HESI Case Study Burns Generate Others - What is the first priority in managing a burn patient upon arrival in the emergency department?
️️ Assess and secure the airway. - Why are electrical burns considered more dangerous than superficial burns?
️️ They can cause deep tissue damag...
- What is the first priority in managing a burn patient upon arrival in the emergency department?
✔️✔️ Assess and secure the airway.
- Why are electrical burns considered more dangerous than superficial burns?
✔️✔️ They can cause deep tissue damage and cardiac arrhythmias without obvious external injury.
- What key sign indicates the need for intubation in a burn patient with inhalation injury?
✔️✔️ Stridor or hoarseness.
- Why is carbon monoxide poisoning a concern in burn patients?
✔️✔️ It can occur due to smoke inhalation and reduces oxygen delivery by binding to hemoglobin.
- How is carbon monoxide poisoning treated in burn patients?
✔️✔️ Administer 100% oxygen via a non-rebreather mask or hyperbaric oxygen therapy if severe.
- What is the main concern with burn injuries involving more than 20% of the total body surface area
(TBSA)?
✔️✔️ Hypovolemic shock due to massive fluid loss.
- Why is urine output monitoring critical during fluid resuscitation in burn patients?
✔️✔️ It helps evaluate kidney function and the adequacy of resuscitation.
- How can burns lead to acute kidney injury (AKI)?
✔️✔️ Due to decreased perfusion and myoglobin release from muscle damage in electrical burns.
- Why is a sterile dressing used on burn wounds?
, ✔️✔️ To reduce the risk of infection and protect the wound.
- What complication can occur if circumferential chest burns are not treated promptly?
✔️✔️ Restriction of chest wall movement, leading to respiratory compromise.
- Why are deep partial-thickness burns often more painful than full-thickness burns?
✔️✔️ Nerve endings are intact in partial-thickness burns but destroyed in full-thickness burns.
- What is the main purpose of debridement in burn care?
✔️✔️ To remove dead tissue and facilitate wound healing.
- Why is continuous temperature monitoring important for burn patients?
✔️✔️ They are at high risk for hypothermia or hyperthermia due to impaired thermoregulation.
- What electrolyte imbalance is common during the initial phase of burn injury?
✔️✔️ Hyperkalemia, due to the release of potassium from damaged cells.
- Why are prophylactic antibiotics not routinely used in burn care?
✔️✔️ They can promote antibiotic resistance unless there is an established infection.
- What does the presence of cherry-red skin suggest in a burn patient?
✔️✔️ Carbon monoxide poisoning.
- How does early enteral feeding benefit burn patients?
✔️✔️ It preserves gut integrity and prevents stress ulcers.
- What is the purpose of compression garments during burn recovery?
✔️✔️ To minimize scarring and promote uniform healing.
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