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Management of burns Your message goes here Nursing Assessment. Dopamine?
These photos are AMAZING. 2 months ago The PowerPoint PPT presentation: "Burn Management" is the property of its rightful owner. Without prior written permission from author, commercial use of any content is illegal. fluids to replace fluids lost when the skin was burned.Burn pain can be one of the most intense and prolonged types of pain. We at Burns Management know that you deserve to live in an apartment community that you are proud to call home.
Fluid management in burns ≥10% TBSA The Modified Parkland Formula provides a guide to resuscitation fluids to compensate for excess fluid losses in the first 24 hours after burn Calculate requirements from time of the burn, not time of presentation Burn pain is difficult to control because of its unique characteristics, its changing patterns, and its various components. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The treatment of a burn depends on the type of burn.
We don’t have access to users’ Facebook password. Burned in closed space? You can hardly find a student who enjoys writing a college papers. Your message goes here antibiotics to prevent infection or I.V. Proper initial management of a patient with serious burns can have significant impact on his or her long-term health outcomes. It’s a great marketing
3 months ago Begin washing immediately - removal the patient’s clothing as you wash
Watch for the socks and shoes, they trap chemicalsChemical Burn Management Liquid Chemicals
wash off with copious amounts of fluid
Dry Chemicals
brush away as much of the chemicals as possible
then wash off with large quantities of water
Flush for 20-30 minutes to remove all chemicalsChemical Burn Management Do not attempt neutralization
can cause additional chemical or thermal burns from the heat of neutralization
Assess and Deliver secondary care as with other thermal and inhalation burnsChemical Burn to Eye Management Flood the eye with copious amounts of water only
Never place chemical antidote in eyes
Flush using LR/NS/H2O from medial to lateral for at least 15 minutes
Nasal Cannula
IV Ad Set
Remove contact lenses
May trap irritantsSpecific Chemical Considerations Dry lime
Brush off
Dry lime is water activated
Then flush with copious amounts of water
Phenol
Not water soluble
If available, use alcohol before flushing except in eyes
If unavailable, use copious amounts of waterSpecific Chemical Considerations Sodium/Potassium metals
Reacts violently on contact with H20
Requires large amounts of water
Sulfuric Acid
Generates heat on exposure to H2O (exothermic)
Wash with soap to neutralize or use copious amounts H2O
Tar Burns
Use cold packs
Do not pull off, can be dissolved laterSpecific Chemical Considerations Chemical Mace
CN or CS
First chemical agents used by police/military
Mucous membrane and respiratory tract irritant
Skin sensitizer
Management
Treat respiratory distress
Continued irrigation and shower decontamination
Protect yourself first
Decontaminate everything afterwardSpecific Chemical Considerations Chemical Mace
OC
Commonly referred to as “pepper spray”
Not as toxic as CN or CS
Mucous membrane irritant and skin sensitizer
May cause respiratory irritation
Management
Treat respiratory distress
Continued irrigation and shower decontamination
Protect yourself first
Decontaminate everything afterwardElectrical Burns Usually follows accidental contact with exposed object conducting electricity
Electrically powered devices
Electrical wiring
Power transmission lines
Can also result from Lightning
Damage depends on intensity of currentElectrical Burns Current kills, voltage simply determines whether current can enter the body
Ohm’s law: I=V/R
Electrical follows shortest path to ground
Low Voltage
usually cannot enter body unless:
Skin is broken or moist
Low Resistance (follows blood vessels/nerves)
High Voltage
easily overcomes resistanceElectrical Burns Severity depends upon:
what tissue current passes through
width or extent of the current pathway
AC or DC
duration of current contactElectrical Burns Most damage done is due to heat produced as current flows through tissues
Skin burns where current enters and leaves can be almost trivial looking
Everything between can be cooked
Higher voltage may result in more obvious external burnsElectrical Burns Alternating Current (AC)
Tetanic muscle contraction may occur resulting in:
Muscle injury
Tendon Rupture
Joint Dislocation
Fractures
Spasms may keep patient from freeing oneself from currentElectrical Burns Contact with Alternating Current can also result in:
Cardiac arrhythmias
Apnea
SeizuresElectrical Burns In addition to contact burns, patients can also develop flash burns when the current arcs near them
Flame burns may occur when clothing ignites after exposure to electrical currentElectrical Burns Lightning
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