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BY: NESTOR A. SALAZAR JR., RN
Speaker
NURSING CARE MANAGEMENT OF BURNS IN ER
A. THERMAL BURN
EXPOSURE/CONTACT :
II. TYPES OF BURNS
Flames
Hot Liquids
Steam or Hot Object
B. CHEMICAL BURN
A. LUND-BROWDER CHART
III. METHODS TO ESTIMATE THE EXTENT OF INJURY
* Most accurate*Pediatric
Patient
B. RULE OF NINE
ADULT SKIN AREAS
Head & Neck 9%Torso36%Arms18%Legs36%Perineum
1%
____________
100%
Disadvantage: Overestimation
A. SUPERFICIAL-THICKNESS BURN
Injury to Epidermis
Blood supply-Intact
Painful – ease by cooling
Heals: 3-6 days
No scarring
Skin Graft not Required
IV. BURN DEPTH
B. SUPERFICIAL PARTIAL-THICKNESS BURN
Deeper into Dermis
Blood supply reduce
Large Blisters
Edema
Painful-sensitive to air
Heals: 10-21 days without scarring
Graft maybe use
C. DEEP PARTIAL-THICKNESS BURN
Extend to deeper Dermis
No blisters
Wound surface: Red & Dry
white areas in deep
Edema is Moderate
Can convert to Full-thickness burn
Heals: 3-6 wks
Scar form & skin grafting required
D. FULL THICKNESS BURN
Destruction of Epidermis & Dermis
Dry Hard & Leathery Eschar
Sensation: Reduce / Absent
Heals: Weeks or Month
Grafting required
E. DEEP FULL-THICKNESS BURN
Fascia, tissues, muscle, bone & tendon
Sensation: completely absent
Eschar: Hard/inelastic
Heals: Month
Skin Grafting required
III. BURN LOCATION
PulmonaryComplication
A.Head Neck
ChestB. Face
Corneal Abrasion
C. Ear
Auricular Chondritis
D. Perineal Area
Autocontamination
A.LOCAL RESPONSE
V. PATHOPHYSIOLOGY OF BURNS
JACKSON’S BURN ZONE
B. SYSTEMIC RESPONSE
Systemic changes that occur after a burn injury