what in included in GI assessment for burns?
skin?
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GI: bowel sounds, N/V, distention, NG tube?, stool characteristics
Skin:
size and depth of burn, characteristics (Rule os 9's, TBSA), may use
thermography, dyes, doppler, angiography to assess depth
,what are some fraud/financial coercion Q's the RN should ask human trafficking?
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how did you get your job?
how did you get into this country?
who brought you into this country?
did you come here for a specific job?
who promised you this job?
nirtofurazone (furacin)
description?
advantages vs disadvantages?
nursing considerations?
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topical agent
description- cream, ointment or foam; wide-spectrum antibiotic; used to tx
burns that are infected
advantages vs disadvantages- painless and does not cause breakdown of
the skin; can cause renal problems; messy to apply
nursing considerations- monitor BUN and Cr- assess for allergic rxn
name the different wound dressings
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, standard- multiple layers of gauze
biologic- from human or animals; temporary til grafts can be done
homografts- cadaver/ skin bank
heterografts- pigskin
cultured skin- from pt body
artificial skin- from cow collagen and shark cartilage
biosynthetic
synthetic- silicone
what s/s may indicate an inhalation injury?
what are s/s of CM poisoning?
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singed nasal hairs, black particles in nose, mouth, etc, smoky smell on
breath, hoarse, cough, difficulty swallowing, wheezing, stridor, drooling, s/s
CM poisoning (leading killer in fires- headache, tinnitus, N/V, vertigo,
confusion, stupor, coma, death)
what cardiac changes are associated with burns?
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inc. HR and dec CO due to hypovolemia from fluid shift- these improve
with fluid rescucitation
when can skin not regrow?
what does the dermis contain?
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, when the dermal layer is burned- all cells and dermal appendages are
destroyed and skin cant restore itself
dermis contains blood vessels, sensory nerves, hair follicles, lymph vessels,
sweat glands
what is debridement?
skin grafts?
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debridement- wounds with dry leathery eschar may not heal until eschar is
removed. surgical involves rapid removal and topical is done over a slower
time period
skin grafts- with deep burns, wound excision and skin grafts may be
necessary to heal them. grafts may be taken from other areas of pt skin,
living or non living donors.
what are some interventions to ensure proper oxygenation with burn pt?
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monitor resp status, ventilation, O2, positioning, deep breathing, lifting the
chin at the scene, bronchoscopy, suctioning with premedication, AGBS,
pulse, cyanosis, chest x ray. central venous pressure, lactate, intubation (if
arterial o2 <60), meds, beta blockers, diuretics, paralytic drugs (remove pt
from having to breathe- must uss sedation/anxiety meds with these),
tracheotomy, chest tubes, escharotomy
skin?
Give this one a try later!
GI: bowel sounds, N/V, distention, NG tube?, stool characteristics
Skin:
size and depth of burn, characteristics (Rule os 9's, TBSA), may use
thermography, dyes, doppler, angiography to assess depth
,what are some fraud/financial coercion Q's the RN should ask human trafficking?
Give this one a try later!
how did you get your job?
how did you get into this country?
who brought you into this country?
did you come here for a specific job?
who promised you this job?
nirtofurazone (furacin)
description?
advantages vs disadvantages?
nursing considerations?
Give this one a try later!
topical agent
description- cream, ointment or foam; wide-spectrum antibiotic; used to tx
burns that are infected
advantages vs disadvantages- painless and does not cause breakdown of
the skin; can cause renal problems; messy to apply
nursing considerations- monitor BUN and Cr- assess for allergic rxn
name the different wound dressings
Give this one a try later!
, standard- multiple layers of gauze
biologic- from human or animals; temporary til grafts can be done
homografts- cadaver/ skin bank
heterografts- pigskin
cultured skin- from pt body
artificial skin- from cow collagen and shark cartilage
biosynthetic
synthetic- silicone
what s/s may indicate an inhalation injury?
what are s/s of CM poisoning?
Give this one a try later!
singed nasal hairs, black particles in nose, mouth, etc, smoky smell on
breath, hoarse, cough, difficulty swallowing, wheezing, stridor, drooling, s/s
CM poisoning (leading killer in fires- headache, tinnitus, N/V, vertigo,
confusion, stupor, coma, death)
what cardiac changes are associated with burns?
Give this one a try later!
inc. HR and dec CO due to hypovolemia from fluid shift- these improve
with fluid rescucitation
when can skin not regrow?
what does the dermis contain?
Give this one a try later!
, when the dermal layer is burned- all cells and dermal appendages are
destroyed and skin cant restore itself
dermis contains blood vessels, sensory nerves, hair follicles, lymph vessels,
sweat glands
what is debridement?
skin grafts?
Give this one a try later!
debridement- wounds with dry leathery eschar may not heal until eschar is
removed. surgical involves rapid removal and topical is done over a slower
time period
skin grafts- with deep burns, wound excision and skin grafts may be
necessary to heal them. grafts may be taken from other areas of pt skin,
living or non living donors.
what are some interventions to ensure proper oxygenation with burn pt?
Give this one a try later!
monitor resp status, ventilation, O2, positioning, deep breathing, lifting the
chin at the scene, bronchoscopy, suctioning with premedication, AGBS,
pulse, cyanosis, chest x ray. central venous pressure, lactate, intubation (if
arterial o2 <60), meds, beta blockers, diuretics, paralytic drugs (remove pt
from having to breathe- must uss sedation/anxiety meds with these),
tracheotomy, chest tubes, escharotomy
