Labs
The electrolyte replacement protocol calls for the replacement of these electrolytes.
(must name all of them)
Potassium, Magnesium, Ionized Calcium, and Phosphorus
This type of burn extends into the dermis and is commonly associated with blistering.
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What is a partial-thickness burn?
When circumferential chest burns restrict ventilation, this surgical intervention may be performed to allow the chest to expand.
What is an escharotomy?
This therapy continuously removes excess fluid, electrolytes, and metabolic waste from the blood in critically ill patients who may not tolerate traditional intermittent hemodialysis.
What is continual renal replacement therapy?
A burn patient has severe pain despite receiving opioids. The team adds medications targeting different pain pathways rather than simply increasing the opioid dose. This strategy is called this.
What is multimodal pain management?
This potassium range calls for replacement with 20 meq's of KCl
3.6-3.9
This burn extends through the entire dermis and typically requires surgical intervention for definitive wound closure.
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What is a full-thickness burn?
This procedure removes the entire thickness of burned skin down to viable tissue and is commonly followed by placement of a skin graft.
What is excision?
This type of critically ill patient is often a better candidate for CRRT than intermittent hemodialysis because they may not tolerate rapid fluid shifts.
What is hemodynamically unstable patients?
This topical antimicrobial is commonly used in burn wound care and is particularly useful because of its broad antimicrobial activity.
What is silver sulfadiazine/ silvadene?
When a patient's hemoglobin drops below 7.0 g/dL, these are the interventions you would expect the healthcare team to consider.
Call critical value to the physician.
Obtain an order for blood transfusion.
This finding around a burn wound should raise concern for possible infection.
What is increasing erythema, warmth, swelling, or purulent drainage?
What is the difference between an autograft and homograft?
Autograft: patients own healthy skin
homograft: Also known as allograft, uses cadaver skin
Removing too much fluid too quickly can cause this dangerous complication in an unstable patient.
What is hypotension?
This topical antimicrobial can cause metabolic acidosis because of its carbonic anhydrase-inhibiting effects.
What is mafenide acetate?
WBC is elevated paired with a fever, this prompts us to draw blood cultures. Days later the cultures come back positive for gram (-) rods. What bacteria do I expect to show up?
What is Pseudomonas.
A patient with a full-thickness burn undergoes excision and sheet autografting. Several hours later, a localized area of the graft appears elevated and dark with blood collecting underneath. This complication can jeopardize graft survival and requires prompt evaluation.
What is a hematoma beneath the graft?
This surgical instrument is used to harvest a controlled thickness of skin from a donor site for split-thickness skin grafting.
What is a dermatome?
This assessment is especially important when determining whether a patient's fluid removal goal is being tolerated.
What is hemodynamic stability/blood pressure?
This medication is commonly used as an adjunct for neuropathic pain and may be particularly useful for burn patients experiencing nerve-related pain.
What is gabapentin?
This lab value should make you suspect carbon monoxide poisoning in a burn patient, even if the patient’s pulse oximetry appears normal. Give abnormal value range
What is >10%
A burn patient undergoes excision and autografting. On postoperative assessment, the graft appears pale and is not adhering to the wound bed. This finding should make the nurse concerned about inadequate blood supply or this complication.
What is graft failure?
Unlike conventional meshing, this technique divides the graft into small square pieces that are expanded in a specialized carrier to increase the area that can be covered.
What is Meek meshing?
CRRT typically requires this type of vascular access to allow adequate blood flow through the circuit.
What is a large-bore double-lumen dialysis catheter?
This medication combination may be used in some burn center inhalation-injury protocols to address bronchospasm, airway obstruction, and fibrin cast formation.
What are nebulized albuterol, heparin, and N-acetylcysteine?