Summary
Summary Nur 185 Exam 2 Review
- Course
- Adult Health NUR 185 Hondros
- Institution
- Hondros College School Of Nursing
Detailed Exam 2 Review for Nur 185
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NUR185 Exam 2 Review• DEPTHS OF BURNS:
o Superficial (1st degree) -dry, no vesicles, blanches
o Par=al thickness (2nd degree) -large moist vesicles; very painful.
o Full thickness (3rd degree) -dry with leathery eschar, charred vessels, vesicles
rare, li;le or no pain
***MUST KNOW EACH DEPTH AND DESCRIPTION!!!!!!!!!!!!!!
• KNOW THE STAGES & MAIN CONCERNS:
o Stage 1: EMERGENT STAGE
§ Lasts 48 hours.
§ Big issue à hypovolemic shock
§ Potassium increases, risk of cardiac dysrhythmia, ARF a risk.
o Stage 2: ACUTE STAGE (diure=c stage)
§ Begins 48-72 hours.
§ Circulatory overload is the main concern.
§ The kidneys start making a lot of urine.
§ CHF risk
§ Low potassium (opposite from stage 1)
o Stage 3: REHABILITATION PHASE
§ Goal: Prevent infecOon
§ We want to return pt back to “normal”
Q: Which stage in caring for burns is infec=on the main cause of death?
à Rehab stage
Q: What are the s/s of smoke inhala=on?
à soot coaOng the nose/throat/mouth. Redness and edema present.
Q: What is Sinemet used for?
à Parkinson’s
Q: What are the s/s that Sinemet is effec=ve?
à Decrease in tremors
, • What should the LPN do for the “emergent phase” for burn care?
o AIRWAY -oxygen, pt may need to be intubated
o LACTATED RINGERS (LR)!!!!!!!!
o Foley – monitor the I’s & O’s
o NG tube inserOon
o Pain meds
o Monitor VS
Q: What is the main concern during the “acute phase” (aka the diure=c phase)?
à Circulatory overload because the kidneys excrete large volumes of urine.
Q: When does the “acute phase” begin?
à Starts aber 48 hours
CONTRAST THE STAGES
Q: What is the difference between an autogra\, homogra\, and heterogra\?
à autogra\ – surgical transplant from a healthy part of the body to another locaOon that is
needed.
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