Management of a Burn Injury - Resuscitative 1

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Management of a Burn Injury -Begins with the initiation of fluids, ends with capillary integrity returns to near-normal levels and large fluid shifts have decreased. Amount of fluid administered is based on client's weight and extent of injury. *most fuid replacement formulas are calculated from the time of injury and not from the time of arrival at the hospital) Goal - prevent shock by maintaining adequate circulating blood volume and maintaining vital organ perfusion. (without Interventions)	Resuscitative Phase (part 1) -Fluid resuscitation - stable VS, output 30-50 mL/hour, palpable pulses, IV fluid replacement -Pain Management - IV opiod analgesics, avoid PO due to possible GI dysfunction -Nutrition - promotes wound healing and prevents infection, basal metabolic rate is 40 - 100 times higher than normal, NPO until bowel sounds are heard > clear fluid diet, consider enteral feeding routes, high in protein, carbs, fats, and vitamins diet, major burns require more than 5000 calories, monitor calorie intake and daily weights -Escharotomy - incision (no anesth) through eschar to promote circulation, may be needed on thorax to promote ventilation, follow procedure, assess affected limb, pack the incision with fine mesh gauze, apply topical antimicrobial agents -Fasciotomy - incision (anesth.) in SUBCUT and fascia occurs if perfusion is not normal after an escharotomy, follow prodedure, assess affected limb, apply topical antimicrobial agents and dressings to the area

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Management of a Burn Injury -Begins with the initiation of fluids, ends with capillary integrity returns to near-normal levels and large fluid shifts have decreased. Amount of fluid administered is based on client's weight and extent of injury. *most fuid replacement formulas are calculated from the time of injury and not from the time of arrival at the hospital) Goal - prevent shock by maintaining adequate circulating blood volume and maintaining vital organ perfusion. (without Interventions)

Resuscitative Phase (part 1) -Fluid resuscitation - stable VS, output 30-50 mL/hour, palpable pulses, IV fluid replacement -Pain Management - IV opiod analgesics, avoid PO due to possible GI dysfunction -Nutrition - promotes wound healing and prevents infection, basal metabolic rate is 40 - 100 times higher than normal, NPO until bowel sounds are heard > clear fluid diet, consider enteral feeding routes, high in protein, carbs, fats, and vitamins diet, major burns require more than 5000 calories, monitor calorie intake and daily weights -Escharotomy - incision (no anesth) through eschar to promote circulation, may be needed on thorax to promote ventilation, follow procedure, assess affected limb, pack the incision with fine mesh gauze, apply topical antimicrobial agents -Fasciotomy - incision (anesth.) in SUBCUT and fascia occurs if perfusion is not normal after an escharotomy, follow prodedure, assess affected limb, apply topical antimicrobial agents and dressings to the area

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Management of a Burn Injury - Resuscitative 1

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	Created by Jamie Chavez over 6 years ago