Cues
This type of burn involves ONLY the epidermis and cause pink and redness, pain and mild swelling
ex: suburn, windburn
What is First Degree/Superficial ?
This occurs when the body is using for energy leading to weight loss and malnutrition without proper nutrition.
What is Increased metabolic demands
This is the initial preferred method to assess the adequacy of fluid resuscitation in burn patients
Urine Output
How to stop burning process ?
What is soak gauze in cool saline and wrap burn ?
What is the Parkland Formula ?
What is 4ml x kg x TBSA ?
This type of burn involves the epidermis and part of the dermis, causing blisters and severe pain.
ex : scalding and steam
What is a second-degree burn/superficial partial thickness ?
This occurs when deep burns release myoglobin and cause muscle breakdown (rhabdomyolysis)
What is Kidney Damage ( AKI )
This diagnostic test is used to measure the extent of carbon monoxide exposure, often ordered for burn patients who have been in enclosed spaces or experienced smoke inhalation.
What is a carboxyhemoglobin level?
This type of fluid is commonly used for burn resuscitation in the first 24 hours.
What is Lactated Ringer's solution?
This electrolyte imbalance is often seen in the first 48 hours after a burn injury due to cell destruction.
what is hyperkalemia ?
This type of burn involves the complete destruction of the epidermis and dermis and often requires skin grafting, less painful, red waxy white tissue , soft eschar
What is 2nd degree / deep partial thickness ?
what are Respiratory Issues ?
- Direct airway injury
- Carbon monoxide poisoning
- Thermal injury
- Smoke Inhalation
- Pulmonary fluid overload
What labs are increased with burns ?
- BUN - HCT
- CK - HGB
- Potassium - WBC
- Glucose
What are the actions for resuscitative stage ?
- treat inhalation injury
- fluid replacement & monitor K+ (36-48hrs)
- Increase H&H & UOP 50ml/hr q1hr
- NPO,NGT,LIS,PPI,antacids,q2-4hr, TPN or Enteral feeding
- IV narcotics
This complication involves the accumulation of exudate in the tissues following burns, and is frequently treated with diuretics to prevent pulmonary edema.
What is capillary leak syndrome?
This type of burn injury involves destruction of entire epidermis and dermis , black, brown, yellow, waxy white deep red, leathery , hard eschar that cuts off circulation , less to no pain
What is an 3rd degree burn ?
What are Gastrointestinal Issues ?
- decreased blood flow
- paralytic ileus
- curlings ulcer
- GI bleeding
What labs are decreased with burns ?
- Total protein
- sodium
What are the actions for acute phase ?
- capillary leak syndrome stopped ( diuresis stage )
- fluid remobilization 72 hr after admission and ends with closure
- topical ointments
- daily assess during hydrotherapy (occlusive dressing and buds)
- prevent contractures
- 3000-5000 cal/daily
Hydrotherapy Requires ...
- done q12hr
- sterile as possible
- dial soap and water
This type of burn involves everything , entirely black eschar that must be sloughed off or removed before healing can start , no edema , no pain and no blood flow
What is 4th degree ?
What are Cardiac Issues ?
Heart pumps harder due to decreased fluid = leading to hypovolemic shock
What are Priority Labs with burns ?
What is Chest xray and EKG
What is Rehabilitative phase actions ?
- ADL's
- maintain skin integrity
- compression dressings or suits prevent contractures ( worn for 23/24 hrs for 12-24 months)
What is the pathophysiology of burns ?
release of inflammatory cytokines that triggers local and systemic reactions causing vasodilation and vascular permeability leading to leaky capillaries and and edema