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29 Cards in this Set
- Front
- Back
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burns damage related to
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temperatue of agent and the agent
time burned thickness and conductivity of the tissue |
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systemic response fluid balance
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edema and loss of intravascular volume
fluid shifts result in hypovalemia water loss by evaporation |
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system. response cardiac
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decrease cardiac output
hypovalemic shock |
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metabolic demands are...
which may manifest as..... |
high untill wound is healed
hyperglycemia due to stress response |
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system response: GI are due to ...
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due to fluid shifts
dehydration opiods immobility and depressed gastric motility |
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sytem response: renal function decreases due to...
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hypovalemia
kidneys damage from electrical current or products of muscle destruciton |
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systemic response : pulmonary due to
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smoke inhalation
increased 02 demand to hypermetabolic state, fear, anxiety, pain |
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system response: immune system may be
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depressed
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burns are classifed as
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depth and percentage
percentage= rule of nines |
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superficial
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epidermis to edge of dermis ( like being scalded)
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partial thickness
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epidermis to 7/8 of dermis (almost right through dermis to muscle tissue)
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full thickness
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all layers plus muscle and bone
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causes
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flame
contact chemical electrical radiation |
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contact
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hot tar, hot metals, hot grease
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chemical
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industrial
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electrical
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most serious
can cause loss of limbs and causes internal injuries |
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radiation
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industrial
trt of diseases uv light(sun tanning) |
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emergency burn interventions
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from onset to completion of fluid resuscitation
ABC STOP BURNING PROCESS STABILIZE RELATED INJURIES IV FLUIDS PAIN CONTROL(MORPHINE) |
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STOPPING THE BURNING PROCESS INTERVENTIONS
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REMOVE CLOTHES
COOL WOUND WITH TEPID WATER COVER WITH CLEAN SHEETS TO DECREASE SHIVERING AND CONTAMINATION PROTECT SELF AND OTHER STAFF FROM BURNING AGENTS(CHEMICALS) |
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PAIN MONITOR
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MONITOR:
PAIN LEVEL VS ELEVATE BURNED EXTREMITIES COMFORTABLE ENV |
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ACUTE STAGE BURN INTERVENTIONS
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CLEAN, DEBRIDE, DRESS WOUNDS
PREVENT INFECTION SKIN GRAFTING IF NEEDED CONTROL PAIN(INCREASE HEALING) MAINTAIN NUTRITION AND F&E BALANCE MONITOR FOR COMPLICATIONS |
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DRESSING PRINCIPLES
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LIMIT BULK TO FACILITATE ROM
NEVER WRAP SKIN TO SKIN BASE DRESSING ON WOUND SIZE AND TYPE WRAP EXTREMITIES DISTALLY TO PROXIMALLY ELEVATE EXTREMITIES |
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GRAFT SITES MONITORED FOR
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CWS/PULSES
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ESCHAROTOMY IS..
THAT RELIEVES... |
An escharotomy is a surgical procedure used to treat full thickness (third-degree) circumferential burns REMOVAL OF HARD LEATHERY LEATHERY OF DEAD TISSUE
PRESSURE |
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CIRCUMFERENTIAL BURNS ACT LIKE TOURNIQUET IN THAT THEY...
RESULTING IN |
CUT OFF CIRC. BY STOPPING ARTERIAL AND VENOUS BLOOD FLOW
-EDEMA -RESP COMP IF ON CHEST OR TRUNK |
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UNTIL WOUND CLOSURE AND OPTIMAL LEVEL REACHED..
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RECONSTRUCTIVE SURGERY
PREVENT CONTRACTURE PSYCHOSOCIAL CARE |
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FULL PRESSURE GARMENT PREVENTS
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HYPERTROPHIC SCARRING
(RAISED OUTGROWTHS UN EVEN SURFACE) |
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INTEG DIAGNOSTIC TEST
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CULTURES: FUNGI(SKIN SCRAPING), BACTERIA, VIRUSES
FLUID EXP(SQUEEZED):STERILE SWAB c&S: FOR VIRAL AND BACTERIAL STUDY |
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LOCAL ANEASTHETICS ARE..
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VERY PAINFUL
PROVIDE COMFORT AND TOUCH |
