Med-Surg II (NU 185) Exam 2 - Study Notes on Burns, Hematologic Disorders, and
More
Exam 2
Burns
- Remember how to calculate the Rule of Nines
- Parkland formula calculations
- A major concern in the care of a burn victim is to prevent shock
from circulatory collapse
- Fluid replacement is calculated from the time of injury not from the time
of arrival at the medical facility
- S/S of potential inhalation injury – stridor, flaring nostrils, restlessness,
short of breath, hoarse cough, black sputum. What to do? Raise HOB,
give oxygen, possible intubate
- S/S of infection – strong odor, purulent drainage, sloughing
- Sunburn precautions – sunscreen, big hat, sunglasses
- First aid for minor burns – run under cool water. Do not pop blister
(protecting the raw skin underneath), loosely cover with something
dry.
- Rehab for burns – lasts as long as it takes to get them as far as you
can get them, cases vary. Begins with injury, ends when fluids have
stabilized. Lactated ringers (osmolarity most resembles our body
fluid)
- Emergent phase – give tetanus shot because tetanus lives in soil
- Patient arrives that has a burn – airway, make sure they have an IV,
Foley catheter, pain management
Skin
- Cellulitis treatments – warm compress (dilates vessels), if you
suspect it let someone know, treated with antibiotics
- Wood’s light – what’s it good for? Fungus
- Herpes simplex – herpes produces cold sores. Prevention of spread -
wash hands, don’t swap saliva
- ABCD’s of moles and skin lesions – asymmetry (half raised half
flat), borders (irregular or uneven edges), color (black, red, very dark
brown, changing colors), diameter (over 6mm), evolving
- Psoriasis and dermatitis – Do not scratch. Keep skin hydrated. No long
hot showers.
Don’t rub skin. We worry about skin breakdown. Psoriasis – a
noncontagious,
chronic, recurring skin disorder that typically appears as inflamed,
edematous skin lesions covered with adherent silvery-white scales.
Med-Surg II (NU 185) Exam 2 - Study Notes on Burns, Hematologic Disorders, and
More
, Med-Surg II (NU 185) Exam 2 - Study Notes on Burns, Hematologic Disorders, and
More
Dermatitis – is not contagious unless a secondary infection has
occurred
Med-Surg II (NU 185) Exam 2 - Study Notes on Burns, Hematologic Disorders, and
More
More
Exam 2
Burns
- Remember how to calculate the Rule of Nines
- Parkland formula calculations
- A major concern in the care of a burn victim is to prevent shock
from circulatory collapse
- Fluid replacement is calculated from the time of injury not from the time
of arrival at the medical facility
- S/S of potential inhalation injury – stridor, flaring nostrils, restlessness,
short of breath, hoarse cough, black sputum. What to do? Raise HOB,
give oxygen, possible intubate
- S/S of infection – strong odor, purulent drainage, sloughing
- Sunburn precautions – sunscreen, big hat, sunglasses
- First aid for minor burns – run under cool water. Do not pop blister
(protecting the raw skin underneath), loosely cover with something
dry.
- Rehab for burns – lasts as long as it takes to get them as far as you
can get them, cases vary. Begins with injury, ends when fluids have
stabilized. Lactated ringers (osmolarity most resembles our body
fluid)
- Emergent phase – give tetanus shot because tetanus lives in soil
- Patient arrives that has a burn – airway, make sure they have an IV,
Foley catheter, pain management
Skin
- Cellulitis treatments – warm compress (dilates vessels), if you
suspect it let someone know, treated with antibiotics
- Wood’s light – what’s it good for? Fungus
- Herpes simplex – herpes produces cold sores. Prevention of spread -
wash hands, don’t swap saliva
- ABCD’s of moles and skin lesions – asymmetry (half raised half
flat), borders (irregular or uneven edges), color (black, red, very dark
brown, changing colors), diameter (over 6mm), evolving
- Psoriasis and dermatitis – Do not scratch. Keep skin hydrated. No long
hot showers.
Don’t rub skin. We worry about skin breakdown. Psoriasis – a
noncontagious,
chronic, recurring skin disorder that typically appears as inflamed,
edematous skin lesions covered with adherent silvery-white scales.
Med-Surg II (NU 185) Exam 2 - Study Notes on Burns, Hematologic Disorders, and
More
, Med-Surg II (NU 185) Exam 2 - Study Notes on Burns, Hematologic Disorders, and
More
Dermatitis – is not contagious unless a secondary infection has
occurred
Med-Surg II (NU 185) Exam 2 - Study Notes on Burns, Hematologic Disorders, and
More
