-
Superficial thickness
epidermis only; sunburn, pink to red, blanches, dry, minimal edema
-
How are superficial burns healed
3-6 days, no scarring but can peel
-
Partial thickness
entire epidermis and varying depths of dermis
-
Superficial partial thickness
good blood supply, red moist and blanch, blisters are small or large and opened and debrieded to promote healing; very painful (good), weeping surface and edema
-
Deep partial thickness
deeper into dermis, no blisters; red, dry with white areas in deeper parts; slow or no blanching, moderate edema, less pain because of nerve damage
-
How to care for deep partial thickness
cover to decrease pain, warm, stronger pain meds, frequent dressing changes, heal in 3-6 weeks with scarring
-
Full thickness burns
destruction of entire epidermis and dermis leaving no skin to repopulate; would doesnt regrow; requires grafting; hard dry and leathery; edema under eschar; eschar must be removed in order for healing to occur; fasciotomy
-
Full thickness part 2
no blanching, no sensation, surgical intervention, shock possible, healing time depends on good blood supply
-
Caring for full thickness
assess pulses, fluid resuscitation, kidney failure, massive fluid shift, high caloric intake
-
Deep full thickness
extend beyond skin into fascia and tissues; damage muscle, bone, tendons; flame electrical or checmical injuries; wound is blackened or depressed and sensation is absent, grafting and maybe amputation
-
Treatment in all burns
extinguish the flames, cool briefly (5 mins), no ice, remove restrictive objects, cover with clean and dry covering, irrigate chemical burns, keep them warm and dry
-
Resuscitation formula
4 X wt in KG X TBSA (second and third degree only)
-
Any change in respiration pattern
may indicate a pulmonary injury and pt might lose airway
-
Color of skin in CO
cherry red; CO level will drop 50% within 20 minutes of O2 use; 100 % nonrebreather
|
|