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N480 Critical Care > Week 8 Burns > Flashcards

Week 8 Burns Flashcards

1
Q

Burns - Nursing Considerations

A
  • Airway injury
  • Fluid imbalance
  • Sepsis
  • Mobility
  • Psychosocial
  • Nutrition
  • Wound care
  • Pruritus
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2
Q

Pre-hospital care - All burn types

A
  1. Remove from source of burn
  2. Focus on ABCs
  3. ↓Rate of burn
  4. Transfer to burn center
  5. IV fluids, pain management
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3
Q

Electrical burns

A
  • Causes
  • Assessment & complications
  • Interventions
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4
Q

Chemical burns

A
  • Causes
  • Assessment & complications
  • Interventions
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5
Q

Thermal burns

A
  • Causes
  • Assessment & complications
  • Interventions
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6
Q

Smoke inhalation: Carbon monoxide poisoning

A
  • Causes
  • Assessment & complications
  • Interventions
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7
Q

Smoke inhalation: Mechanical injury

A
  • Causes
  • Assessment & complications
  • Interventions
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8
Q

1st degree burns

A
  • Depth
  • Consequence of locations
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9
Q

2nd degree

A
  • Depth
  • Consequence of locations
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10
Q

3rd/4th degree burns

A
  • Depth
  • Extent
  • Consequence of locations
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11
Q

Rule of Nines

A
  • Head & neck
  • Arms
  • Front
  • Back
  • Genital
  • Legs
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12
Q

Conditions leading to Burn Shock

A
  1. At time of major burn injury => ↑Capillary permeability
  2. Blood leaks into interstitial space => Edema & ↓blood volume
  3. ↑Hct & ↑blood viscosity => ↑Peripheral resistance/↓Perfusion
  4. ↓BP + ↑Viscosity => ↑Peripheral resistance/↓Perfusion
  5. BURN SHOCK (type of hypovolemic shock) => (Un-Tx) DEATH
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13
Q

Burns: Emergency Care Phase (1)

A
  • First 0-72 hrs
    1. Airway
    2. Fluids & temp
    3. Nutrition
    4. Mobility
    5. Wound care
    6. Wound infection
    7. Pruritus
  • Assessments
  • Management
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14
Q

Burns: Emergent Care Phase (1) Tx & Management

A
  • Medications
  • Surgical procedures
    + Skin graft
    + Escharotomy
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15
Q

Burns: Acute Care Phase (2)

A
  • 72 hr until wound closes (several wks)
  • Assessments
  • Interventions
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16
Q

Burns: Rehab Care Phase (3)

A
  • Up until 12 mo
    + When wound closes to pt back to baseline
  • Psychosocial
  • Physical therapy
17
Q

Burns: Multidisciplinary team

A

➢ RT
➢ SLP
➢ OT/PT
➢ Social worker ➢ Case manager
➢ Pharmacist
➢ RD
➢ Therapist
➢ Home health
➢ Specialist if hearing/eyesight affected
➢ Infectious disease MDs

18
Q

Burns: Fluid Replacement

A
  • Expectations
  • Parkland (Baxter) Formula
  • Expected fluids

N480 Critical Care (9 decks)

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