Shared Flashcard Set

Details

Burns
Treatment & Medications
17
Nursing
Undergraduate 2
06/08/2011

Additional Nursing Flashcards

 


 

Cards

Term
Superficial Partial Thickness
Definition
-mild analgesic
-regular cleansing
Term
Moderate Partial Thickness
Definition
-topicals
-cleansing
-analgesics
Term
Deep Partial Thickness
Definition
-regular cleansing, soap and water
-topical agents, silvadene
-may require skin grafting
Term
Full Thickness
Definition
-cleansing
-topical agents
-skin substitutes
-eschar removal
-skin grafting
Term
Parkland Formula
Definition
-4ml x Kg x %TBSA burn
-50% infused in first 8h, remaining 50% over 16h
-if burns are >30% will change to dextrose base after first 24h treatment
Term
Calories
Definition
4000-6000 cal/day
Term
Rule of 9's
Definition
Head-9
Torso Front-18
Torso Back-18
Arm- 9 each
Legs-18 each
Gentials- 1
Term
Topicals (3)
Definition
-sulfamylon (antibiotic)
-silvadene (antibiotic)
-5% silver nitrate soaks
Term
Silvadene
Definition
-wide spectrum antimicrobial oitment
-apply 1-2x/day
-painless
-leave wounds exposed or wrap with gauze
Term
Acticoat
Definition
-silver coated wound wrap
-antimicrobial barrier
-broad spectrum coverage for >150 pathogens
-easy to apply, cost effective
Term
Autograft
Definition
-own skin
-no rejection
-secured with staples
-site immobilized for 72 hours
Term
Cultured Epithelial Autografting
Definition
-own skin cells are scraped, minced, grown
-3-4 weeks to cover body
Term
Homograft
Definition
-donor cadaver
-temporary, sloughs off after skin has grown back
-usually from cadaver
-revascularizes
-lasts longer than xenograft before sloughing
Term
Heterograft/Xenograft
Definition
-temporary
-animal pig
-lasts a week to 10 days
Term
Donor Site care
Definition
-biosynthetic dressing may be used
-fine mesh gauze
-heals within 8-14 days
Term
Immobilization
Definition
-3-7 days of immobility of body parts
-pressure garmet 23hrs/day up to 2 years
-massage and lotions several time daily to prevent scarring and contractures
Term
Temporary/Permanent Skin Replacements
Definition
-biobrane
-dermagraft
-integra
-alloderm
-transcyte
-acticoat
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