BURNS.docx - BURNS EMERGENT PHASE The initial assessment of...

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BURNS EMERGENT PHASE The initial assessment of any type of burn so appropriate steps can be take n by the health care team. Airway management: Involves early endotracheal intubation (wanted is oral tracheal) after respiratory problems are evendent. o If intubation isn’t needed but respitarory burns are still evedent, give O2 at 100% Between 1-2 hours before neck edema occurs. o Extubation is wanted 3-6 days after, (when edema goes down) Escharotomies o Done when there is difficulty expanding the chest of while trying to breath. Place pt in high fowlers o Don’t if they have spinal injury PEEP may be used to prevent alveolar collapse and renal failure. Possible need for bronchodilators. Fluid therapy: 2 large born access if burns are > 15 % if > than 30%, use a central line o FLUIDS Used with crystalloid solution (LR) Colloids (Albumin) Or a combo of both. Monitor input and output and VS to evaluate Urine ouput : 0.5 to 1 mL/kg/hr; 75 to 100 mL/hr for electrical burn patient with evidence of
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  • Spring '17
  • Acevedo
  • Endotracheal tube

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