Burns

Front 1

max temp for water heater setting

Back 1

120 F

Front 2

rule of nines -how to do it

Back 2

used in ADULTS
-FOR FIRST ASSESSMENT
then assessed again in 2-3 days

-head/neck =9%
-arm =9%
-leg=18%
-one side of trunk=18%
-genitalia= 1%

Front 3

Silvadene

Back 3

for gram - and + positive
(broad spectrum antibiotic)
used open and closed
will turn black if exposed to UV light
will NOT penetrate eschar
may cause Leukopenia

Front 4

Sulfamylon

Back 4

also broad spectrum
more penetrating to eschar
good esp for electrical burns
causes pain 15-30 minutes
can cause acid/base problems

Front 5

Silver Nitrate

Back 5

bacteriostatic fungicide
will turn anything it touches black
dressing must be moist=closed
but covered with dry dressing
remoisten every 2 hrs
change 2x a day
causes electrolyte dilution(hypotonic)

Front 6

myoglobinuria

Back 6

-damaged muscle releases myoglobin
-urine may look red-brown-black
-may cause renal damage
-commonly seen w/burn pt

-Mannitol given to burn pt
-call DR when UO clear to prevent FVD or FVE depending on tx

want to see UO of 75-100ml/hr
during fluid tx

Front 7

upper airway injury (inhalation)

s/s

Back 7

-injury occured in closed space
-singed nose hair
-burns on face/neck
-hoarseness/high pitched/cough/stridor
-sooty or bloody sputum
-s/s respiratory distress/hypoxemia
-redness/blisters around area

Front 8

Parkland Formula AKA Baxter

Back 8

most commonly used formula for fluid tx after burns (20%+ BSA)

LR 4mg/kg/% BSA

-first 1/2 in 1st 8 hrs after burn
-next 1/4 over 8 hours
-last 1/4 over 8 hours

ABA consesus 2-4mg/kg/%

Front 9

what is the most critical time of fluid monitoring after burn

Back 9

first 24 hours
-increased capillary permeability
-risk for FVD as fluid shifts
-also lots of edema

After 24-48 hrs
-fluids move back to vessels
-UO increases
-risk for FVE

Front 10

Op-Site

Back 10

-synthetic dressing
-permeable to water VAPOR and AIR
-so this allows for gas exchange