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Details

Care of a Burn Patient
Nursing Care of a Burn Patient
9
Nursing
Undergraduate 2
12/09/2009

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Cards

Term
What are the ABC's of burn care?
Definition
Airway maintenance and cervical protection
Breathing and Ventilation
(High flow O2 at 15L - 100% Non rebreather mask)
Circulation (2 large bore IV's into unburned skin, begin fluids)
Disability/Neurologic Deficit)
Term
What is the formula for calculating fluids during the first 24 hours post burn?
Definition

Adults: Ringer's Lactate 2-4cc x kg. body weight x % burned.

 Children: 3-4 cc x kg. body wt. x % burned.

 

Administration: 1/2 given 1st 8 hrs. 1/4 given 2nd 8hrs. 1/4 given 3rd 8 hrs.

Term
What is the optimal hourly urine output for a burn patient?
Definition
Adults 30 - 50 cc/hr. Children < 30 kg. 1 cc/kg/hr Children > 30 kg. 30 - 50 cc/hr
Term
What is optimal hourly urine output for a patient with an electrical burn?
Definition
75 - 100 cc/hr
Term
What is an important point to remember about chemical burns?
Definition
Tissue damage will progress until the chemical has been removed or inactivated.
Term
What is an important point to remember when transporting patients to a burn center?
Definition

Do NOT give prophylactic antibiotics!!!

 Give tetanus prophylaxis

Term
What is the rule of 9's?
Definition
Head 9%, Arms 9% each, Legs 18% each, Thorax 18& front/18% back, Perineum 1%
Term
When is an escharotomy performed?
Definition
Only of full thickness circumferential extremity or truncal burns
Term
What happens during different degrees of carbon monoxide poisoning?
Definition
15-40% CNS changes of varying degrees
40-60% Obtunded, LOC
50-70% Fatal
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