Homework Answers
#. Diagnosis - Moist heat injuries
Results from contact with hot liquid or steam, more common in older adults and children.
#. Pathophysiology :-
Direct exposure to source causes cellular destruction that can result in charring of vascular , bony , muscular , and nerve tissue .
#. Risk factors :-
- small children
- abuse
- accidental fall of hot liquid
- not being careful
- elderly people who had lost sensory functionings
#. Clinical manifestations :-
- pain
- blisters
- splotchy skin
- severe swelling
#. Diagnosis of burn :
Percent total body surface area (TBSA) involvement
Depth of burn injury (deeper burns are more severe)
Age
Smoke inhalation injury
Associated injuries
Delay in resuscitation
Need for escharotomies and fasciotomies
Use of alcohol or drugs
#. Laboratory tests :-
- blood test ( CBC ,RFT/ LFT, PT etc)
- urine test
- X-ray
- invasive procedures if needed in cases of internal burns
#. Complications :-
- infection
- shock
- renal failure
- vascular damage
-acute respiratory failure
- compartment syndrome
- paralytic ileus
- curlings ulcer
#. Nursing care :-
- promoting gas exchange and airway clearance
- restoring fluid and electrolyte balance
- maintaining normal body temperature
- minimising pain and anxiety
- monitoring and managing potential complications
- prevention of infection
- maintaining adequate nutrition
- promoting skin integrity
- promotion of physiacl mobility
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