Burns

Front 1

severe fluid losses and shifts

Back 1

blistering occurs because fluids shifting from intravascular to interstitial. Capillaries more permeable to albumin and sodium > fluid shifts. BP changes effects perfussion to vital organs.

Front 2

Sepsis

Back 2

immune system altered

Front 3

acute renal failure

Back 3

shifting of fluid to intravascular to interstitial - decreases circulating volume.

Front 4

paralytic ileus

Back 4

decreased perfussion

Front 5

stress ulcers

Back 5

decreased perfussion to gut

Front 6

airway obstruction

Back 6

inhalation injury above glottis - hoarseness (airway 50% occluded), drooling, stridor(80% occluded), can't swallow. May need to intubate patient with hoarseness, don't wait for stridor.

Front 7

Acute respiratory stress syndrome

Back 7

May not occur for 24-48 hours
Swelling around alveoli, fluid. S/S labored breathing, rales, crackles, cough

Front 8

Cardiac arrest or dysrhythmias
(electrical burns)

Back 8

if have heart problems, fluid shift compounds problem > CHF

Front 9

metabolic acidosis

Back 9

severe; occurs because of potassium released from healthy cells - K+ increases. Body shifts K+ into cells and hydrogen out of cells. Lactic acid produced because of decreased perfussion - edema.

Front 10

Myoglobinuria

Back 10

problem with significant muscle damage > kidney damage. Large protein molecules can clog up kidney tubules when passing thru. urine very dark, UOP decreases.