HESI RN Case Study Burns Guaranteed Success

HESI RN Case Study Burns Guaranteed Success - Why is it crucial to remove all clothing and jewelry from a burn patient? ️️ To prevent constriction from swelling and reduce continued heat exposure. - What immediate action should be taken for chemical burns? ️️ Flush the affected area with copious amounts of water to dilute and remove the chemical. - How does inhalation injury affect oxygen exchange in burn patients? ️️ It damages the alveoli and airways, impairing oxygen uptake and carbon dioxide removal. - What is the role of albumin administration during burn resuscitation? ️️ To restore colloidal osmotic pressure and reduce fluid shifts after initial stabilization. - Why are burn patients at risk for hyperkalemia during the first few hours post-injury? ️️ Potassium is released from damaged cells into the bloodstream. - Why are pressure garments recommended during the recovery phase of burns? ️️ To reduce hypertrophic scarring and improve cosmetic outcomes. - What is the purpose of silvadene (silver sulfadiazine) in burn wound care? ️️ To act as a topical antimicrobial and reduce infection risk. - Why should pulse oximetry readings in burn patients be interpreted cautiously? ️️ Carbon monoxide poisoning can falsely elevate oxygen saturation levels. - How can electrical burns cause delayed complications? ️️ They may lead to cardiac arrhythmias, myoglobinuria, or delayed deep tissue necrosis. - What lab test is most useful for assessing muscle damage in electrical burn injuries? ️️ Serum creatine kinase (CK) levels. - Why is it necessary to monitor for signs of curling ulcers in burn patients? ️️ Stress from burns can increase gastric acid production, leading to ulcer formation. - What is the primary reason for strict glycemic control in burn patients? ️️ Hyperglycemia can impair wound healing and increase the risk of infection. - How does smoke inhalation impact burn patient mortality rates? ️️ It significantly increases mortality due to respiratory complications. - What is the significance of capillary refill time in assessing burn patients? ️️ It helps evaluate peripheral circulation and perfusion. - Why should burn wounds be covered with a sterile dressing immediately? ️️ To prevent contamination and reduce heat loss. - How do large burns affect the immune system? ️️ They suppress immune function, increasing susceptibility to infections. - What does the presence of brown-colored urine indicate in a burn patient? ️️ Myoglobinuria from muscle breakdown, which can lead to kidney damage. - Why is early mobilization encouraged in burn patients? ️️ To improve circulation, reduce the risk of blood clots, and maintain muscle strength. - What causes hypocalcemia in burn patients? ️️ Calcium may bind with citrate during transfusions or be lost due to extensive tissue damage. - How does edema affect respiratory function in burn patients with facial burns? ️️ Swelling can obstruct the airway, requiring prompt intervention. - Why are eye burns treated as medical emergencies? ️️ To prevent long-term damage to vision and preserve eye function. - What is the purpose of an autograft in burn treatment? ️️ To replace damaged skin with the patient’s own tissue, minimizing rejection. - Why are burn patients often placed on anticoagulant therapy during recovery? ️️ To prevent deep vein thrombosis (DVT) caused by prolonged immobility. - How can hypothermia be prevented during burn wound care? ️️ By maintaining a warm environment and minimizing exposure during dressing changes. - Why are children more vulnerable to dehydration after burns? ️️ They have a higher body surface area-to-weight ratio, leading to increased fluid loss. - What indicates the need for immediate fasciotomy in a burn patient? ️️ Evidence of compartment syndrome with unrelieved pain and neurovascular compromise. - How does delayed wound closure affect burn healing? ️️ It increases the risk of infection and prolongs the inflammatory phase of healing. - Why are nutritional needs increased in burn patients? ️️ Burns accelerate metabolism, requiring more calories and protein for healing.