Emergent Phase
Begins at the scene of the burn accident and ends when emergency care is obtained?
What is emergent care?
During this phase this type of responce causes the patients metabolism to change dramatically causing a challenge overall patient care.
What is metabolic response?
Psychological problems in this stage can be reduced by what involving your client in what activities?
What is independence, feeding themselves , administering medications and wound care?
This will assist the HCP in determining percentage of of body surface burns.
What is Rule of Nines?
In adolescence independence is of paramount importance . With the nurse knowing this, what can you suggest you do when looking at nutritional needs upon discharge.
Offer choice and opportunity to choose meals and snacks.
Patent airway , administer intravenous fluids to prevent hypoglycemic shock and preserve vital organ functioning
What are goals of the emergent or ( resuscitation phase)?
Treatment, unknown outcomes , pain and dressing changes cause what in the burn client ?
What is anxiety and fear ?
What are compression garments?
Below the larger necrotic area of burn inflammatory mediators are released in the acute phase of burns. This causes what kind of metabolic disturbances?(3)
What is hyponatremia ( due to extracellular NA depletion)
What is Hyperkalemia ? ( released during cell damage to burnt area)
What is acidosis ( secondary to hyperglycemia )
The adolescent teen ( age 15) is feeling isolated as been out of school for months and his mom is fearful to have friends around as it's flu season . The adolescant teen is angry at his mom. Knowing this information the nurse will keep what in mind which of Eriksons Psychosocial Stages .
What is identity vs role confusion?
Anti deformity positioning begins.
At the time of admission
Sulfamylon will be administered to the patient for the burned areas on the patients body. The nurse should provide this intervention in what time frame before the application of this medication?
Approximately 20 minutes prior to application of the medication provide analgesic (what kind)?
They work to remodeling irregular collagen
How do pressure garments work?
This severity of burn includes full thickness and deep full thickness; and total destruction of dermis and epidermis
What is a third degree burn ?
This is only removed during bathing and laundering.
What are pressure garments?
To stop the burning, the goal is ?
What is the goal in initial emergency managment of the burned patient ?
The nurse does some teaching with this client and his family regarding recovery as it relates to wound care.
What intervention is of highest priority ?
Make sure meticulous hand washing occurs as its the number #1 way to minimize risk of cross contamination and spread of bacteria that can severely impact recovery
Rehabilitation begins...
Immediately after the burn has occurred
A formula used to determine crystalloid fluid administration during the first 24 hours of a burn
What is Parkland Formula?
4ml RL X TBSA% burned X patient weight (kg)
( half provided in first 8 hours post injury/followed by second half over 16 hours)
50% TBSA/ 68 Kg
Answer ?
This is an intervention that involves submersion in water on a special tub and antimicrobial agents are applied after this intervention.
What is hydrotherapy?
When administering IV fluids to a burn victim who sustained partial thickness burns to arms and legs what is the most reliable indicator that will tell you the nurse the IVF's have been effective?
What is urine output?
This type of nutrition is initiated early within 24 hours post injury to reduce calorie deficits , stimulate insulin secretion and conserve learn body mass?
What is enteral nutrition?
Pre existing conditions that may influence burn recovery .
What are diabetes, cardiac problems and alcohol/drug misuse and physical disabilities?
common complication for a burn patient with severe body burns and is evident by coffee ground vomit
What is Curling ulcer?
Removal of eschar or necrotic tissue to prevent bacterial proliferation of eschar and to promote wound healing
What is debridement?