Term
| What is the 1st thing assessed on a pt showing signs of inhalation injuries? |
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Definition
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Term
| What is the most effective technique for preventing infection transmission? |
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Definition
Meticulous hand-washing
Change gloves when moving to different burn areas
Change gloves between handling old & new dressing |
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Term
| What are some of the signs seen with inhalation injury? |
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Definition
Become progressively hoarse
Develop a brassy cough
Drool or have difficulty swallowing
Produce sounds on exhalation that include audible wheezes, crowing & stridor |
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Term
| What is your priority intervention for a burn victim? |
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Definition
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Term
| When does the rehabilitation phase begin & end? |
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Definition
| Begins with wound closure & ends when pt returns to his or her highest level of functioning |
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Term
| What drug is given to a burn patient to prevent Curling's ulcer? |
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Definition
H2 histamine blockers
Tagamet |
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Term
| What drug is used to reduce pain & how is it administered? |
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Definition
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Term
| What are the characteristics of a full-thickness injury? |
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Definition
Involves ALL layers of skin, muscle & bone
Appears dry, feels leathery & maybe red, white, brown or black
Lacks sensation |
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Term
| What are the characteristics of a partial-thickness injury? |
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Definition
Involves epidermis & varying depths of dermis.
Red, moist & blanch
Deep have blister's
Heal in 10-21 days usually no scar |
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Term
| What are the characteristics of a superficial injuries? |
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Definition
Sunburn - burn to epidermis only
Redness with mild edema, pain
↑ sensitivity to heat
Heals 3-6 days without scars |
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Term
| What is the first priority for a patient burned with unkown chemicals? |
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Definition
Remove clothing
Brush off dry chemicals
DO NOT use H2O to clean |
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Term
| What findings are indicative that fluid resuscitation is effective? |
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Definition
↑ urine output
Stable V. S. |
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Term
| What is the priority nursing intervention if a pt who previously had wheezing stops wheezing? |
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Definition
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Term
| After ensuring a pt's airway is maintained what is the next nursing priority? |
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Definition
Making sure cardiac output is good
Preventing fluid overload |
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Term
| Nursing interventions to ensure pt is getting adequate nutrition? |
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Definition
Calculate pt calorie needs > 5000 Kcal/day
High calorie, high protein diet
Nasoduodenal tube feeding |
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Term
| How does a nurse prevent autocontamination? |
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Definition
Give tetanus shot if needed
Use topical antimicrobial drugs
Systemic antibiotics
Aseptic technique |
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Term
| What is the purpose of pressure garments? |
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Definition
Prevent contractures
Prevent tight hypertrophic scars |
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Term
| What would be a priority nursing intervention if assessment shows that bowel sounds are absent? |
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Definition
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Term
| What assessments should a nurse make after a pt suffers an electrical shock? |
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Definition
Evaluate the heart - start CPR if needed
Get ECG |
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