Compression Dressings
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-a dressing that is applied after grafts heal to help prevent contractures and
tight hypertrophic scars, which can inhibit MOBILITY.
-They also inhibit venous stasis and edema in areas with decreased lymph
flow.
-they may be elastic wraps or specially designed, custom-fitted, elasticized
clothing that provides continuous pressure.
-Best effectiveness, pressure garments worn at least 23 hours a day, every
day, until scar tissue is mature (12 to 24 months).
-Can be uncomfortable with itchiness and increased warmth.
-Reinforce to the patient and family that wearing pressure garments is
beneficial in saving mobility and reducing scarring.
Myasthenic Crisis
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-a complication of myasthenia gravis characterized by worsening of muscle
weakness, resulting in respiratory failure that requires intubation and
mechanical ventilation.
**IMPORTANT: it is a medical emergency**
Resuscitation Phase of Burn Injury
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, -The first phase of a burn injury, beginning at the onset of injury and
continuing for about 48 hours
-During this phase, the injury is evaluated and priorities of care are
determined based on extent and severity of the burn.
-The priorities of care during the emergent phase include:
(1) securing the airway (Provide oxygen therapy and Evaluate for direct
airway injury that occurs by inhalation of smoke, heat, or chemicals.)
(2) supporting circulation and perfusion (accomplished by fluid
replacement (Parkland formula))
**Note: Be alert for signs and symptoms of pulmonary edema**
(3) maintaining body temperature
(4) keeping the patient comfortable with analgesics
(5) providing emotional support.
**IMPORTANT: Priority-Continous airway assessment**
-INTERVENTIONS:
• Secure airway and supporting oxygenation/ circulation
• Preventing hypovolemic shock
• Preventing inadequate gas exchange
• Manage pain
• Maintain temperature
-Nonsurgical Management:
• IV fluids: large bore CVC
• Monitoring patient response to fluid therapy
• IV Pain medication (Morphine, Opioids)
• Proton Pump Inhibitor (PPIs-like omeprazole)/H2 Blockers for ulcer
prophylaxis
Simple Partial Seizures
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a partial seizure where the patient remains conscious, "Deja-vu" feeling,
altered smells and auras, sudden pain response, autonomic changes.
During seizure, may have one sided movement of an extremity.
, Autonomic Dysreflexia
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-a potentially life-threatening condition in which noxious visceral or
cutaneous stimuli cause a sudden, massive, uninhibited reflex sympathetic
discharge in people with high-level Spinal Cord Injury
-Triggers a sympathetic response (fight or flight) below the level of injury
-leading to an increased BP below the level of injury. Will not resolve until
antagonist is corrected.
**Note: focus on client care that centers on preventing complications for
immobility and skin breakdown such as appropriate bladder, bowel, and
skin-care practices and recognition of early signs or symptoms**
**IMPORTANT: Patients with complete Spinal Cord Injury are at a high risk
for complications that result from prolonged impaired mobility, including
pressure injuries and venous thromboembolism (VTE). Assess skin
integrity with each turn or repositioning. Monitor for signs of VTE with
vital signs, including lower extremity deep vein thrombosis (DVT).**
**Note: prophylactic administration of a vasodilator may be needed
before intercourse.**
**IMPORTANT: educate patient to avoid wearing constricted clothing to
prevent this disorder**
Heat Exhaustion signs and symptoms with interventions
Give this one a try later!
Give this one a try later!
-a dressing that is applied after grafts heal to help prevent contractures and
tight hypertrophic scars, which can inhibit MOBILITY.
-They also inhibit venous stasis and edema in areas with decreased lymph
flow.
-they may be elastic wraps or specially designed, custom-fitted, elasticized
clothing that provides continuous pressure.
-Best effectiveness, pressure garments worn at least 23 hours a day, every
day, until scar tissue is mature (12 to 24 months).
-Can be uncomfortable with itchiness and increased warmth.
-Reinforce to the patient and family that wearing pressure garments is
beneficial in saving mobility and reducing scarring.
Myasthenic Crisis
,Give this one a try later!
-a complication of myasthenia gravis characterized by worsening of muscle
weakness, resulting in respiratory failure that requires intubation and
mechanical ventilation.
**IMPORTANT: it is a medical emergency**
Resuscitation Phase of Burn Injury
Give this one a try later!
, -The first phase of a burn injury, beginning at the onset of injury and
continuing for about 48 hours
-During this phase, the injury is evaluated and priorities of care are
determined based on extent and severity of the burn.
-The priorities of care during the emergent phase include:
(1) securing the airway (Provide oxygen therapy and Evaluate for direct
airway injury that occurs by inhalation of smoke, heat, or chemicals.)
(2) supporting circulation and perfusion (accomplished by fluid
replacement (Parkland formula))
**Note: Be alert for signs and symptoms of pulmonary edema**
(3) maintaining body temperature
(4) keeping the patient comfortable with analgesics
(5) providing emotional support.
**IMPORTANT: Priority-Continous airway assessment**
-INTERVENTIONS:
• Secure airway and supporting oxygenation/ circulation
• Preventing hypovolemic shock
• Preventing inadequate gas exchange
• Manage pain
• Maintain temperature
-Nonsurgical Management:
• IV fluids: large bore CVC
• Monitoring patient response to fluid therapy
• IV Pain medication (Morphine, Opioids)
• Proton Pump Inhibitor (PPIs-like omeprazole)/H2 Blockers for ulcer
prophylaxis
Simple Partial Seizures
Give this one a try later!
a partial seizure where the patient remains conscious, "Deja-vu" feeling,
altered smells and auras, sudden pain response, autonomic changes.
During seizure, may have one sided movement of an extremity.
, Autonomic Dysreflexia
Give this one a try later!
-a potentially life-threatening condition in which noxious visceral or
cutaneous stimuli cause a sudden, massive, uninhibited reflex sympathetic
discharge in people with high-level Spinal Cord Injury
-Triggers a sympathetic response (fight or flight) below the level of injury
-leading to an increased BP below the level of injury. Will not resolve until
antagonist is corrected.
**Note: focus on client care that centers on preventing complications for
immobility and skin breakdown such as appropriate bladder, bowel, and
skin-care practices and recognition of early signs or symptoms**
**IMPORTANT: Patients with complete Spinal Cord Injury are at a high risk
for complications that result from prolonged impaired mobility, including
pressure injuries and venous thromboembolism (VTE). Assess skin
integrity with each turn or repositioning. Monitor for signs of VTE with
vital signs, including lower extremity deep vein thrombosis (DVT).**
**Note: prophylactic administration of a vasodilator may be needed
before intercourse.**
**IMPORTANT: educate patient to avoid wearing constricted clothing to
prevent this disorder**
Heat Exhaustion signs and symptoms with interventions
Give this one a try later!
