NUR 213Burns2.docx - NUR 213 Unit 6 Burns part 2 1.Emergent\/Resuscitative phase WBCs will first rise and then drop rapidly with a shift to the left ~

NUR 213Burns2.docx - NUR 213 Unit 6 Burns part 2...

This preview shows page 1 - 3 out of 19 pages.

NUR 213 - Unit 6 - Burns part 2 1. Emergent/Resuscitative phase WBCs will .... : first rise, and then drop rapidly, with a shift to the left ~ immune system becomes unable to sustain its defenses 2. Emergent/Resuscitative phase Hemoglobin will be ..... : elevated ~ result of fluid volume loss 3. Emergent/Resuscitative phase Hematocrit will be ..... : elevated ~result of fluid volume loss 4. Emergent/Resuscitative phase BUN will be .... : elevated 5. Emergent/Resuscitative phase Glucose will be .... : elevated ~stress response and altered uptake 6. Emergent/Resuscitative phase Carboxyhemoglobin will be ..... : elevated ~ inhalation of smoke and carbon monoxide 7. Emergent/Resuscitative phase Albumin will be .... : low ~ lost through the wound and through vascular membranes because of increased permeability 8.What is normal BUN?: 10-20 9. Lab profile during resuscitation phase Chart 28-3: 10.Upper airway edema becomes pronounced how long after the beginning of fluid resuscitation?: 8-12 hours
Image of page 1
11. Upper airway burn patients often need: intubation 12. what is performed to examine the airway and the vocal cords?: Bronchoscopy 13.What things (other than viewing the airway) can the bronchoscopy be used for?: ~Can lavage (clean out) particles and debris~Deep suctioning of the lungs - very painful - premedicate~removal of sloughing necrotic tissue 14.How long do we expect a patient who has been intubated to remain intubated?: 3-6 daysuntil the edema subsides 15. Cyanide poisoning may occur in patients burned in house fires. What lab value indicates toxicity in patients who do not have severe burns?: plasma lactate level - will be elevated 16.Any time there is/was a potential for CO poisoning what intervention will be done?: Humidified air and 100% O2 17.What arterial O2 level would be an indication for mechanical ventilation?: less than60 mm/hg 18. If a patient needs to be mechanically ventilated - what drugs would we give and why?: sedative analgesia antianxiety ~ because the patient can still see, hear, and feel pain, ~anxiety from loss of control 19. What are two paralytic drugs that may be used to help with mechanical ventilation?: Atracurium Vecuronium 20.During the emergent phase and Fluid therapy - at what TBSA is a central line indicated?: Greater than 30% 21.What is the Parkland Baxter formula for determining amount of fluid needed for fluid resuscitation?: LR 4ml/ kg/ %TBSA 22. Emergent phase What is the most common and noninvasive way to assess for cardiac output and tissue perfusion?: Urine output
Image of page 2
Image of page 3

You've reached the end of your free preview.

Want to read all 19 pages?

  • Summer '19
  • eschar, acute phase

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes