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What should be assessed in addition to burn depth and TBSA? - ANSWER-
Airway, circulation, and neurological status.
What is the consequence of not addressing airway management in burn
patients? - ANSWER-It can lead to airway collapse and respiratory failure.
What is the importance of understanding drug metabolism in burn
pathophysiology? - ANSWER-Burns alter hepatic and renal function, especially
in older adults, affecting medication clearance and potentially leading to
overdosing if usual doses are administered.
What should be educated to clients and staff regarding infection prevention in
burn patients? - ANSWER-Education should focus on antibiotic stewardship
and proper handling of medications to prevent resistance and ensure effective
treatment.
How do lab results guide medication dosing in burn patients? - ANSWER-Lab
monitoring is crucial; for example, elevated creatinine may require adjustments
,in vancomycin or aminoglycosides, while low potassium or sodium may need
correction.
What is the Parkland formula and its significance in burn treatment? -
ANSWER-The Parkland formula is used for fluid resuscitation in burns,
emphasizing that fluid is a medication that must be calculated accurately.
What emergency medications are critical in burn care? - ANSWER-Emergency
medications include IV analgesics like etomidate or fentanyl, epinephrine for
anaphylaxis, and albuterol for bronchospasm, requiring speed and accuracy in
administration.
What are some injury/complication prevention strategies in ARDS
management? - ANSWER-Use sterile suction technique, maintain HOB
elevation, and apply infection precautions.
What should be assessed for referrals in chest tube management? - ANSWER-
Consult provider for placement and collaborate with respiratory therapy as
needed.
How should client response to medication be evaluated in chest tube
management? - ANSWER-Monitor pain control, evaluate reduced dyspnea, and
check re-expansion on imaging.
What indicates treatment effectiveness in chest tube management? - ANSWER-
Assess lung re-expansion and drainage output.
How do pneumothorax, hemothorax, or pleural effusion disrupt lung inflation? -
ANSWER-They create pressure imbalances that hinder lung expansion.
, How should impaired ventilation/oxygenation be managed with chest tubes? -
ANSWER-Ensure chest drainage supports lung re-expansion and improves
oxygenation.
What should be monitored in ventilated patients with chest drainage? -
ANSWER-Monitor interaction with chest drainage and pressures.
What maintenance is required for chest tube devices? - ANSWER-Ensure the
tube is patent, suction settings are correct, and there are no kinks or
dislodgement.
What drainage volume indicates a need to notify the provider? - ANSWER-If
drainage is greater than 150 mL/hour.
What focused assessments should be performed with chest tubes? - ANSWER-
Auscultate breath sounds, palpate for subcutaneous emphysema, and assess the
tube site.
What complications should be recognized in chest tube management? -
ANSWER-Tension pneumothorax, infection, and tube displacement.
What trends and changes should be noted in chest tube management? -
ANSWER-Changes in drainage volume or character or increased respiratory
distress.
What are the injury/complication prevention strategies for chest tubes? -
ANSWER-Use proper PPE, clamp tubing only if ordered, and reinforce
dressing protocol.
What focused assessments should be performed after medication
administration? - ANSWER-Assessments should monitor the site of action,