Burn Careplan

Burn Careplan - http:/nursinglectures.blogspot.com FREE...

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
http://nursinglectures.blogspot.com FREE NURSING LECTURES BURNS: THERMAL/CHEMICAL/ELECTRICAL (ACUTE AND CONVALESCENT PHASES) Each year, more than 2 million burn injuries occur in the United States; approximately 100,000 people require hospital care. Thermal burns, which are the most common type, occur because of fires, motor vehicle crashes, home fires, hot liquid spills, electrical malfunctions, and war. Survival rates have risen because of newer treatments and skin barrier development; however, moderate and severe burns account for many dollars spent on physical and psychological rehabilitation. Thermal burns: Injuring agent can be flame, hot liquid, or contact with hot object. Flame burns are associated with smoke/inhalation injury. Chemical burns: Occur from type/content of injuring agent, as well as concentration and temperature of agent. Electrical burns: Occur from type/voltage of current that generates heat in proportion to resistance offered and travels the pathway of least resistance (i.e., nerves offer the least resistance and bones the greatest resistance). Underlying injury is more severe than visible injury. Superficial partial-thickness (first-degree) burns: Involve only the epidermis. Wounds appear bright pink to red with minimal edema and no blisters. The skin is often warm/dry. Moderate partial-thickness (second-degree) burns: Involve the epidermis and dermis. Wounds appear red to pink with moderate edema and moist, weeping blisters. Deep partial-thickness (second-degree) burns: Involve the deep dermis. Wounds appear pink to pale ivory with moderate edema and blisters. These wounds are dryer than moderate partial-thickness burns. Full-thickness (third-degree) burns: Involve all layers of skin, subcutaneous fat, and may involve the muscle, nerves, and blood supply. Wound appearance varies from white to cherry red to brown or black, with blistering uncommon. These wounds have a dry, leathery texture. Full-thickness (fourth-degree) burns: Involve all skin layers plus muscle, organ tissue, and bone. Charring occurs. CARE SETTING The following adult patients are admitted for acute care and during the rehabilitation phase may be cared for in a subacute or rehabilitation unit: those with partial-thickness burns more than 15% total body surface area (TBSA) or whose age is considered high risk (older than 65 years of age); full-thickness burns more than 2% of TBSA; burns of face, both hands, perineum, or both feet; or inhalation and all electrical burns. RELATED CONCERNS Disaster considerations Fluid and electrolyte imbalances Metabolic acidosis (primary base bicarbonate deficiency) Psychosocial aspects of care Respiratory acidosis (primary carbonic acid excess) Sepsis/septicemia Surgical intervention Total nutritional support: parenteral/enteral feeding Upper gastrointestinal/esophageal bleeding Patient Assessment Database Data depend on type, severity, and body surface area involved. ACTIVITY/REST
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 10/06/2011 for the course NU 314 taught by Professor Rock during the Spring '11 term at North Alabama.

Page1 / 25

Burn Careplan - http:/nursinglectures.blogspot.com FREE...

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online