Week 3 Burn Eval Tx Flashcards
how do we manage wounds
wash with soap and water
debride lose nonviable tissue.
topical antibiotics to prevent infection
TF: we wrap fingers and toes all together
false, individually.
what is a basic burn cream
silver sulfadiazine
why use collagenase
enzymatic debridement for full thickness burns
why use silver nitrate
in place of silvadine in case of sulfa allergic patient
why use anticoat silver products or silver imprgenated gauze
antimicrobial
why use sulfamylon
to cover bone cartilage.
where do we use bacitracin
face and around the eyes
why do we start rehab right away
to prevent contractures .
what is the sum of stuff that leads to loss of function
wound contraction
prolonged immobilization
and scarring
leads to loss of function
during what phases of healing do we get issues
proliferation and maturation
why do we look at electrolytes
they can ooze out and we can get an imbalance. can have cramps and arrhythmia.
what happens to resting HR and BP
resting HR increase
BP decreases
why look at CBC
infection and blood loss
what are some things we do during evaluation
monitor vitals assess lines PROM and AROM hand function sensation and strength endurance mobility gait balance peripheral vascular integrity splinting and positioning
what must we consider with the mobility exam
burn location and where we put our hands.
dressings
avoid shearing forced (can touch, don’t shear)
compression and muscle pumping
vitals
gait belt
what happens to metabolic demand at rest with burn patients
it is higher, so you may need more breaks and longer rests.
thermoregulation in burn patients
impaired, may not tolerate activity and temperature well