Burns: 1st Superficial thickness wounds
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-damage to epidermis
-pink to red
-no blisters
-mild edema
-no eschar
-painful/tender
-sensitive to heat
-heals within 3 to 6 days
-no scarring
EX:
-sunburn
-flash burn (sudden intense heat)
PE discharge on drug therapy
,Give this one a try later!
-follow the same guidelines but also include
-do not have dental work w/o consulting your primary care physician
-do not take aspirin & any aspirin containing products
-do not participate in contact sports
-if you are injured apply ice to the site for one hr
-check your skin & mouth for signs of bleeding
-avid anal intercourse
-take a stool softener to prevent straining during a bowel mov.
-keep all appointments for lab tests
Rehabilitative phase
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-begins with wound closure and ends with the client reaching the highest
level of function
-important not to forget the psychological aspect of trauma
-may experience PTSD & depression
-this phase can last for yrs
DISCHARGE
-consider community resources & follow up with mental health resources to
assist the client's adjustment back into daily life
SEPSIS, SIRS, SEPTIC Labs
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HALLMARKS
-lactic acid levels
-WBC count
-cultures to confirm bacterial source
, -D-dimer levles
-PT, PTT & INR
Prevent ventilator acquired pneumonia
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-semi-fowler position
-empty any compensation of the tubing
-hand hygiene
-mouth care Q2hrs
-turning the client
-use disinfected Q12hrs
-PPI or H2 blockers
-moving the tube from side to side to prevent sores
Hypovolemic Shock overall cause
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total body fluid decreased (in all fluid compartments)
Clinical manifestations of ARDS
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-refractory hypoxemia
-bilateral pulmonary edema non-cardiac related (crackles upon
auscultation)
-reduced lung compliance
, -glass ground appearance in the x-ray
-SOB
Prevention for PE
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-ambulate early after sx
-use anti-embolism & pneumatic compression stocking devices after sx
-do not use pillows under knees or gatch bed
-assess peripheral circulation
-prescribe prophylactic low-dose anticoagulant and anti-platelets drugs
-encourage smoking cessation
-traveling long distances
--drink plenty of water
--change positions often
--avoid crossing legs
--get up from sitting position at least 5 minutes out of every hr
Meds
-small doses of heparin or low-molecular-weight heparin (enoxaparin,
Lovenox) Q 8-12 hrs
Stages of Shock Interventions
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Give this one a try later!
-damage to epidermis
-pink to red
-no blisters
-mild edema
-no eschar
-painful/tender
-sensitive to heat
-heals within 3 to 6 days
-no scarring
EX:
-sunburn
-flash burn (sudden intense heat)
PE discharge on drug therapy
,Give this one a try later!
-follow the same guidelines but also include
-do not have dental work w/o consulting your primary care physician
-do not take aspirin & any aspirin containing products
-do not participate in contact sports
-if you are injured apply ice to the site for one hr
-check your skin & mouth for signs of bleeding
-avid anal intercourse
-take a stool softener to prevent straining during a bowel mov.
-keep all appointments for lab tests
Rehabilitative phase
Give this one a try later!
-begins with wound closure and ends with the client reaching the highest
level of function
-important not to forget the psychological aspect of trauma
-may experience PTSD & depression
-this phase can last for yrs
DISCHARGE
-consider community resources & follow up with mental health resources to
assist the client's adjustment back into daily life
SEPSIS, SIRS, SEPTIC Labs
Give this one a try later!
HALLMARKS
-lactic acid levels
-WBC count
-cultures to confirm bacterial source
, -D-dimer levles
-PT, PTT & INR
Prevent ventilator acquired pneumonia
Give this one a try later!
-semi-fowler position
-empty any compensation of the tubing
-hand hygiene
-mouth care Q2hrs
-turning the client
-use disinfected Q12hrs
-PPI or H2 blockers
-moving the tube from side to side to prevent sores
Hypovolemic Shock overall cause
Give this one a try later!
total body fluid decreased (in all fluid compartments)
Clinical manifestations of ARDS
Give this one a try later!
-refractory hypoxemia
-bilateral pulmonary edema non-cardiac related (crackles upon
auscultation)
-reduced lung compliance
, -glass ground appearance in the x-ray
-SOB
Prevention for PE
Give this one a try later!
-ambulate early after sx
-use anti-embolism & pneumatic compression stocking devices after sx
-do not use pillows under knees or gatch bed
-assess peripheral circulation
-prescribe prophylactic low-dose anticoagulant and anti-platelets drugs
-encourage smoking cessation
-traveling long distances
--drink plenty of water
--change positions often
--avoid crossing legs
--get up from sitting position at least 5 minutes out of every hr
Meds
-small doses of heparin or low-molecular-weight heparin (enoxaparin,
Lovenox) Q 8-12 hrs
Stages of Shock Interventions
Give this one a try later!
