Wounds
Name one nursing intervention to prevent pressure injuries.
What are turning patients, pad bony prominences, decrease skin moisture, prevent shear forces, maintain adequate nutrition, maintain skin hygiene, keep linen clean, dry, wrinkle-free, assess skin frequently?
These two hormones stimulate the sympathetic nervous system and coordinate the fight or flight response.
What are epinephrine and norepinephrine?
This type of burn is not included in calculation of total body surface area for fluid resuscitation.
What is a first degree burn?
An A1C level greater than this number justifies a diagnosis for type 1 or 2 diabetes.
What is 6.5?
Hallmark signs of this endocrine disorder are buffalo hump and moon face.
What is Cushing Syndrome?
Name the pressure injury that involves persistent, unblanchable erythema.
What is stage 1 pressure injury?
This posterior pituitary hormone increases water reabsorption by the kidneys.
What is antidiuretic hormone?
This type of burn is characterized by severe pain and blisters.
What is a second degree burn?
A lack of this symptom in hyperosmolar hyperglycemic syndrome differentiates it from diabetic ketoacidosis.
What is ketoacidosis?
These are the 3 components of the triad of hyperthyroidism.
What are goiter, exophthalmos, and dermopathy?
Name the pressure injury that involves full thickness skin loss to the epidermis, dermis, and underlying muscle or bone.
What is a stage 4 pressure injury?
This hormone is impaired in Cushing Syndrome causing hypercortisolism.
What is adrenocorticotropic hormone?
A household product with this type of pH can cause a deep burn due to its ability to liquify tissue.
What is alkaline?
These are the 3 components of a diagnosis of diabetic ketoacidosis.
What are a blood glucose level >250, presence of ketones, and metabolic acidosis?
A postop-thyroidectomy patient develops fatigue, facial edema, and constipation. The nurse suspects this condition.
What is hypothyroidism?
Name a bodily function that is lost when skin integrity is damaged.
What are infection prevention, touch, temperature regulation, fluid/electrolyte balance, vitamin D production?
This hormone is produced by the pancreatic beta cells of the islets of langerhans.
What is insulin?
These two questions are essential to ask the EMT delivering a burn patient before starting fluid resuscitation.
What are when did the burn occur, and how much fluid did they receive in the field?
This condition is characterized by hunger, tremors, irritability, and pallor.
What is hypoglycemia.
Addison disease creates a risk for this electrolyte imbalance.
What is hyponatremia?
A Braden score less than what number indicates severe risk for pressure injury?
What is less than or equal to 9?
The removal of the thyroid gland can affect production of these 2 hormones, causing potential for calcium imbalances.
What are calcitonin and parathyroid hormone?
A nurse treating a patient weighing 120 lbs with circumferential third degree burns to the right arm and right leg as well as second degree burns to the anterior torso will need to set the pump to deliver this much lactated ringers per hour in the first 8 hours of treatment.
This is a priority problem related to diabetic neuropathy.
What is falls OR foot injuries/wounds?
Taking the same brand of medication for life is important education for this endocrine disorder.
What is hypothyroidism?