What am I?
The area appears white with serous fluid draining from the edges, has a capillary refill of 5 seconds, and the client's pain rating is a 5 (0-10 scale). What type of burn is this?
2nd degree deep, partial thickness burn;
•Color: red, cherry red
•Perfusion: delayed or no cap refill. Decreased blanching.
•Texture: moist or dry
•Sensation: Pain depends if nerves were effected, but typically pressure only
Carbon Monoxide Exposure
100% oxygen via non-rebreather
•Urine analysis: Specific Gravity less than 1.005
•Hypernatremia
•Urine Osmolality LOW
•Serum Osmolality HIGH
Low levels of ADH
DI
Anticipated reaction to HIT diagnosis
Stop heparin
Administer Argatroban
50% decrease in platelets from start of heparin therapy
HIT
Client admitted for 40% TBSA burns to the lower extremities. Airway and breathing are stable. What is the priority action?
obtain a weight
Hyperglycemia
Hypokalemia
Dehydration
Acidosis
DKA
Client expels black specks when blowing their nose and coughing
Assess their airway
Increased d-dimer
Oozing at IV insertion site
Slight mottling in bilateral lower extremities
DIC
Priority assessments with elevated ammonia levels in a end stage liver cirrhosis client?
ABC
LOC
Falls/safety