Assessment
What is the initial most concerning body system?
Respiratory
What does the Parkland Formula calculate?
Amount of fluids needed after burns.
Without enough fluids, what renal injury can happen?
AKI
What electrolyte is low due to fluid loss?
Sodium
What type of IVs are needed for burns?
Two large bore IVs should be started ASAP.
Soot around the mouth, hoarseness, and stridor are signs of?
Inhalation injury
What should be done first if the patient shows signs of respiratory distress?
Apply high flow oxygen
What is fluid overload?
When too much fluid has been put in the body.
An elevated hematocrit after a burn usually indicates this condition.
hypovolemia
How is urine output typically tracked in Parkland formula patients?
Foley catheter
What is the Rule of Nines?
The calculation for total amount of the body burned
What percentage of burns should you start with LR?
20%
What is hypovolemic shock?
Shock from the large amount of fluid loss.
What should be monitored with hyperkalemia?
EKG and HR
A burn patient weighs 80 kg and has burns over 25% TBSA. Using the Parkland Formula, how much Lactated Ringer's should the patient receive in the first 24 hours?
8,000 ml
What may be difficult to find on burn patients?
peripheral pulses
What should be done if the patient is tachycardic, hypotensive, and restless?
Increase fluids.
Following aggressive fluid resuscitation, the patient develops crackles, dyspnea, and an SpO₂ of 88%. Which complication is occurring?
Pulmonary Edema
What are the important labs for AKI?
BUN and Creatine
A patient asks, "Why do I need so many IV fluids when I'm already swollen?" How should the nurse respond?
The swelling is caused by fluid leaking into your tissues. Your blood vessels don't have enough circulating fluid, so IV fluids help prevent shock.
What are the three priority body systems in burn management?
Respiratory, Cardiovascular, and renal.
What should the nurse prepare for with inhalation injuries?
Intubation
Poor perfusion can lead to what acid-base imbalance?
Metabolic acidosis
This lab value is monitored to evaluate oxygenation and acid-base status in patients with inhalation injuries.
ABGs