week 12 Flashcards
burn classificiation/assesment
what are the types :
superficial partial thickness (1st )
deep partial thickness burn
superficial partial thickness burn ( 1st degree )
- doesnt need to be hospitalized ( put dressing on to protect that skin )
deep partial thickness burn ( 2nd degree )
- size of a toonie , deep
partial thickness burn - can get away with dressing change to keep to clean - would heal but takes a whiee
but large area - entire hand ( doesn’t happen, bad infection ( will heal but have scar tissues 0
what is full thickness ( 3rd degree )
cut off all the dead tissue ( some type of dressing thing to act like skin )
full thickness burn ( 3rd degree ) smells like burn hair
eschar on it ( black stuff )
not soft and doesn’t feel human and its hard
needs to get grafted ( the photo)
full thickness ( within 48 hours, die from sepsis , ( burn dead skin )
what is this describing ?
full thickness ( 3rd degree ) – cut off all the dead skin ( some type of dressing thing to act like skin )
what is extent – the % tbsa burned ( estimate ) rule of nines
total burning surface area
the higher the total body surface area burn - the more serious it is and the more likely the pt will have roughly recovery and pass away
where is the location that could occur for burns ?
face, neck, chest
hands, feet, joints, eyes
ears
buttocks and perineum
circumferential – limb - perfusion ) chest ( inhalation , movmeent of chest wall )
what do we immediately worry about when they have a burn across their chest / neck/face
worry abt the airway
pulling hot air and they can have burn even in their esophagys
what do we worry abt when they have burn in their hands, feet, joints and eyes
we worry abt how they are able to live ( independence and work )
wr worry abt the contractures and eyes we worry abt the eye sight
why are ears hard to heal ?
alot of cartilgae and not a lot of blood, takes a long time to heal
the classic burn is when thwhat
what are the risk factos for burn
age
med/hx.chronic diseasae, lifestyle other injuries
in class she tlaked abt circumferencial ( expand on it )
the classic burn is when the older person get to a tub and do not realize and lower their backside and now have a burn - worry abt bowel movemnt, getting infection , diarrhea
circumferential - gets all the way around
( chest can epxand require escharotomy )
what undergoes age as a risk factor
organs are not working not as grat and have more diffuclty with rehab
what disease delays healing for burns ?
ms crohns , any type of disease ( diabetes, imapires healing , makes risk goes higher
true or false. sometimes they cut burns tissues, and let it expand ( releases pressure, emerg thing, has to be done )
true
poor kidney function, resp such as copd , huge risk they will die is this true amongst burns
yes this is true
what undergoes lifestyle, alcoholic , not good ability to heal and have liver problems or kidney
is this true
yes this is try
circumferenrail chst burn,,, chest cant expand , and may require what ?
escharotomy ( relieving pressure – there can be chest expansion )
what is the 3 distinct phases that a burn person goes through ?
emerg
acute
rehab
what is the emergency phase
remebeer abcs
resp
– airway
possible injury above glottis
et tube/ventilator
abg, give 02
how ong does a pt passes awya in the emergency phase
48 hours
right when the burns happens watch out fot 24 hours to 48
if they do [ass way usually because airway has closed in and couldnt intubate thwm
what is the first thing you’ll see in an emergency phase ?
usually when they die out of ariway problems its cardioasdcular low blood pressure second adn the first is airway
true or false. think abt airway, think abt injury in the glottis ( look for signs for burning for ae )
anu time of set burning of fac,e shotnnes of breat or whhezing and thinkin abt burnt hair
truew
waht type of asesemtn is important in emerg phase ?
chest assmsnet 0 asucualte an dpositioning
reclal that these are important an dundergoes emerg phase :
recall : remebeer abcs
resp
– airway
possible injury above glottis
et tube/ventilator
abg, give 02
what else ?
– Oropharynx
– Positioning
– DB & C, chest physio, suctioning – CXR, bronchoscopy
* Carbon monoxide (CO) poisoning – EMT treat
what type of position in emerg phase ?
hgih fowlers psoiton
lets ahve a good look isndie the tissue inside the bronchitis an dsee how bad it is how burn it is