Nursing Management of Patient With Burn

Student Name:

1- Mohammed Mahdi AL-Abbas

( 381000573 )

2- Abdullah Galb ALfqeer

( 381000588 )

Corse Name : Critical Health Nursing Term: FIRST

Corse Code : NURS 411 Academic Year:2020/2021

DR: AHMED JAMAL

 Anatomy of skin

 Definition OF Burns

 Causes OF Burns

 Classification OF Burns

 Total Body Surface area (TBSA)

 Medical Treatment

 Nursing Care Plans and Nursing Diagnosis

 Reference
Anatomy of Skin
 Definition of Burn

A burn is an injury to the skin or other organic tissue primarily caused by heat or due

to radiation, radioactivity, electricity, friction or contact with chemicals. Skin injuries

due to ultraviolet radiation, radioactivity, electricity or chemicals, as well as

respiratory damage resulting from smoke inhalation, are also considered to be

. burns
 Causes of burns

1-Fire

2-Hot liquid or steam

3-Hot metal, glass or other objects

4-Electrical currents

5-Radiation, such as that from X-rays

6-Sunlight or other sources of ultraviolet radiation, such as a tanning bed

7-Chemicals such as strong acids, lye, paint thinner or gasoline

8-Abuse
 Classification of burns

Burns are classified as first-, second-, or third-degree, depending on how deep and

severely they penetrate the skin's surface. First-degree burns affect only the

epidermis, or outer layer of skin. The burn site is red, painful, dry, and with no

.blisters
 Total body surface area (TBSA)

Percent total body surface area (TBSA) involvement

Burns >20-25% TBSA require IV fluid resuscitation

Burns >30-40% TBSA may be fatal without treatment

In adults: "Rule of Nines" is used as a rough indicator of % TBSA

Rule of Nines for Establishing Extent of Body Surface Burned:

 Medical Treatment

After you have received first aid for a major burn, your medical care may include
.medications and products that are intended to encourage healing

Water-based treatments. Your care team may use techniques such as ultrasound
.mist therapy to clean and stimulate the wound tissue

Fluids to prevent dehydration. You may need intravenous (IV) fluids to prevent
.dehydration and organ failure

Pain and anxiety medications. Healing burns can be incredibly painful. You may need
.morphine and anti-anxiety medications — particularly for dressing changes

Burn creams and ointments. If you are not being transferred to a burn center, your
care team may select from a variety of topical products for wound healing, such as
bacitracin and silver sulfadiazine (Silvadene). These help prevent infection and
.prepare the wound to close

Dressings. Your care team may also use various specialty wound dressings to prepare
the wound to heal. If you are being transferred to a burn center, your wound will
.likely be covered in dry gauze only

.Drugs that fight infection. If you develop an infection, you may need IV antibiotics

.Tetanus shot. Your doctor might recommend a tetanus shot after a burn injury
 Nursing Care Plans and Nursing Diagnosis

1-Impaired Physical Mobility

2-Deficient Knowledge

3-Disturbed Body Image

4-Fear/Anxiety

5-Impaired Skin Integrity

6-Imbalanced Nutrition: Less Than Body Requirements

7-Risk for Ineffective Tissue Perfusion

8-Acute Pain

9-Risk for Infection

10-Risk for Deficient Fluid Volume

11-Risk for Ineffective Airway Clearance

 Resources:

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Sep 16;9:e40. [PubMed Citation]

2-Orgill DP. Excision and skin grafting of thermal burns. N Engl J Med. 2009 Feb
26;360(9):893-901. [PubMed Citation]

3-Holmes JH 4th. Critical issues in burn care. J Burn Care Res. 2008 Nov-Dec;29(6
Suppl 2):S180-7. [PubMed Citation]

4-Singer AJ, Dagum AB. Current management of acute cutaneous wounds. N Engl J
Med. 2008 Sep 4;359(10):1037-46. [PubMed Citation]

5-White CE, Renz EM. Advances in surgical care: management of severe burn injury.
Crit Care Med. 2008 Jul;36(7 Suppl):S318-24. [PubMed Citation]

6-Yurt RW, Lazar EJ, Leahy NE, Cagliuso NV Sr, Rabbitts AC, Akkapeddi V, Cooper A,
Dajer A, Delaney J, Mineo FP, Silber SH, Soloff L, Magbitang K, Mozingo DW. Burn
disaster response planning: an urban region's approach. J Burn Care Res. 2008 Jan-
Feb;29(1):158-65. [PubMed Citation]