doing, or the activity that, I should say blood supply that it is not receiving can actually cause an ulcer to form and a large ulcer, big ulcer, that can cause some other problems can occur in such a short amount of time which you all know you may have heard of before, when you have this type of degree of burn client, the extensive burn, what will happen immediately is your body and it’s a compensatory mechanism that will actually divert that blood flow away from the gut to the brain, to the heart, liver, those essential organs, and your gut is an essential organ, but kind of it’s going to a longer amount of time to decompromise if we have a problem with our gut as opposed to our brain or heart not receiving adequate blood supply. And I am sure you understand that mechanism, however I like that your book only briefly but does mention the use of those H2 blockers that are given routinely and prophylactically, you have heard the term stress ulcer prophylaxis, we are doing that because we know now that these things occur. We didn’t know that several years ago when I first became a nurse protonics was not standard, it was not the norm to give the patient protonics by any means, and I have had the opportunity to see that transition in the practice and see that it has many positive effects it has on our clients and that is based practice. The other things that physicians have gotten good at and we have learned to and had to transition is to practice is feeding your clients. We used to not feed patients in particularly critical care areas, it was rest the bowel, rest the gut and all of this. But we know the gut is supposed to move, all that peristalsis, that is a normal action of your GI system. When you don’t allow that it is definitely going to compromise so, one of the things we do almost immediately now is drop an NG tube or PEG tube or whatever you’ve got available or whatever is ordered and put some enteral feedings or pulmacare whatever they need, even if it is very small amounts, just to see what they can tolerate, even to start that small amount because you want the gut to continue function as it normally would. That in and of itself will stave off some of the other GI problems that are likely to occur. Metabolic these are very specific to your burn clients, those that have burn injuries, because their metabolic needs are through the ROOF! What you will see here and which you need to know here is thatof course, a serious burn injury will greatly increase the metabolic needs of the client; you have the release of these catecholamine’s, ADH, cortisol, and aldosterone, all of these are those hormones, particularly that are released in times of stress, so you have all these increased supplies of these endocrine hormones, so they are working overtime, so they greatly increase the metabolic demands of
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Nursing, Injury, full thickness burns, Burn Injury