Keep emergency numbers near the phone Have a family exit and meeting plan for

Keep emergency numbers near the phone have a family

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Keep emergency numbers near the phone. Have a family exit and meeting plan for fires. Reinforce that no one should ever re-enter a burning building. Follow the principles of “stop, drop, and roll” to
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extinguish fire on clothing or skin. Store matches and lighters out of reach and out of sight of children and adults who lack the ability to protect themselves. Reduce the setting on water heaters to 48.9° C (120° F). Have an annual professional inspection and cleaning of the chimney and fireplace. Turn handles of pots and pans to the side , or use back burners. Don’t leave hot cups on the edge of the counter. Cover electrical outlets. Keep flammable objects away from heat sources (candles, space heaters). Wear gloves when handling chemicals and keep chemicals out of reach of children. Wear protective clothing during sun exposure and use sunscreen. Avoid using tanning beds. Avoid smoking in bed and when under the influence of alcohol or sedating medications. Do not smoke or have open flames in a room where oxygen is in use . Never add flammable substances (gasoline, lighter fluid, NURSING CARE Stop the burning process. If providing care at the burn scene, extinguish flames or remove the source of fire. Remove clothing or jewelry that might conduct heat. Apply cool water soaks or run cool water over injury ; do not use ice . Flush chemical burns with a large volume of water . Cover the burn with a clean cloth to prevent contamination and hypothermia. Provide warmth . Perform an ABCDE primary survey and provide treatment. Minor burns Provide analgesics. Cleanse with mild soap and tepid water . (Avoid excess friction.) Use antimicrobial ointment. Apply a dressing (nonadherent, hydrocolloid) if clothing is irritating the burn. Educate the family to avoid using greasy lotions or butter on the burn. Teach the family to observe for evidence of infection . Determine the need for a tetanus immunization . Moderate and major burns During the initial (resuscitation) phase (from the time of injury to 12 to 48 hr later ) following a major burn, sympathetic nervous system manifestations (tachycardia, increased respiratory rate, decreased gastrointestinal motility, increased blood glucose) are expected findings. Comfort management Monitor pain and the effectiveness of pain treatment. Pain: IV best route WHY? Subq: skin layer damaged, IM: muscles can be damaged, GI (oral): remember the gut isn’t working like it should right now…..always select the option with IV route and PRE-
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Respiratory system Assess respiratory rate and depth. Monitor chest expansion during respiration to ensure that eschar or chest dressings on chest, neck, and back do not restrict movement. Upper airway edema becomes pronounced 8 to 12 hr after the beginning of fluid resuscitation. Crowing, stridor, or dyspnea requires nasal or oral intubation.
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