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Burns Info #2

QuestionAnswer
What is the Parkland formula and what is it used for? Lactated Ringers solution: 4ml/kg/% TBSA burn; 1/2 given firs 8 hr; 1/4 given each next 8 hour, used for fluid replacement
What does the nursing management in wound care entail during the emergent phase? Debridement, assess extent, topical ABT right away, tetanus, manage pain & anxiety, the above mentioned done after ABCs
What should you assume about the patient's pain before doing wound care? That the pain is higher during wound care: premedicate
What are some renal complications during the emergent phase? Acute Renal Failure, Acute tubular necrosis r/t hypoperfusion, myogloburinemia-burgendy urine
What is the duration of the acute phase? (from what to what) Duration: Diuresis to wound closure
What are the f/e changes dring the acute phase? hyponatremia/hyperkalemia, hypokalemia/hypernatremia, decreased Hct, increased U/O, metabolic acidosis
What allergy should you be allert for when using silvidine for topical ABT? Allergy to sulfa
What are the increased nurtitional needs in the burn patient? increased protein, calories and vitamins
What are the goals in skin grafting? decrease the risk of infection, prevent further loss of protein, f/e, minimize heat loss
Created by: agarnham
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