Term
| the pt with burns may have upper airway edema so what must be done |
|
Definition
| nasal or oral intubation if crowing stridor or dyspnea is present |
|
|
Term
| deep endotracheal procedures are extremely painful so what is done when a pt needs this |
|
Definition
|
|
Term
| how is o2 therapy given to those with burns |
|
Definition
| humidified facemask or hood |
|
|
Term
| what stats would indicate the need for intubation |
|
Definition
|
|
Term
| 3 common burn fluid recusitation fluids |
|
Definition
parkland
modified parkland
modified brooke |
|
|
Term
| whatwhat is the parkland composed of |
|
Definition
|
|
Term
| what is the modified parkland solution composed of |
|
Definition
| cyrstalloi (LR) TBSA burn |
|
|
Term
| what is the modified brooke solution made of |
|
Definition
| prttenate or 5% albumin in 0.9% saline LR with no dextrose |
|
|
Term
| what ivs will be used in mamging burns |
|
Definition
| large iv bore needles peripheral lines are less useful because they can become dislodged |
|
|
Term
| how is the iv rate caculated for burn victims |
|
Definition
| basis of the urine output plus electrolyte values. it is titrated |
|
|
Term
| diuretics do not increase cardiac output what do they actually do |
|
Definition
| decrease circulating volume and co by pulling fluids from the blood to enhance diuresis |
|
|
Term
| diuretics are not often used for those burn pts but when would mannitol osmitrol be used |
|
Definition
| when a pt suffered an electrical brun |
|
|
Term
| when an escharotomie is preformed what analgesic is used and why |
|
Definition
| none is used because the nerve endings are destroyed but sedation can be used to reduce anxiety |
|
|
Term
| during the recusitaiton of burn the iv is used for drugs why |
|
Definition
| because im routes will remain in the tissue space |
|
|
Term
| what is done to pts who get respiratory distress syndrome |
|
Definition
peep
mechanical ventilation |
|
|
Term
| when weighing the pt how much weight loss will requir evaluation and modification of calories |
|
Definition
|
|
Term
| what are 3 indicators of healed wounds of burns |
|
Definition
granulaiton tissue
decreased wound size
no new wounds |
|
|
Term
| who can perform hydrotherapy for the bun victim |
|
Definition
|
|
Term
| why is immersion of the pt in a tub for hydrotherapy often abad idea |
|
Definition
| it increases the risk for infection bu autocontamination and cross contamination |
|
|
Term
|
Definition
| human skin from a cadaver from the skin bank |
|
|
Term
|
Definition
| skin from another speics- pigskin is the most ocmmon |
|
|
Term
|
Definition
| biological dressing for wounds it requires frequent changes becuase it doesnt maintain its own blood supply |
|
|
Term
| cultured skin can be grown from epidermal cells artificial skin is |
|
Definition
| has two layer one is silastic epidermis and the other is from beef collagen |
|
|
Term
| tangenitial technique for skin repaires |
|
Definition
| the surgeon removes thin layers of the necrotic burns until tissues is encountered |
|
|
Term
| what does bleeding indicate with surgical excision |
|
Definition
| indicates thata bed of healthy drmis or sub q has been reached |
|
|
Term
|
Definition
| cuts away the burn wound to the level of the superficial fasica |
|
|
Term
|
Definition
| infection from own normal flora |
|
|
Term
| what can the conditions of the burn wound be at risk for |
|
Definition
|
|
Term
| what are two of themost commonnly used agents with burns for topical agents |
|
Definition
| silver sulfadiazine and mafenid acetat ( sulfamylon) |
|
|
Term
| what are some of the things done on a burn unit to provide pt les devlopements of infection |
|
Definition
disposable items- including bp cuffs and stethascopes
no plants or flowers
no raw foods
no rugs |
|
|
Term
| what may the nutrition be of a burn pt |
|
Definition
|
|
Term
| what is done to position the pt with nurns |
|
Definition
| they are positioned of comfort so the joint flexion is not used because it can lead to contractures. so they try to maintain a neurtral position |
|
|
Term
| when is ambulation done for the burn pt |
|
Definition
| as soon as fluids shifts have resolved |
|
|
