The Rolling Scabs
Number of hours a pressure garment should be worn over burns post-acute care and for how many years?
What is 23 hours/day, possible up to two years?
A client involved in a house fire has singed nasal hairs, hoarse voice, and carbonaceous sputum. Name the priority action.
What is apply high flow humidified oxygen via an oxygen device?
This clinical sign is the most reliable indicator that fluid resuscitation is effective.
What is urine output?
Priority intervention for burn patients after the airway has been secured/oxygenated
What is fluid resuscitation?
Using Rule of 9s, what is the burn percentage of the head and neck, front and back?
How much is 9%?
This essential nursing action should be completed prior to a dressing change to ensure patient comfort and tolerance of the procedure.
What is adminster pain medication?
This is the greatest concern when a client has severe burns to the head, neck, chest, and torso, because of massive fluid shifts during the acute phase
What is airway compromise due to the burns obstructing the airway and restricting chest expansion due to severe edema?
This formula guides initial fluid resuscitation in major burns. Name it and provide the formula. Now what isotonic fluid will be used?
Parkland Formula. 4ml/hr x weight (kg) x TBSA% Lactated Ringers/LR.
A nurse is assessing a client who spilled hot soup on their forearm 20 minutes ago. The affected area appears moist, bright red, and blistered, and the client reports significant pain when the area is touched. Based on these findings, which type of burn should the nurse document?
What is partial thickness, second degree burn?
Using Rule of 9s, what is the burn percentage of the BUE and BLE?
How much is 54%? (9 +9 + 18 + 18)
After applying new dressings to a burn injury on an extremity, this assessment is the nurse’s priority to ensure the limb remains perfused.
What is checking distal pulses?
This procedure becomes necessary when a burn wound develops thick, leathery black eschar that is firmly attached, has zero sensation, and prevents circulation and healing.
What is surgical debridement?
This intervention reduces edema and improves circulation in burned extremities.
What is elevation/elevating the extremities?
A nurse is assessing a client who was trapped in a structural fire. The burn on the client’s lower leg appears dry, leathery, and charred with no elasticity. The client reports no pain in the affected area, and capillary refill is absent. Based on these findings, which type of burn should the nurse document?
What is deep, full thickness burn (4th degree)?
An 18 yr old male weighing 82 kg burns his back, the back of his left leg, and his entire right arm in a house fire. What is the TBSA of burns?
What is 18+9+9=36?
This type of burn injury often causes cardiac dysrhythmias due to internal tissue damage not visible externally.
What is an electrical burn?
Maintaining joints in proper alignment and performing regular range‑of‑motion exercises helps burn patients prevent this long‑term complication that limits mobility.
What are contractures?
A 42‑year‑old male sustained partial‑thickness burns to the anterior trunk, the back of the left leg, and the entire right arm after a garage fire. He weighs 82 kg. The burns occurred at 0910, and he arrived at the emergency department at 0940. What time should the first half of the calculated IV fluid volume be completely infused?
What is 1710?
Because deep burn wounds create devitalized tissue and an anaerobic environment, burn patients with uncertain immunization histories should receive this prophylactic protection.
What is a tetanus booster?
A 25 yr old male weighing 104 kg is involved in a car accident. He burns his anterior torso and perineal area. What is the rate of fluids to be given in the first 8 hours?
What is 494 mLs/hr?
The nurse is caring for a client with Steven's Johnson Syndrome (SJS). Name five priory interventions when caring for this client.
What are: Maintain airway and monitor for respiratory compromise; Provide aggressive fluid and electrolyte support; Implement meticulous wound and skin care and assessment of skin; Maintain a warm environment/body temp control; Prevent infection through strict aseptic technique; Pain management;
A burn wound has been grafted using a xenograft. The site suddenly becomes less painful and has purulent drainage. Priority concern?
Wound infection/graft needs to be removed
The nurse is reviewing laboratory results for a client who is 72 hours post‑burn following a house fire. Which laboratory value requires immediate intervention by the nurse?
A. Potassium 6.7; B. Sodium 132; C. Calcium 8.9; D. Hematocrit 60%
What is A, Potassium?
The nurse is caring for a client in the acute phase of a severe flame burn involving 28% TBSA. The client has been receiving fluid resuscitation and wound care for the past 48 hours. Based on the nurse’s assessment, which of the following findings indicate the development of a systemic infection?
A. Body temp 102.6 F B. HR 128, BP 78/56
C. Urine output 20 ml/hr D. Urine output 50 ml/hr
E. WBC increased to 14.5 F. Blood glucose 210
What are A, B, C, E?
A 52 yr old female burns anterior torso, her back, and her left leg while retrieving her cat from a house fire. She weighs 143lbs. What is the rate of fluids to be given in the first 8 hours?
What is 878 mLs/hr?