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ch 28 pateints with bruns II
ch 28 patients with burns II
33
Other
Not Applicable
10/20/2013

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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
anelgesia or sedation
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
60mm hg
Term
3 common burn fluid recusitation fluids
Definition
parkland
modified parkland
modified brooke
Term
whatwhat is the parkland composed of
Definition
crystaloid only
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
a 10% loss
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
upa
pt
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
homografts
Definition
human skin from a cadaver from the skin bank
Term
heterographs
Definition
skin from another speics- pigskin is the most ocmmon
Term
amniotic membran
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
fascial technique
Definition
cuts away the burn wound to the level of the superficial fasica
Term
autocontamination
Definition
infection from own normal flora
Term
what can the conditions of the burn wound be at risk for
Definition
clostridium tetani
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
can be 5000kcal/day
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
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