Complications
Degree and Classification
Rule of Nines
Phases of Care
Interventions
100
Affecting the wound site with toxic spores, this ailment affects your nervous sysem causing painful muscle contractions, lockjaw and even death
What is Tetanus!
100
Blisters and edema. Broken epidermis with weeping surface. Painful, sensitive to cold. Should heal in 2-3 weeks
What is Partial Thickness, 2nd Degree
100
Front torso and right arm
What is 27%
100
This phase of care begins once hemodynamically stable, diuresis has begun and continues until wound closure is achieved. Focuses on infection control, wound care, nutrition, pain, and physical therapy.
What is Acute
100
This nursing intervention requires strict protocol due to righ risk of infection from cross contaminiation. Careful! Don't exceed 30 min
What is Hydrotherapy
200
This burn complication often occurs within the first 24hours and is secondary to an increase capillary permeability
What is Burn Edema
200
Mild to severe erthema but no blisters. Relieve pain with cooling. Should heal within 7 days
What is Superficial, 1st Degree
200
Head, front and back torso
What is 45%
200
Focuses on patient independence, function and physiological aspects.
What is Rehab (final stage)
200
Compartment Syndrome (Increase in edema which causes blood flow obstruction resulting in ischemia and tissue death) may require this medical intervention to relieve the building pressure
What is Escharotomy
300
Diffuse systemic edema will occur when burns affect which percentage of TBSA?
What is >25%
300
Fat may be exposed and spontaneous healing will not occur. Little to no pain
What is Full Thickness, 3rd Degree
300
Both legs and pelvic area
What is 37%
300
This phase of care occurs from the time of the burn until restoration of capillary permeability (~48-72 hours). Aims to prevent hypovolemic shock and preserve vital organ functioning
What is Emergent
300
Thought to have both nocioceptive and neuropathic pain pathways, burn pain management can be very difficult. What is the standard medication used in pain control?
What is Morphine
400
A response to stress, this state casues an increases risk of infection and slows healing. Degree of this response depends on severity of TBSA affected and can last up to 1 year post injury.
What is Hypermetabolism
400
Commonly caused by prolonged flame and hot liquids, chemicals or electricity
What is Full partial, 3rd Degree
400
Whole front of the body from the neck down
What is 73%
400
This phase of care begins with fluid initiation until capillary integrity is back to normal. Still aiming to prevent shock by maintaining adequate blood volume
What is Resuscitative
400
These two dietary increases can help increase anabolism and decrease catabolism in burn patients.
What are increases in protein and calories
500
This type of tissue may be allowed to slough off naturally, or it may require surgical removal (debridement) to prevent infection, especially in immunocompromised patients or a graft is to be preformed.
What is Eschar
500
This regression is more likely to occur with a mid to deep injury (>25%) because of less blood flow, longer time to healing and increased risk of excess inflammation and infection. Also environmental hazards can readily lead to conversion of an open wound.
What is Conversion
500
At which percentage of TBSA is your burn considered severe?
25%
500
An essential part of rehab phase is preventing this type of scarring
What is Hypertrophic
500
Upper body burns presenting with edema and airway obstuction needs this emergent intervention to maintain ABCs
What is intubation
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