Priority intervention for a client with burn injuries in resuscitation phase
o Administer analgesics
o Prevent infection
o Fluid replacement
Prevention of ventilator associated pneumonia:
o Adherence to proper han
...
Priority intervention for a client with burn injuries in resuscitation phase
o Administer analgesics
o Prevent infection
o Fluid replacement
Prevention of ventilator associated pneumonia:
o Adherence to proper hand hygiene
o Administer anti-ulcer meds
o HOB elevated at least 30 degrees
o Oral care
o Handwashing
Ventilator Bundle: greatly reduced the overall incidence of VAP
• Oral care is the key component of VAP prevention
Possible PE signs and symptoms
o Chest pain when breathing in
o Dizziness
o Tachycardia
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?
o Prevents 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
Escharotomy: treatment of circumferential burns; slicing parts of the body through the eschar to release pressure and pain
Signs and Symptoms of Compartment Syndrome
• Color of tissue is pale and cyanotic
• Edema
• Pain
• Parathesia
• Weak pulse
• Numbness/tingling
• Necrosis
• Pain that is unrelieved with analgesics
Parkland Formula: 4mL x kg x %TBSA for adults
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