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    1 2 2012med Surg Burns

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    Ian Rama
    The document discusses the pathophysiology and management of burn injuries. It describes the types of burns as thermal, electrical, chemical, and radiation burns. It then explains the pathophysiological processes that occur with burns, such as heat denaturing proteins and the extent of damage depending on temperature, concentration, and duration of contact. It outlines the clinical manifestations of burns including immediate pain, acute anxiety, fluid loss and dehydration, local tissue edema, and potential complications involving special sites like the eyes. It concludes with an overview of the medical and nursing management of burns, which involves four phases - emergent, resuscitative, acute, and rehabilitative - with goals of each phase like fluid resuscitation and preventing

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    1 2 2012med Surg Burns

    Uploaded by

    Ian Rama
    42 views2 pages
    The document discusses the pathophysiology and management of burn injuries. It describes the types of burns as thermal, electrical, chemical, and radiation burns. It then explains the pathophysiological processes that occur with burns, such as heat denaturing proteins and the extent of damage depending on temperature, concentration, and duration of contact. It outlines the clinical manifestations of burns including immediate pain, acute anxiety, fluid loss and dehydration, local tissue edema, and potential complications involving special sites like the eyes. It concludes with an overview of the medical and nursing management of burns, which involves four phases - emergent, resuscitative, acute, and rehabilitative - with goals of each phase like fluid resuscitation and preventing

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    1 2 2012Med Surg Burns

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    The document discusses the pathophysiology and management of burn injuries. It describes the types of burns as thermal, electrical, chemical, and radiation burns. It then explains the pathophysiological processes that occur with burns, such as heat denaturing proteins and the extent of damage depending on temperature, concentration, and duration of contact. It outlines the clinical manifestations of burns including immediate pain, acute anxiety, fluid loss and dehydration, local tissue edema, and potential complications involving special sites like the eyes. It concludes with an overview of the medical and nursing management of burns, which involves four phases - emergent, resuscitative, acute, and rehabilitative - with goals of each phase like fluid resuscitation and preventing

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    42 views2 pages

    1 2 2012med Surg Burns

    Uploaded by

    Ian Rama
    The document discusses the pathophysiology and management of burn injuries. It describes the types of burns as thermal, electrical, chemical, and radiation burns. It then explains the pathophysiological processes that occur with burns, such as heat denaturing proteins and the extent of damage depending on temperature, concentration, and duration of contact. It outlines the clinical manifestations of burns including immediate pain, acute anxiety, fluid loss and dehydration, local tissue edema, and potential complications involving special sites like the eyes. It concludes with an overview of the medical and nursing management of burns, which involves four phases - emergent, resuscitative, acute, and rehabilitative - with goals of each phase like fluid resuscitation and preventing

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    Jocef Ian D. Rama NCM 40 Medical-Surgical Nursing Types of burn injury 1. Thermal burn 2. Electrical burn 3.

    Chemical burn 4. Radiation burn Pathophysiology of burns

    January 3, 2012 Mrs. Jenny Balo

    Heat changes the molecular structure of tissue thus denaturing of proteins. Extent of burn damage depends on temperature of agent, concentration of heat, duration of contact. Clinical manifestations of burn injuries Pain Pain is immediate, acute and intense with superficial burns. It is likely to persist until strong analgesia is administered. With deep burns there may be surprisingly little pain. Acute anxiety The patient is often severely distressed at the time of injury. It is frequent for patients to run about in pain or in an attempt to escape, and secondary injury may result. Fluid loss and dehydration Fluid loss commences immediately and, if replacement is delayed or inadequate, the patient may be clinically dehydrated. There may initially be tachycardia from anxiety and later a tachycardia from fluid loss. Local tissue edema Superficial burns will blister and deeper burns develop oedema in the subcutaneous spaces. This may be marked in the head and neck, with severe swelling which may obstruct the airway. Limb oedema may compromise the circulation. Special sites Burns of the eyes are uncommon in house fires as the eyes are tightly shut and relatively protected. The eyes, however, may be involved in explosion injuries or chemical burns. Burns of the nasal airways, the mouth and upper airway may occur in inhalation injuries. Coma Following house fires, the patient may be unconscious and the reason for this must be ascertained. Asphyxiation or head injury must be excluded. Burning furniture is particularly toxic and the patient may suffer from carbon monoxide or cyanide poisoning Medical and Nursing management of burn injuries

    - Begins 48 72 hrs after injury - Monitor respiratory status - Airway obstruction related to edema can take 48 hrs to develop - Monitor Cardiac status - capillaries regain integrity after 48 hrs fluid moves into intravascular compartment diuresis begins - If cardiac or renal function is inadequate fluid overload symptoms of CHF ( treat with vasoactive drugs, diuretics, fluid restriction) - Maintain body temperature at 37.2 38.3 Cent. - Fever is common (treat with Tylenol, hypothermic blankets to reduce metabolic stress)

    Source: http://www.nursing-lectures.com/2011/02/burn-injuries-nursing-role-and.html Management of Burn Injury The phases in the management of a burn injury are the following:  Emergent phase This phase begins immediately at the time of injury and ends with the restoration of capillary permeability. The main goal of this phase is to prevent hypovolemic shock and preserve vital organ functioning. Methods used during this time are prehospital care and emergency room care.  Resuscitative Phase The management involving resuscitation begins when the fluid replacement are initiated or started and ends when the capillary integrity returns to the near normal levels and when the large fluid shifts have decreased. The amount of fluid administered to the patient is based on the client s weight and extent of injury. Usually, fluid replacement formulas are calculated from the time of injury not on the arrival on the hospital. The main goal of the resuscitative phase is to prevent shock through the initiation of fluids to maintain adequate circulating blood volume and maintain vital organ perfusion.  Acute Phase When the client is hemodynamically stable, has restored capillary permeability and has been showing signs of dieresis, acute phase took place. During this time, the emphasis is palced on restoration of the patient s capillary permeability and the phase continues until the wound is totally closed. Main goal of the acute phase is focused on prevention of infection, wound care, optimum nutrition and physical therapy.  Rehabilitative Phase Rehabilitative phase is the final phase of managing a burn injury. Most frequently, it overlaps the acute phase and it goes on after hospitalization. Main goals during this phase are helping the client gain independence and achieve maximal function. Source: http://nursingcrib.com/nursing-notes-reviewer/medical-surgical-nursing/phases-ofburn-therapy/

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