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32 Cards in this Set
- Front
- Back
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people with burns are prone to
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renal failure b/c of myoglobin from muscles
b/c of decreased of blood volume dopamine increase renal perfusion |
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Burnes can cause
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hematuria
administer IV fluids expect 75-100ml/h of urine |
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burns complications
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hypovolemia
decrease in cardiac output BP drops vasocostriction increase in pulse edema hyperkalemia hyponatremia |
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Compartment syndrome is a
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serious condition that involves increased pressure in a muscle compartment. It can lead to muscle and nerve damage and problems with blood flow.
pain, swelling, numbness |
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escharotomy is performed to
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cut in eschar to relieve the constriction like compartment syndrome
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burns and temperature
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low temp.
then hyperthermic |
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burns gastric complications
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paralytic ileus
curling ulcer |
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Curling's ulcer is
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an acute peptic ulcer of the duodenum resulting as a complication from severe burns when reduced plasma volume leads to ischemia and cell necrosis
Gastric bleeding coffee grounds - abdominal compartment syndrome, decrease urine output, increased abdominal pressure 25-30 |
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burnes cool
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no ice
no ointments or salves high pressure showers |
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burnes
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hyperglacymia, glycosuria
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what kind of dressing
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occlusive dressing for new grafts
3 dressing left for 3-5 days no wet to dry dressings |
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when occlusive dressing then
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prevent two body surface from touching like toes
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grafting reduces
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wound contractures
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wound good for grafting
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granulation tissue
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biological tissues are
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protects before autografting
used for debride wounds |
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homografts
heterografts |
are from humans
are from animals amnions pigskin |
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synthetic skin
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Biobrane nylon but not for contaminated wounds, stays for 3-4 weeks
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Beta glucan
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wound covering stimulates macrophages'left until healing is complete
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Trans Cyte
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biologic covering, silicone membrane deliver proteins , keep moisture vapor barrier
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Integra
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artificial skin
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another graft other then
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sheet graft forms scars
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background pain
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exists on 24h basis
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breakthrough pain
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when blood level of analgesic decreases
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pain med of choice
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morphine sulfate
fentanyl |
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hypertrophic scars form
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contractures b/c of too much collagen
compressions with ace wraps |
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keloids
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large heaped up mass of scars
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impaired healing is from
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low serum albumin less then 2 g/dL
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what do you do for contractures
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splints, tractions
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abscess formation
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small pearl like cluster of cells on wound surface
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visceral damage
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electrical shock
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burn complications
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heart failure dysrhytmia, pulmonary edema
with fluid overload crackles oliguria |
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sepsis signs
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early signs
increase of temperature increase pulse rate widen BP flushed dry skin |
