Exam 3 Exam Concised Study PDF
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Dallas College
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Summary
This document provides a study guide and review for burn patients. It covers topics such as burn charts, assessment, fluids, care, and nutrition. The document is organized by topic and includes a variety of information, including definitions and treatment options.
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Exam 4: Exam Review/ Study Guide 1. **Burn Chart: pg. 4** 2. Rule of 9s a. **Head: 9%** i. **Front -- 4.5** ii. **Back -- 4.5** b. **Chest: 18%** iii. **Front : 9** iv. **Back: 9** c. **Arm: 9% each** v. **Front: 4.5** vi....
Exam 4: Exam Review/ Study Guide 1. **Burn Chart: pg. 4** 2. Rule of 9s a. **Head: 9%** i. **Front -- 4.5** ii. **Back -- 4.5** b. **Chest: 18%** iii. **Front : 9** iv. **Back: 9** c. **Arm: 9% each** v. **Front: 4.5** vi. **Back: 4.5** d. **Chest/Stomach: 18%** vii. **9% each** e. **Back : 18%** viii. **9% each (upper and lower)** f. **Leg: Front and back 18%** ix. **9 for each** g. **Perineum -- 1%** 3. Priority Assessment for Burns h. **Thermal burns**: x. Severity: look at location 1. Inhalation burn = Maintain patent Airway ! xi. Determine carvascular status: Pulmoary artery pressure = arterial line i. **Chemical burns**: Drain cleaner, hair dye, relaxer j. **Electrical burns: appliances, lightening, powerlines** xii. Two points 2. Entry and Exit xiii. Monitor cardiac rhythm 4. Fluids for burns: k. Give a Lactated ringer before NS ! 5. Burn wound care: l. Give emotional support xiv. Reassure pt m. Analgesics before wound care xv. Morphine n. Type: xvi. Echarotomy -- 4^th^ degree/ full-thickness xvii. Gentle cleaning & debridement 6. Nutrition for Burn: o. High protein p. Take daily weights xviii. Pt loses fluid 7. Geriatric Burns: q. Home safety xix. Smoke detectors in front of every bedroom xx. Carbon monoxide 3. Down placement xxi. Candle placement xxii. Cooking precautions xxiii. Old applicances 4. Faulty wiring r. Difference in burn: xxiv. Thinner skin xxv. Dehydrated skin xxvi. Decreased vascularity 8. Patient care for MODS and SIRS s. **Care**: xxvii. Sterile technique xxviii. Give PPI (protonix) to prevent ulcers xxix. Surgery for necrotic tissue 5. Burn debridement 6. Early ambulation after surgery a. Prevent atelectasis xxx. Remove urinary catheters ASAP xxxi. Dialysis for pt's whose kidneys shut down t. **Nutrition**: xxxii. Enteral feedings/high caloric u. **SIRS**: Life-threating inflammation caused by sepsis xxxiii. Labs: 7. Blood culture v. **MODS: All mechanisms are shut down -- organ failure** xxxiv. Family support: 8. Theraputic communication 9. Septic shock: MEDICAL EMERGENCY- body unable to fight cooties! w. s/s xxxv. High fever xxxvi. Confusion xxxvii. ↑ WBC -- initially xxxviii. ↓BP ; uresponsive to fluids xxxix. ↓WBC = long- standing; alert concern. \2 z. **Blood culture** a. **Broad spectrum abx** b. Begin crystalloid "fluid resuscitation" (30ml/kg) for hypotension and/or lactate ≥4 c. Give vasopressor (Eg. norepinephrine ) if hypotensive during and after fluids 11. Cardiogenic shock: The heart is failing -- no perfusion/ ↓ CO \< 4ml/min, ↓SV (stroke volume)\
