Management of Patients with Burn Injury-

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Management of Patients with Burn Injury : 

Management of Patients with Burn Injury Chapter 57

Burns : 

Burns 4 types of burns Thermal Chemical Electrical Radioactive

Burns : 

Burns Burns classified by depth (partial of full thickness) Burn Severity determined by depth, percentage of body surface area, and involvement of particular body parts

First-degree burns : 

First-degree burns The epidermis is affected Red, sensitive, and moist; no blisters develop Burned area is painful Slight swelling is present

Second-degree burns : 

Second-degree burns The Dermis is affected May produce blisters. Blisters may have exudate Sensitive to touch May blanch with pressure

Third-degree burns : 

Third-degree burns Subcutaneous tissue is affected Also called full-thickness burns Skin is destroyed Muscle tissues and bone may be damaged Burned area is insensitive due to destruction of nerve endings Surface may be white; and leathery; or bright red.

Burns : 

Burns Initial treatment: ABC’s; Stop the burning (remove clothes) moist soaks to stop burning and relieve pain; Td shot if > 5years Major Burns: Goal is to decrease fluid losses, prevent infection, control pain, promote nutrition Fluid replacement Provide wound care (1986- skin grafts)