Types
Result from inhalation of hot air or noxious chemicals and can cause damage to tissues or the respiratory tract.
What is inhalation injury?
Pale, waxy, moist or dry
What is deep partial thickness burns?
A patient presents to the ER via ambulance with 50% TBSA, with knowledge of burn patients, the nurse is aware of which electrolyte imbalance in the initial severe burn patient?
What is hyperkalemia related to cell damage?
If patient has not received this medication within 5 years, it is given routinely to all burn patients because of the likelihood of anaerobic burn wound contamination.
What is tetanus immunization?
An appropriate assessment for a patient with a full thickness burn to the right anterior chest and entire right arm.
What is assess for presence of pulse in the right arm.?
Most common type of burn caused by flames, flash, scald, or contact with hot objects.
What is a thermal burn?
Erythema, blanching on pressure, pain and mild edema
What is superficial burns?
The nurse returns to the room of a burn patient and sees them throwing up in their basin, upon inspection the nurse notes coffee ground material. the nurse remembers from report that the night nurse mentioned a small amount of blood being in the patient's stool earlier that morning. what complication of burns does the nurse correlate this data with?
What is Curling's ulcer?
To help a burn patient who has developed increasing dread of painful dressing changes, this drug would be appropiate to ask the health care provider to prescribe.
What is a sedative? (lorazepam, midazolam)
While treating a deep partial thickness burn, it is important for the nurse to wear.
What is a cap, mask, gown, and gloves during patient contact?
Results from tissue injury and destruction from acids, alkalis, and organic compound.
What is a chemical burn?
Two commonly used guides for determining the total body surface area affected or extent of the burn.
What is Lund Browder, Rule of Nines, Palmer method?
36 hours post burn injury, the ICU nurse does an assessment on the 75kg patient. the nurse notes the following: BP: 98/67, HR: 99, RR: 16, the patient is awake/alert/and oriented to person and place, urinary output over the last 8hours: 180mL. What is the best response by the nurse at this time?
What is call the PCP and report decreased UOP?
Nutritional therapy that promotes wound healing in the acute stage.
What is increased protein and calorie intake?
The nurse suspects possible sepsis in the burn patient based on these changes.
What are elevated temp, tachycardia, decreased perfusion, etc?
Result from intense heat generated from a source that causes direct damage to nerves and vessels.
What is an electrical burn?
Fluid filled vesicles, red, moist
What is superficial partial thickness?
Patient is unwilling to look at self and participate in self care. A important nursing diagnosis for this patient is:
What is disturbed body image related to disfigurement?
Priority intervention for burn injury?
What is fluid resuscitation?
Give a priority nursing intervention in caring for a burn injury which has received a graft.
What is keep the graft immobilized?
esult from the industrial use of ionizing radiation, nuclear accidents, and therapeutic radiation treatment
What is a radiation burn?
Dry, leathery, no blanching, possible contractures
What is full thickness burn?
After suffering from a burn to the calf muscle from a hot motorcycle engine, the patient is admitted to the ER. at the end of the nurse's shift the nurse removes the bed sheet and notices a cool pale foot. distal pulses are absent to the burn and the patient can not feel when the nurse touches the bottom of his foot. What does the nurse suspect? What is the best action to take?
What is compartment syndrome and call the PCP immediately.
After being diagnosed with curling's ulcer, the nurse should anticipate which class of medication to be ordered?
What is a PPI or H2 blocker?
During report the night shift nurse states "there seems to be some edema forming in the patients left arm" after getting morning report from the night shift nurse, the nurse knows to implement what action to treat/prevent further edema?
What is elevated the extremity above heart level?