Shared Flashcard Set

Details

Test #3
Burns/Delegation/Risk MGT/Meds/NCLEX
12
Nursing
Graduate
10/30/2009

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Cards

Term
Dry Heat Burn
Definition
flash, flame, friction, explosion
Term
moist heat burn
Definition
hot water,
tea,
coffee,
steam,
oil
Term
Contact
Definition
hot metal, tar, grease, hot surface
Term
chemical
Definition
acid or alkaline
Term
electrical
Definition
domestic electrical supply, high voltage grid sys, lightening
Term
radiation
Definition
sunlight, sunbeds, welders flash, ionizing radiation, nuclear explosion
Term
factors causing complications post burn
Definition
age, premorbid cond, type of burn, location, %BSA, psychological. Most pt walk out of the burn unit
Term
Factors that increase risk for death (3)
Definition
1. age less than 9 yrs or more than 60 yrs
2. more than 40% total BSA
3. inhalation injury
Term
Common complications after burn (4)
Definition
Very few die in first 24 hrs,
1. septicemia
2. pneumonia
3. renal failure
4. cardiac problems
Term
3 major phases of burn care
Definition
1. emergent/resusititative (onset injury to fluid resusititation 0-48hrs)
2. acute phase (begin diuresis to near completion of wound closure 36 to 48hrs)
3. rehabilitation phase (major wound closure to return to opitimal level)
Term
Emeregent/Resusitative Phase
Definition
1. onset of injury to completion of fluid resusititation
2. immediate problems edema, fluids loss and dec blood flow
3. prevent resp distress secure airway
4. fluid replacement to prevent shock
5. analgesics
6. detect and tx of concomitant injury
7. wound assessment and care and infection prevention
8. maintain body temp
9. emotional support
Term
Acute Phase
Definition
1. begining of diuresis to near completion of wound closure (36-48hrs)
2. wound care and closure
3. prevent infection
4. nutritional support
5. pain
6. myoglobinuria (muscle dmg, need to flush out kidneys to avoid renal dmng, increase fluid infusion, mannitol, and alkalize the urine pH 6+ to avoid dmg)
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