NUR211 BURNS (EXAM 4) QUESTIONS AND ANSWERS 100% PASS

NUR211 BURNS (EXAM 4) QUESTIONS AND ANSWERS 100% PASS MOST AT RISK - -LESS THAN 2 YEARS OLD -GREATER THAN 60 YEARS OLD *SIGNIFICANT DETERMINANTS OF SURVIVAL BIG THINGS TO REMEMBER ABOUT BURNS - -FLUID ** -INFECTION -PAIN FLUIDS AND BURNS - -USE PARKLAND FORMULA -USE RULE OF 9'S RULE OF 9'S - 2 100% Pass Guarantee Katelyn Whitman, All Rights PARKLAND FORMULA - RULE OF 9'S GIVES A GENERAL IDEA, BUT WHEN WE GET TO A BURN UNIT, WE WILL USE SOMETHING MORE SPECIFIC CALLED - LUND AND BROWDER THE MORE YOU BURN = - THE LESS CHANCE YOU HAVE OF LIVING *BC OF FLUIDS AND INFLAMMATORY RESPONSE AND INFECTION BURN PATIENTS NEED TO RECEIVE - PROPHYLACTIC ANTIBIOTICS IV - CENTRAL LINE *2 LARGE BORE IVS INITIALLY WHEN THEY COME IN BUT THEN NEED A CENTRAL LINE PLACED FACTORS THAT AFFECT MORTALITY - -INHALATION INJURY -TRAUMA AND FRACTURES 3 100% Pass Guarantee Katelyn Whitman, All Rights -CARDIAC, PULMONARY, RENAL DISEASE, DIABETES, CNS DISORDERS WHAT COULD A PERSON INHALE IN A FIRE - -SMOKE -LUNGS MELTING/ TRAUMA CAUSED TO LUNGS = SWELLING/ IRRITATION = FLUID BUILDUP WHAT ARE ASSESSMENT FINDINGS THAT MAY INDICATE INHALATION BURN - -SINGED NASAL HAIRS -SOOT -CARBON MONOXIDE LEVEL (WILL BE HIGH) *ENSURE TO GET LUNG SOUNDS/ RESPIRATORY ASSESSMENT IF SUSPECT INHALATION THERAPY SIGNS OF CARBON MONOXIDE POISONING - -BEEFY RED/SWOLLEN TONGUE -CHERRY RED LIPS 4 100% Pass Guarantee Katelyn Whitman, All Rights ANY TYPE OF FULL THICKNESS BURN ON THE HANDS IS - AUTOMATICALLY CLASSIFIED AS A SEVERE BURN BECAUSE AS THAT BURN STARTS TO HEAL, IT CREATES SCAR TISSUE AND THEY COULD LOSE ABILITY TO MOVE HAND BURNS OF THE HEAD, NECK AND CHEST = - PULMONARY COMPLICATIONS FACIAL BURNS = - CORNEAL ABRASIONS HOW DO WE CHECK FOR CORNEAL ABRASIONS - FLUORSCENE DYE *PUT IT IN THEIR AND SHINE BLACK LIGHT ON IT *TREAT WITH ANTIBIOTICS EAR BURNS = - AURICULAR CHONDRITIS AND INFECTION HAND BURNS = - INTENSE PHYSICAL AND OCCUPATIONAL THERAPY 5 100% Pass Guarantee Katelyn Whitman, All Rights PERIANAL BURNS = - INFECTION DUE TO AUTO CONTAMINATION WITH URINE AND FECES CIRCUMFERENTIAL BURNS = - DISTAL VASCULAR COMPROMISE BAD BURNS - -PARTIAL THICKNESS >10% -FACE, HANDS, FEET, GENITAL, PERINEUM -THIRD DEGREE -ELECTRIC BURNS -CHEMICAL BURNS -INHALATION INJURY -PRE-EXISTING MEDICAL CONDITIONS -CONCOMINANT TRAUMA -SPECIAL INTERVENTION PARKLAND FORMULA TIMER STARTS : - WHENEVE