Shock
This stage of shock is characterized by normal blood pressure, increased heart rate, decreased bowel sounds, and cold, clammy skin.
What is the compensatory stage?
When monitoring for fluid and electrolyte changes in the emergent phase of burn injury, these values are common
What is base-bicarbonate deficit, elevated hematocrit level and sodium deficit?
Common signs of a blood reaction
What are urticarial rash, lumbar pain, and fever?
In the deteriorating patient with shock, this class of medications is often used to support circulation
What are adrenergics?
This is a priority intervention when a patient with a burn injury from a high-voltage electrical power line while up on a ladder.
What is apply a cervical collar?
Patients with these injuries may also require a cricothyroidotomy
What is extensive facial trauma, an obstructed larynx, and laryngeal swelling from anaphylaxis?
This becomes the priority for a patient that is no longer responding to resuscitative measures.
What is encourage the family to touch and talk to the patient?
This zone consists of the area where the injury is most severe and deepest
What is coagulation?
When a patient sustains an injury as a result of a crime, evidence must be collected while treating the patient. Items must be handled this way prior to storage
What is hanging up to dry before securing?
To insert the nasogastric tube in order to perform gastric lavage, this is how you measure the appropriate length.
What is the distance from the bridge of the nose to the tip of the xiphoid process?
These physiological symptoms may be present shortly after a major burn occurs
What is Hypotension, Tachycardia and Anxiety?
These are components of a primary survey in emergency nursing
What is establishing a patent airway, providing adequate ventilation, and assessing neurologic function?
When administering IV Dopamine, the nurse must monitor for this side effect
What is elevated heart rate?
A client with a 33% TBSA burn 72 hours ago is beginning to have an increase in urinary output. The nurse prepares to do this
What is document this expected diuresis?
When examining stages of crisis, a family that is blaming one another for the injuries of the patient would represent this stage.
What is remorse and guilt?