Degrees of Burn
Heals quickly, but can be painful; skin is dry without blisters, pink/red in color.
What is a superficial burn?
Caused by exposure to an irritant.
What is a chemical burn?
Priority assessment for a burn patient.
What are the ABC's? (Prevent shock!)
Patient symptoms (bradypnea, AMS, tachycardia, rhinorrhea, myosis) that may lead the nurse to suspect this.
What is an opioid overdose?
High risk with alcohol withdrawal; nursing uses CIWA to score and treat/prevent.
What are seizures or delirium tremens?
Affects tissue deep into fat, muscle, and/or bone; skin may be bright red/leathery or charred/waxy white/tan/brown.
What is a full-thickness burn (4th degree)?
Caused by high voltage.
What is an electrical burn?
What is cool (not ice cold) water?
Intervention: protect airway, activated charcoal, N-acetylcysteine.
What are treatments for acetaminophen overdose?
Withholding or delaying pain medications care or not engaging with the patient unless absolutely necessary.
What is the nurse's negative response to SUD?
Remember: SUD is a chronic illness, not a character flaw or moral weakness.
Very painful; skin can be moist/wet/weeping and bright pink to cherry red.
What is a partial-thickness burn?
Caused by splashes or spills of hot liquid.
What is a thermal (scald) burn?
One way to estimate the extent of a partial- or full-thickness burn.
What is the rule of 9's?
Opioid antagonist; may take several doses to reverse effects of drugs taken.
What is naloxone (Narcan)?
Screening question for suicide ideation.
What is: Do you want to kill yourself?
All skin layers are destroyed: minimal pain.
What is a full-thickness burn (3rd degree)?
Caused by the sun or other UV exposure.
What is a radiation burn?
The amount of fluids (such as LR) given following a burn are based on these two things.
What are the Parkland Formula and UOP (urine output)?
Moderate patient symptoms (tachycardia, HTN, hyperthermia, mydriasis, diaphoresis, hyperreflexia/clonus) that may lead the nurse to suspect this.
What is serotonin syndrome?
Can be caused by the overuse of SSRIs, MAOIs, MDMA/Ecstasy.
A patient at risk for hurting themselves or others; would not be allowed to leave the hospital.
What is a 72-hour hold?
Blisters are generally present; damage to top layers of the skin that takes up to three weeks to heal.
What is a partial-thickness burn?
Caused by lightening.
What is an electrical burn?
For deep, throbbing pain, compromised circulation, in a burn patient.
What is an escharotomy?
Later on-may need skin grafting.
Bradycardia, arrhythmias, hypothermia, AMS, and respiratory depression; symptoms of an overdose of this drug.
What are beta-blockers?
RN documentation during periods of restraint use includes these things.
What are patient circulation/ROM, offering foods/fluids/toileting.