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Burns
Question | Answer |
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what causes the volume loss in a burn patient | there is an increased capillary membrane permeability which allows water to leak out from the intravascular sapce resulting in edema in burn tissue and throughout the body |
#1 priorities for a burn patient | get fluid volume, prevent hypothermia |
how does hypothermia effect the burn patient | decreased O2 delivery, decreased tissue perfusion secondary to vasoconstriction and increased incidence of deep vein thrombosis and pulmonay embolisms |
indicated for burn all the way around full tickness, give fluids swell becomes a urnicate and cuts off blood clow, So you cout through skin to open it up and let swelling occur and restore circulation | escharotomy |
prevention of complications such as contractures and incection | sterile procedures, PT and OT, range of motion |
formula to determine fluid resucitation needs | parkland formula- give (4ml)(kg)(%tbsa) then 1/2 in first 8 hours then 1/4 in the second 8 hour and 1/4 in the last 8 hours |