Pediatric burns, stages, and treatments
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| show | Chemical, electrical, thermal, inhalation, radiation
🗑
|
||||
| show | Flush for 20-30 minutes
🗑
|
||||
| show | Remove clothing and rinse skin for 20-30 minutes
🗑
|
||||
| show | Muscle destruction and myoglobinuria
🗑
|
||||
| show | Make sure the power is turned off and patient is disconnected from the power source
🗑
|
||||
| Clinical manifestations of an electrical burn include... | show 🗑
|
||||
| show | Exposure to flames, scalds, hot objects, sun, cold
🗑
|
||||
| Clinical manifestations of a 1st degree burn include... | show 🗑
|
||||
| Clinical manifestations of a 2nd degree burn include... | show 🗑
|
||||
| Clinical manifestations of a 3rd degree burn include... | show 🗑
|
||||
| show | Rule of Nines and Lund-Browder Chart
🗑
|
||||
| Describe the Rule of Nines. | show 🗑
|
||||
| show | 1. Assess airway2. Determine cause of burn/ call 9-113. Determine where incident occurred4. Obtain medical history5. Apply cool, wet, clean compresses
🗑
|
||||
| What is the treatment for carbon monoxide poisoning? | show 🗑
|
||||
| Which fluids are utilized for fluid replacement in a burn patient? | show 🗑
|
||||
| show | Weight (kg) x % burn (in a whole number) x 4mL = replacement amount for 1st 24 hours.
* 1st 8hrs: 1/2 of calculated fluid
* 2nd 8hrs: 1/4 of calculated fluid
* 3rd 8hrs: 1/4 of calculated fluid
🗑
|
||||
| What is the best way to monitor circulatory status? | show 🗑
|
||||
| What is the pediatric minimum output? | show 🗑
|
||||
| show | 1. Hypovolemic burn shock2. Diuretic/ Septic Shock3. Recovery/ Rehabilitation
🗑
|
||||
| How long does the hypovolemic stage last? | show 🗑
|
||||
| What are the major electrolyte changes that occur during the hypovolemic stage? | show 🗑
|
||||
| show | Metabolic acidosis
🗑
|
||||
| Clinical manifestations of hypovolemic burn shock include... | show 🗑
|
||||
| show | airway, fluid replacement, circulatory status, VS, weight, IV MSO4, NPO status, tetanus toxoid/TIGH
🗑
|
||||
| What is the time frame for the diuretic/septic shock stage? | show 🗑
|
||||
| show | Capillaries seal off, no longer loosing fluid to 3rd spacing. Fluid shifts from interstitial back into intravascular
🗑
|
||||
| show | increased BP and output, pulmonary edema, water intoxication
🗑
|
||||
| show | Initial increase in sodium then it decreases, decrease potassium
🗑
|
||||
| show | decreased RBCs, H&H
🗑
|
||||
| show | 1. Eschar formation2. Compartment syndrome3. Curling's ulcer
🗑
|
||||
| How do you prevent a Curling's ulcer? | show 🗑
|
||||
| show | From day 5 on...
🗑
|
||||
| show | hypermetabolic burn wound state
🗑
|
||||
| show | TPN with lipids
🗑
|
||||
| NANDA for the recovery stage is Impaired physical mobility R/T... | show 🗑
|
||||
| show | 1. Speed wound debridement2. Protect granulation tissue and grafts3. Conserve heat and fluids4. Provide comfort and support
🗑
|
||||
| Burn care includes... | show 🗑
|
||||
| show | 1. open2. closed
🗑
|
||||
| What are 3 advantages to open burn care? | show 🗑
|
||||
| show | 1. Increased risk for contamination2. Risk for hypothermia3. Children can pick at injuries4. Can't play outside of reverse isolation room
🗑
|
||||
| show | 1. Protects from contamination2. Can play in a playroom3. Decreases contractures by allowing functional positioning of affected parts4. Protects from injury5. Helps with debridement
🗑
|
||||
| show | 1. Can't view the burn site easily2. Dressing changes can be very painful3. Warm, moist environment for bacterial growth
🗑
|
||||
| show | Burn dressing medication. Good for gram +/-, candida. Must be soaked off before next application. Allows for re-epitheliation
🗑
|
||||
| show | 1. Skin around burn appears grayish/infected2. May cause rash3. Needs repeated applications
🗑
|
||||
| show | Burn dressing med. Gauze is impregnanted with medication and must remain wet. Decreases edema. Bacteriostatic.
🗑
|
||||
| show | 1. Stains2. Disrupts electrolytes: pulls sodium3. May cause rash, itching on good skin
🗑
|
||||
| show | Broad spectrum antibiotic. Diffuses through eschar rapidly. Used with open burn care. Thick application.
🗑
|
||||
| show | 1. Burns for 5-10 minutes2. Rash if allergic to Sulfa3. causes metabolic acidosis4. Eschar separates slowly, delaying graft
🗑
|
||||
| What is travase (Accuzyme)? | show 🗑
|
||||
| show | 1. Painful to good tissue2. Applied 1/4" beyond the burn and covered with wet dressing3. Can cause a rash
🗑
|
||||
| What is bacitracin? | show 🗑
|
||||
| show | 1. Only mild antimicrobial activity2. Poor penetration of eschar
🗑
|
||||
| show | 1. eschar formation (will delay)2. good granulation tissue base3. infection (will delay)
🗑
|
||||
| When is a graft procedure done? | show 🗑
|
||||
| show | 1. Less scarring2. increases strength and movement3. closes an open wound decreasing infection and pain4. decrease fluid/heat losses5. restores function and appearance
🗑
|
||||
| show | 1. Autograft- made from own skin; permanent2. Heterograft- pig, animal skin3. Homograft- cadaver, skin bank4. Isograft- from victim's twin5. Synthetic (Biobrane)- manmade, clear, plastic sheath. Semi-permeable and hypoallergenic
🗑
|
||||
| What is a Jobst garment? | show 🗑
|
||||
| show | less perspiration, less sebum, sparse hair growth
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
NurseTasha
Popular Nursing sets