how to prevent cross contamination in burns
hand hygiene
What are signs and symptoms of disreflexia and prevention
Bladder distention, UTI, constipation, skin damage, fractures elevated BP
position upright, legs dangling, remove 0r loosening clothing, monitor vitals, check for kinks in catheter line
5 P's of compartment syndrome
Pain severe, paresthesia tingling, burning or numbness, Paralysis weakness of inability to move affected limb, Pallor, pale or white skin, Pulselessness, no pulse
nursing intervention for seizure precautions
Pad bed rails, place suction in room, lower bed
What are signs of meningitis
Fever, headache, stiff neck, nausea and vomitingm sensitivity to light, confusion Altered mental status
your burn patient has hoarness, signed nose and mouth
prepare for intubation
What causes hypovolemic shock
Loss of blood, due to bleeding, dehydration, or burns
what are sign of a tight cast and interventions
increasing pain, numbness, tingling
do neuromuscular check on limb
call Dr and elevate limb till orders are given
prepare for cast removal
Risk factors for seizures
Epilepsy, Brain tumors, stroke, head trauma, brain infection. ( meningitis). metabolic disorder (low BG & electrolyte imbalances)
What are early signs of Gallian Barre syndrome
tingling, numbness, or prickling sensations in feet, legs hands or arms
weakness in legs spreading upward, muscle pain
what is the formula for Parkland formula for burns
4ml X weight (kg) X 36 =
what is distributive shock
blood vessels dilate excessively reducing BP can be caused by anaphylaxis sepsis or spinal cord injury
why do early immunization of a femur orator
reduces pain, controlled muscle spasms, protects soft tissue, prevents further displacement, reduces blood loss, prevents fat embolism
left sided stroke symptoms
aphasia, right side paralysis & weakness, problems with logic and math, vision problems on left field, emotional or behavioral changes like anxiety or irritability
ALS primarily affects
Motor Neurons-leading to muscle weakness, paralysis, & loss of coordination
respiratory muscles difficulty to breath
Speech & swallowing-slurred speech difficulty swallowing WT loss
Hand & foot muscles, clumsiness dropping objects
emotional controlo- excessive crying, or laughing
describe different types of burns
1st-superficial with red, dry skin,
2nd-deeper, moist ad blistered
3rd-most severe affecting full thickness of skin, appear white or charred, feeling numb
4th -involves underlying fate muscle or bone decreased sensation or no sensation
Cardiogenic shock
heart's inability to pump enough blood, caused by heart attack or HF or other heart condition
nursing intervention for bucks traction
neuromuscular checks, make sure aligned by keeping weights off the floor, elevating HOB for counter traction
TIA VS ischemic stroke
TIA is brief and resolves in 24 hours without permanent brain damage
Stroke is a medical emergency blood flow to brain is interrupted causing brain damage
symptoms are similar at first both caused by blockage of blood vessels by clots or atherosclerosis
meningitis lab CSF finding show
Fluid looks cloudy,
WBC increase, Glucose decreases, proteins increased, lactate increased
how to apply sulfadiazine to burns
wash hands, clean wound, sterile gloves,
obstructive shock
blockage prevent blood from flowing through circulatory system caused by blood clots or tumor or tamponade
complication of C4 spinal cord injury
ventilator due to diaphragm dysfunction, loss of bladder and bowel control , risk of pneumoia
what dcan you see with partial focal aware seizure
olfactory and hallucination
signs of hypovolemic shock
pale skin, Diaphoresis, tachycardia, low BP, changes mental status, rapid breathing