1.

With circumferential burnwhat check and why

2. If checks are bad, what will doctor do and why

3. To stop burning process

4. How often monitor UO from foley

1. circulation5Ps: pulse, pain, parasthesia, pallor, pyrexia

2. perform either a
a. escharotomy (cut thru eschar to relieve pressure and restore
circulation)
b. faciotomy (cut deeper into tissue to relieve pressure and
restore circulation)

3. use cool, NOT cold water, cover w/ clean sheet to help keep warm
and keep out germs

4. every hour!
1. if catheter urine were brown or red on burn victim, do what?

2. if UO was less than 20 mL/hr do what?

3. What drugs might be ordered to increase diuresis?

4. After 48 hours why will the patient begin to diurese?

5. K+ likes to live outside/inside the cell? What happens w/ burns,

causing what?
1. call doctor

2. call doctor

3. to increase diuresis
a. lasixincrease UO
b. dobutamineincrease CO

4. fluid is going back into vascular spacenow have to worry about fluid
volume overloadUO should increase

5. insidecells lyse, serum K increasesmonitor for electrolyte imbal--

hyperkalemia
1. what type of ulcers can occur w/ burn pt?

2. what to give for above

3. why NPO w/NG tube to suction (removed when bowel sounds return)

4. will need more calories esp ?

5. when start GI feedings, what measure to ensure GI tract is moving

things?
1. stress ulcerscurlings ulcer

2. Mylanta, protonix and pepcid;

3. paralytic ileuswhen GI tract shuts down no bowel sounds

increased abdom girth

4. for wound healingprotein and Vit C

5. residual(give it back for electrolytes & acid) if not moving, could

build up, be vomited then aspirated
1. lab work to check for proper nutrition and positive nitrogen balance

2. possible joint/muscle complications from burns

3. eschar needs to be removed because

4. isolation used w/burn patient

5. enzymatic drugs that debride; other debridement therapy

1. albumin and total protein

2. contracturessplint, wrap each finger separately; not use pillow for

neckwant to hyperextend so scar tissue not cause contractures

3. so new tissue can regenerate; bacteria grows in eschar

4. reverse or protective protect patient from us

5. Travase or Collagenase (not on face, over large nerves, opened body

cavity, if pregnant; hydrotherapywhirlpool (pain medicate first!!!!!)
1. Drugs used w/ burns commonlystipulation

2. initially use which broad spectrum antibiotics for 72 hours, til cultures
are back

3. grafts

4. for chemical burns

5. electrical burns
1. Silvadene, silver nitrate, sulfamylon, betadineALTERNATE to
prevent drug resistance

2. Garamycin, Gentamycintoxicity to ears and kidneys

3. if becomes blue or cool, poor circulationcall doc

4. flush w/ waterif powder chemical, brush it off first

5. two woundsentrance, exit (worse) & internal damageput on heart

monitor for 24 hrs (high risk for V fib arrhythmiamay need to defib)
1. With electrical burns
1. toxins can build up and cause kidney damage (kidneys are very
vascular and electricity loves anything vascular)
a. may need C collarelectrical probs happen in high places
b. amputations are commonelectricity kills vascularity
c. cataracts, neurological deficits