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Burns
Leifer
69
Nursing
Undergraduate 1
05/17/2023

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Term
there are several types of burns
Definition
thermal, chemical, electrical, radiation
Term
caused by fire or scalding vapor or liquid
Definition
thermal burn
Term
caused by a corrosive powder or liquid
Definition
chemical burn
Term
caused by electrical current passing through the body
Definition
electrical
Term
caused by xrays or radioactive substances
Definition
radiation
Term
the severity of a burn depends on the
Definition
area, extent and depth of involvment
Term
the size of the burn is calculated as a percentage of
Definition
total body surface area
Term
descrbie the extent of destruction of the skin
Definition
terms parital and full thickness
Term
only some of the skin layers are damaged
Definition
partial thickness
Term
deeper more extensive and may necessitate skin grafting
Definition
full-thickness burns
Term
measurment of the area between the crease of the skin at the wrist to the crease at the beginning of the finge4rs in the palm of the hand, estimated to be 1% of the child's BSA
Definition
rule of palm
Term
6 C's of burn care
Definition
clothing, cooling, cleaning, chemoprophylaxis, covering and comforting or pain relief
Term
when electricity is the cause of the injuryt the child should be assessed for entry and exit lesions that may appear as
Definition
small erythematous area
Term
deep muscle damage r/t electrical burns can cause renal impairment form
Definition
myoglobinuria
Term
the school nurse plays a major role in the education process as follows:
Definition
stop the burnign process, evaluate the injury, cover the burn, transport to a hospital
Term
when performing emergency care for a burn do not give any fluids by mouth because _ may have diminished in response to the burn injury
Definition
peristalsis
Term
_ are not disturbed unless a chemical burn occured
Definition
blisters
Term
the wound of a minor burn is usually completely healed within
Definition
20 days
Term
indications that flmaes may have been inhaled
Definition
cyanosis, singed nasal hairs,charred lips and stridor
Term
if exchar from burns onthe turnk inhibits repirations, an incision called an _ is made to prevent the restriction of chest movement
Definition
escharotomy
Term
lab studies for burn treatment include
Definition
hematocrit and sodium, chloride, potassium, carbon dioxide, BUN, creatinin and serum protein levels
Term
_ as a result of curlings ulcuer is not uncommon in patients with sever burns
Definition
sporadic bleeding
Term
the administration of IV antacids such as _ has helped to reduce the incidences of curling's ulcers
Definition
cimetidine
Term
a partial thickness burn is treated with antibacterial agents such as _ after initial assessment and cleaning
Definition
sulver sulfadiazin (silvadene), mafenide acetat (sulfamylon), or bacitracin
Term
yellow eschar is _
Definition
not removed
Term
silver based antimicrobial dressings that provide a long acting and sustained pain relieving and bactericidal effect, dressing can remain on for severaly days
Definition
aquacel AG and acticoat
Term
when the wound is being dressed no two _
Definition
burn surfaces should touch
Term
temporary grafts include
Definition
homografts and heterografts
Term
heterografts are also referred to as
Definition
xenografts
Term
many grafts are derived from
Definition
pigskin
Term
biological dressings are often used in children and are called
Definition
porcine xenografts
Term
deep dermal wounds may be preceded by a
Definition
tangential excision
Term
a surgical technique of remvoing burned eschar with a dermatome
Definition
tangential exision
Term
health tissue obtained from aother part of the pt's body
Definition
autograft
Term
obtained from the patient's identical twin or genotype
Definition
isograft
Term
the site from which tissue is removed for a graft is called the
Definition
donor area
Term
consists of small pieces of donor skin placed on the the granulation tissue, spaces between grafts allow for drainage and healing
Definition
postage stamp fraft
Term
sheets of skin placed intact over the wound
Definition
full cover grafts
Term
can be applied to a noninfected burn wound within 6 hrs of the injury and will peel off as the wound heals
Definition
biological dressings
Term
the dressings _ contain human or pigskin products and _ should be considered before use
Definition
biobrane and transcyte, hypersensitivity
Term
negative pressure applied to a wound after the wound is packed and sealed
Definition
vacuum assissted wound closure
Term
after basic healing has occured, a nonperfumed moisturizing cream such as _ may be recommended to mainatin skin moisture
Definition
eucerinm niveam cocoa butter
Term
ointments containing _ are not advise for posthealing burn care
Definition
lonlin
Term
it may take _ for the complete healing process of a burn to occur
Definition
2 yrs
Term
systemic antihistamines such as _ may be prescribed to control itching
Definition
diphenhydramine(benadryl) or hydroxyzine(atarax)
Term
_ baths are soothing
Definition
bicarbonate of soda
Term
for nursing care of the burned childe _ isolation is institued
Definition
protective isolation
Term
although initially restricted to preven n/v oral fluids ar necessary during the _ stages to prevent _ and to maintain _
Definition
convalascent stages, kidney damage, body fluid requriements
Term
vitamins _ are given to hasten healing and to stimulate the appetite
Definition
A,B C and zinc sulfate
Term
the initial treament of sunburn
Definition
immersin in a tepid water bath for 15 to 20 minutes
Term
tepid water bath temp
Definition
36.7C (98F)
Term
a bland _ moisturizing lotion can be applied to sunburns
Definition
oil in water
Term
_ are recommended to treat sunburn
Definition
cool compresses, aloe vera, calamine lotion
Term
physical sunscreens contain a cream such as
Definition
zinc oxide, magnesium dioxide, tatanioum dioxide,
Term
physical sunscreens block _ and are usually referred to as
Definition
UV, sunblocks
Term
most sunburns are caused by
Definition
UVB rays
Term
chemical suncreans contain
Definition
para aminobenzoic acid, avobenzone, ecamsule
Term
chemical suncreases absorb _ and are usually labeled _
Definition
UVA wavelenths, broadspectrum protection
Term
minimum SPF protection should be
Definition
30
Term
sunscreen should be worn when
Definition
outdoors at all times and reapplied every 2hrs when swimming
Term
a common form of cancer that occurs as a result of frequent sun exposure without protectoin
Definition
melanoma
Term
the result of the freezing of a body part
Definition
frost bite
Term
cold injury with erythema and the formation of vesicles and ulcerative lesions that occur as a result of vasoconstriction
Definition
ciliblain
Term
in extreme cases of exposure to freezing temperaturs, the _ should be warmed before the _ to ensure survival with minimal consequences
Definition
head and torso, extremities
Term
frostbitten extremities appear
Definition
pale and hard and are without sensation
Term
_ is contraindicated with frostbite
Definition
massage
Term
the frostbitten extremity can be placed in the _
Definition
axilla or warm water(not hot)
Term
_ appears with the return of sensation which is accompanied by extreme _
Definition
deep purple flush, pain
Term
blistering and ulcers can occur and are treated with
Definition
whirpool soaks
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