BURN, RESTRAINTS) QUESTIONS &
ANSWERS RATED A+
1 of 38
Term
Know nursing interventions for pt who sustained burns around their
face.
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-Use ABC's
-remove wet clothing, and rewarm
-Rewarming (Controlled but rapid rewarming)
-active core rewarming:
(Cardiopulmonary bypass, warm fluid administration, warm humidified oxygen,
,warm peritoneal lavage.)
-passive external rewarming:
Warm blankets and over the bed heaters
note: Cold blood returning from the extremities has high
levels of lactic acid and can cause potential cardiac
dysrhythmias and electrolyte disturbances (EKG MONITORING)
-ABC's (airway damage from corrosive poisons)
-ventilation and oxygenation are essential
-Monitor : ECG, vital signs, and neuro status
-Urinary catheter to monitor renal function
-measures to remove toxin or decrease absorption
(gastric lavage, ipecac, activated charcoal, cathartic)
-Secure and protect airway
-inhalation injury should be suspected with facial burns
-administer 100% oxygen
-early intubation before edema has obstructed larynx
-blood sampling and blood pressure monitoring may require arterial line.
-Identify chemical
-do not waste time looking for neutralizing agent, focus on removing chemical
from pt
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, 2 of 38
Definition
-Controlled but rapid rewarming 37 to 40 C circulating bath for 30-
40min intervals
-analgesics for pain
-do not massage or handle (if feet are involved, do not walk)
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Nursing intervention for narcotic Nursing interventions for pt
overdose with frost bite
Immediate intervention for pt with
Reasons for restraint use heatstroke
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3 of 38
Term
Know priority for er nurse or any nurse
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Security Standard Precautions