22

chlorhexidine gluconate

Question 23

chlorhexidine gluconate is only used on?

Answer 23

superficial burns

Question 24

digests collagen in necrotic tissue, powder prevents infection,

Answer 24

collagenase with polymyxin B

Question 25

what should you monitor while

taking collagenase with polymyxin B ?

Answer 25

monitor wound infection only on debridement needed tissue

Question 26

wide spectrum antibiotic causes itching burning irritation

must be applied every 2-8 hours

Answer 26

polymyxin B-bacitracin