Types of Burns
Red, dry and white areas, does not blister, moderate edema. Heals with scarring. Pain less severe.
What is a 2nd degree Partial Thickness Deep burn
Burns on anterior chest and inner aspect of both arms
What is TBSA of 18%
Burns inside mouth, singed nasal hairs, smoky smell to breath, carbonaceous particle in nose/mouth
What are visual signs of direct airway injury?
Begins with wound closure and ends when client reaches highest level of functioning
What is the rehabilitation phase?
Redness with mild edema and pain. No blisters and dry appearing. Blanches with pressure. Heals without a scar.
What is a 1st degree Superficial Thickness burn?
Burns on entire back, and entire left arm
What is TBSA of 27%?
4 ml x kg x TBSA burned
What is the formula for fluid replacement?
Biologic dressing from a cadaver
What is a Homograft?
Black, hard inelastic eschar. No blisters, no edema. No sensation at all.
What is a 4th degree Full Thickness Deep Burn?
Burns to groin
What is TBSA of 1%?
Capillary leak, hypovolemia, hyperkalemia, & hyponatremia
What are the vascular changes in the first phase? OR What happens with fluid shift?
Enzymatic debridement that digests collagen in necrotic tissue applied in acute phase only. Will also eat away good tissue.
What is Collagenase (Santyl)?
Pink to red, moist and shiny. Blisters form. Very painful d/t exposed nerve endings.
What is a 2nd degree Partial Thickness Superficial burn?
Burns to entire left leg, back of left arm and groin
What is TBSA of 23.5%?
Lactated Ringers (Ringers Lactate)
What is the best fluid for replacement in burn clients?
Tachycardia, tachypnea, hyperglycemia, hypoxemia, oliguria, altered level of consciousness
What are signs of systemic infection?
Hard dry leathery eschar formation. Waxy color- yellow, red or brown. Little to no pain.
What is a 3rd degree Full Thickness Partial burn?
Burns to entire torso anterior & posterior, both legs front and back and face
What is TBSA of 58.5%?
Given for effects on myoglobin in electrical burns
What is Mannitol?
Applied after grafts heal to help prevent contractures, lesson scars and decrease edema
What are pressure dressings?