nursing care management of burns in er
TRANSCRIPT
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BY: NESTOR A. SALAZAR JR., RN
Speaker
NURSING CARE MANAGEMENT OF BURNS IN ER
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A. THERMAL BURN
EXPOSURE/CONTACT :
II. TYPES OF BURNS
Flames
Hot Liquids
Steam or Hot Object
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B. CHEMICAL BURN
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A. LUND-BROWDER CHART
III. METHODS TO ESTIMATE THE EXTENT OF INJURY
* Most accurate*Pediatric
Patient
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B. RULE OF NINE
ADULT SKIN AREAS
Head & Neck 9%Torso36%Arms18%Legs36%Perineum
1%
____________
100%
Disadvantage: Overestimation
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A. SUPERFICIAL-THICKNESS BURN
Injury to Epidermis
Blood supply-Intact
Painful – ease by cooling
Heals: 3-6 days
No scarring
Skin Graft not Required
IV. BURN DEPTH
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B. SUPERFICIAL PARTIAL-THICKNESS BURN
Deeper into Dermis
Blood supply reduce
Large Blisters
Edema
Painful-sensitive to air
Heals: 10-21 days without scarring
Graft maybe use
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C. DEEP PARTIAL-THICKNESS BURN
Extend to deeper Dermis
No blisters
Wound surface: Red & Dry
white areas in deep
Edema is Moderate
Can convert to Full-thickness burn
Heals: 3-6 wks
Scar form & skin grafting required
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D. FULL THICKNESS BURN
Destruction of Epidermis & Dermis
Dry Hard & Leathery Eschar
Sensation: Reduce / Absent
Heals: Weeks or Month
Grafting required
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E. DEEP FULL-THICKNESS BURN
Fascia, tissues, muscle, bone & tendon
Sensation: completely absent
Eschar: Hard/inelastic
Heals: Month
Skin Grafting required
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III. BURN LOCATION
PulmonaryComplication
A.Head Neck
ChestB. Face
Corneal Abrasion
C. Ear
Auricular Chondritis
D. Perineal Area
Autocontamination
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A.LOCAL RESPONSE
V. PATHOPHYSIOLOGY OF BURNS
JACKSON’S BURN ZONE
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B. SYSTEMIC RESPONSE
Systemic changes that occur after a burn injury
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