NURS 2208 Burns Study Guide Latest Updated,100% CORRECT
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Course
NURS 2208
Institution
NURS 2208
NURS 2208 Burns Study Guide Latest Updated
Anatomical review:
• Epidermis is the nonvascular outer layer of the skin
o Skin cells originate from the basement membrane
o Replaces every 30 days
o Epidermis contains epithelial cells, which are responsible for regeneration of the skin
• Der...
NURS 2208 Burns Study Guide Latest Updated
Anatomical
review:
• Epidermis is the nonvascular outer layer of the skin
o Skin cells originate from the basement membrane
o Replaces every 30 days
o Epidermis contains epithelial cells, which are responsible for regeneration of the
skin
•Dermis is the lower layer of the skin – is often called the true skin –
o it houses blood vessels, lymphatic vessels, sweat glands, sebaceous (oil) glands,
sensory and motor
nerve endings
o The Dermis can regenerate itself after external exposure, provides strength
(connective tissue and fibers), nerves can feel heat/cold pain/pressure, capillary
exchange of nutrients for waste occurs in the dermis.
• Subcutaneous – adipose tissue and fascia (a band of
connective tissue)
o it lies above the muscles, tendons, bones, and internal
organs
o adipose tissue insulates, cushions, stores energy, and is normally white or yellow in
color
• Functions include:
o Protection, Heat regulation, sensory perception, homeostasis regulation, Vit. D
metabolism
Goals in burns:
• Prevention #1 (through education)
• Instituting life saving measures (education on initial steps people can take outside of the
hospital)
• Prevention of disability and disfigurement through Fast, specialized & individualized care
(no burn is the same)
Types of burns:
• Thermal (heat)
o Direct contact with flame, flash scold, or contact with hot object
▪ Flame (gas stove)
▪ Flash (welding)
▪ Scold (hot object/liquid)
▪ Object: electric stove
▪ Severity depends on temperature and duration
• Chemical
o Contact with acids, alkalis, organics
▪ Acids (Clorox, bleach)
▪ Alkali (dry cement powder, oven and drain cleaners, heavy industrial
cleaners)Harder to manage
▪ Organics (phenols, gasoline) - Creates burn then systemic process
o #1 is to get ALL chemicals off! Must remove clothes!
o Injury can continue up to 72 hours, does not stop at removal.
This study source was downloaded by 100000802531269 from CourseHero.com on 09 -13-2022 10:07:23 GMT -05:00
, o Why are alkalis harder to treat? When looking to neutralize alkalis, it is a harder
process. (can’t add acids)
• Electrical:
o Results from intense heat generated by electrical current.
o Nerves and vessels great conductors of electricity
▪ Anoxia and death of tissues ensues.
o 2 injury sites. Entrance and exit. From a nursing standpoint, we cannot determine
which point is the entry/exit.
o Can stop your heart, can produce fibrillation, dysrhythmias. cardiac output &
Perfusion!!!!
▪ We are not able to immediately assess other damage caused by the current.
▪ Heart monitor and EKG! Troponin, F&E, ABGs Pao2, pH.
• involuntary muscle contraction causing fractures potentially and can also cause skin
tears. Also, falls?
• Liver damage? Check lipid panel, Kidneys? Bun and creat. GI? Stools blood? Hard stools?
Dehydration?
• Severity depends on voltage, level of tissue resistance, pathway it took, area affected, and
how long contact.
o Fatty areas offer the most resistance, opposed to nerves and blood vessels. (hands
worst)
This study source was downloaded by 100000802531269 from CourseHero.com on 09 -13-2022 10:07:23 GMT -05:00
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