Escolar Documentos
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Reporters:
Linan, Maiden Gay
Dimpas, Aprilgean
DEFINITION
i Chemical Burn
M
Erythema,
Epidermis
first degree significant pain,
involvement
lack of blisters
A Whiter
appearance or
Deep (reticular)
second degree fixed red staining
dermis
(no blanching),
reduced sensation
Epidermis,
Dermis, and
complete Charred or
destruction to leathery,
third degree subcutaneous fat, thrombosed
eschar formation blood vessels,
and minimal pain, insensate
requires skin
grafts
EXTENT OF BURN
i Lund-Browder Chart
head 7 R leg 7
Neck 2 L leg 7
Ant. Trunk 13 R foot 3 1/2
Post. Trunk 13 L foot 3 1/2
R. Buttock 2 ½ -----------
L. buttock 2½ total 100%
Genitalia 1
R.U. arm 4
L.U. arm 4
R.L arm 3
L.L arm 3
R. hand 2½
L. hand 2½
R. thigh 9½
L thigh 9½
R leg 7
RU L E O F N I N E C H A RT
Vascular permeability
Intravascular volume
edema
hematocrit
Blood volume
Viscosity
Peripheral resistance
Burn shock
EMERGENCY MANAGEMENT
i Minor Burns ( First degree)
1. EMERGENT PHASE
i Fluid therapy
i Psychosocial care
i Nutritional Therapy
2. ACUTE PHASE
i Fluid Therapy
i Nutritional Therapy
3. REHABILITATION PHASE
i Nutritional support
Morphine
Hydromorphone (Dilaudid)
Fentanyl (Sublimaze)
methadone
i Gastrointestinal Support
i Risk for ineffective breathing patterns related to respiratory edema from burn
injury.
i Risk for impaired urinary elimination related to burn injury. Risk for imbalanced
nutrition, less than body requirements, related to burn injury.
i Risk for injury related to effects of burn, denuded skin surfaces & lowered
resistance to infection with burn injury.
REFERENCES