Nur 245 Exam 2 (100% Correct Solutions).

Superficial Partial-Thickness (1st degree) {Ans: *flash thermal burns - sunburn, quick heat flash EPIDERMIS ONLY *painful (relieved by cooling) - pink or red (erythema), blanching, slight edema NO vesicles (DRY)}Parkland Formula {Ans: %TBSA x KG x 4ml = volume over 24hours 1/2 given in 1st 8hr 1/2 given in next 16hr ml/hr = divide by 8 or divide by 16 *round kg to whole #}Frostbite Treatment {Ans: 1. remove from cold, remove wet clothes 2. medicate for pain (sting/burn) 3. rewarm in warm water, continuous soaks to face - blisters can from 4. dry/loose dressing, clothes 5. monitor for compartment syndrome (6 P's) *DO NOT RUB, MASSAGE, COMPRESS* 6. elevate extremities 7. evaluate need for tetanus 8. debridement/hydrotherapy}Cardiogenic Treatment {Ans: - diuretics = d/t increased preload *monitor K+ BB (workload = decreased O2 demand) Vasodilator- Nipride* (decrease afterload) IABP <20% EF dobutamine - digoxin thrombolytic *pulmonary congestion, dyspnea*}Organs in Shock {Ans: 1st to go = lungs 2nd to go = kindeys}Neurogenic Shock {Ans: *DECREASED HR = BRADYCARDIA* - decreased B/P, CO, SVR, CVP/PAP/PAWP}Shock Collaborative Care {Ans: 1. Diagnose - recognize at risk groups - s/s compensatory stage ABG, CBC (septic; increased WBC &