Priority intervention for a client with burn injuries in resuscitation phase
oAdminister analgesics
oPrevent infection
oFluid replacement
Prevention of ventilator associated pneumonia:
oAdherence to proper hand hy
...
Priority intervention for a client with burn injuries in resuscitation phase
oAdminister analgesics
oPrevent infection
oFluid replacement
Prevention of ventilator associated pneumonia:
oAdherence to proper hand hygiene
oAdminister anti-ulcer meds
oHOB elevated at least 30 degrees
oOral care
oHandwashing
Ventilator Bundle: greatly reduced the overall incidence of VAP
•Oral care is the key component of VAP prevention
Possible PE signs and symptoms
oChest pain when breathing in
oDizziness
oTachycardia
Care of a patient on mechanical ventilation: assess the patient’s respiratory status and gas exchange at least every 4 hours for the first 24 hours
DVT Risk Factors
•Dehydration
•Prolonged immobility
•Prolonged travel
•Central venous catheters
•Surgery
•Obesity
•Advancing age
•Increased blood clotting
•Hx of thromboembolism
Why would a patient on mechanical ventilation get Ranitidine?
oPrevents ulcers from the stress of the ventilation, specifically Curling’s ulcers
Flail chest S/S: chest wall does not appear to be moving normally with respiration, oxygen saturation is low (82%) and cyanotic; must prepare for intubation
•Occurs when 2 or more ribs are fractured in 2 or more places and are no longer attached to the thoracic cage
•Interventions focus on ensuring adequate oxygenation, administration of fluids, and analgesia to improve ventilation, 100% oxygen by non-rebreather
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