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BURNS images (2) - Coggle Diagram
BURNS 
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CLASSIFICATIONS
- Extent of affected body surface TBSA
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Second degree
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They cause pain, redness, swelling, and blistering.
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Burns on the face, and chest affect respiration
Burns on joints, limbs and eyes affected the ability of person to function
Any burns involving the hands, face, feet or perineum
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NURSING CARE PLAN
Risk for infection
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Examine wounds daily, note changes in appearance, odor, or quantity of drainage
Monitor vital signs for fever,
decreased platelet count, and hyperglycemia with glycosuria.
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Fluid volume deficit .
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Administer calculated IV replacement of fluids, electrolytes, plasma, albumin.
Monitor laboratory studies: Hb/Hct, electrolytes, random urine sodium
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Movement limitations
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Maintain proper body alignment with supports or splints, especially for burns over joints
Perform ROM exercises consistently, initially passive, then active
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REFERENCES
(S.Mogotlane, M. Chauke, M. Matlakala, J. Mokoena, A. Young. 2016)
(S.Mogotlane, M. Chauke, M. Matlakala, J. Mokoena, A. Young. 2016)
DEFINITION
Tissue damage caused by excessive exposure
To chemical, heat, radiation and electrical currents
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TYPES
Thermal burns
Caused by dry heat , open flames
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Radiation burns
Caused by sunburn,Nuclear accidents
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Length of exposure,Strength of radiation
Distance from the source,Size of body surface exposed
Chemical burns
Caused by contact with harmful acid, alkali or organic compounds
Smoke inhalation
Caused by inhaling hot air, smoke or noxious chemicals
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