Deep partial thickness
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(basically deep 2nd degree)
-Destruction to the epidermis and dermis
-Red to white, moderate edema no blisters dry eschar, thin sheets of dry
skin.
-wet to slightly dry surface
-average healing time is 3-6 weeks
-Might convert to full thickness
-high potential for scarring
-partially insensate
Types of Burns
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, thermal, chemical, electrical, radiation
Wound closure
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wound care:
-prevent infection by cleansing and debriding the area of necrotic tissue.
-promote wound re-epithelialization, successful skin grafting.
Excision and grafting:
-early removal of necrotic tissue followed by application of skin graft.
Pain management:
-continuous background pain
-treatment induced pain
-patient controlled analgesia (PCA)
-Opioid, analgesics, anxiolytics
physical and occupational therapy
nutritional therapy
Electrolyte loss
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When the cells lose permeability, they can lose potassium and cause issues
with arrhythmias.
They will lose Na as well, imbalances.
Full-thickness burns
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(basically 3rd degree)
-all layers of skin
-may extend into subcutaneous fat, connective tissue.
-muscle, bone
-white, black or Tan/Brown with hard leathery surface
-might be eschar
-requires skin grafting/excision
-no sensation
-NON BLANCHING, INSENSATE, VARIED COLORS,
Lund-Browder Chart
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A detailed version of the rule of nines chart that takes into consideration
the changes in body surface area brought on by growth.
Acute care phase
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signals fluid shifts out of tissue and into vasculature.
72 hrs - several weeks
Assessments;
-diuresis
-hypokalemia
-dilutional hyponatremia
-hyperglycemia - r/t stress.
-GI constipation or diarrhea.
Give this one a try later!
(basically deep 2nd degree)
-Destruction to the epidermis and dermis
-Red to white, moderate edema no blisters dry eschar, thin sheets of dry
skin.
-wet to slightly dry surface
-average healing time is 3-6 weeks
-Might convert to full thickness
-high potential for scarring
-partially insensate
Types of Burns
Give this one a try later!
, thermal, chemical, electrical, radiation
Wound closure
Give this one a try later!
wound care:
-prevent infection by cleansing and debriding the area of necrotic tissue.
-promote wound re-epithelialization, successful skin grafting.
Excision and grafting:
-early removal of necrotic tissue followed by application of skin graft.
Pain management:
-continuous background pain
-treatment induced pain
-patient controlled analgesia (PCA)
-Opioid, analgesics, anxiolytics
physical and occupational therapy
nutritional therapy
Electrolyte loss
Give this one a try later!
When the cells lose permeability, they can lose potassium and cause issues
with arrhythmias.
They will lose Na as well, imbalances.
Full-thickness burns
, Give this one a try later!
(basically 3rd degree)
-all layers of skin
-may extend into subcutaneous fat, connective tissue.
-muscle, bone
-white, black or Tan/Brown with hard leathery surface
-might be eschar
-requires skin grafting/excision
-no sensation
-NON BLANCHING, INSENSATE, VARIED COLORS,
Lund-Browder Chart
Give this one a try later!
A detailed version of the rule of nines chart that takes into consideration
the changes in body surface area brought on by growth.
Acute care phase
Give this one a try later!
signals fluid shifts out of tissue and into vasculature.
72 hrs - several weeks
Assessments;
-diuresis
-hypokalemia
-dilutional hyponatremia
-hyperglycemia - r/t stress.
-GI constipation or diarrhea.