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Burn victim (Concerns: infection, dehydration and body temperature…
Burn victim
Concerns: infection, dehydration and body temperature
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Dehydration will affect the patients blood pressure, infection could cause sepsis
Patient could have trouble moving due to scar tissue causing shortening and tightening of skin, muscles, or tendons
Angry Turkey
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Victims has burns on arms, chest, abdomen, and forehead
The functions of the integumentary system is to act as a physical barrier that protects the body against physical injury, chemicals, toxins, microbes, excessive heat or cold, and solar radiation, and prevents unnecessary water loss.
The Integumentary system has sensors for touch, vibration, pressure, cold, heat, and monitors stimuli in both the dermis and epidermis
The integumentary system helps main homeostasis by making the skins secret sweat which aids in thermoregulation. It also is able to perform vasodilation or vasoconstriction of its blood vessels depending on the weather to hold or dissipate body heat
Burns and blisters on both upper limbs beginning superior brachial (including the acromial) and traveling distal covering the brachial, olecranal, antebrachial, and posterior manuals
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The burns on both upper limbs and manuals are second degree burns and are blistering due to water from blood vessels being trapped in the stratum corneum and lucidum layer of the epidermis. this burn will be treated with antibiotics and topical creams.
The rule of nines assesses the percentage of burn and is used to help guid treatment devisions including fluid resuscitation and becomes part of the guidelines to determine transfer to a burn unit. You can estimate the body surface area on an adult that has been burned by using multiple of nines
head and neck = 9% anterior trunk = 18% posterior trunk = 18% bilateral anterior and posterior arm, forearm, and hand = 9% genital region = 1% bilateral anterior and posterior leg and foot = 18%
Stratum germinative, stratum spinosum, stratum granulosum, stratum lucidum (absent in thin skin), stratum corneum (found in thin skin), stratum basale.
Integumentary = epidermis + dermis. Subcutaneous layer (hypodermis) is under the dermis. Dermis = Papillary layer + reticular layer.
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Thorax and abdomen are not painful due to the depth of the burn frying the nerves. He doesn't feel it.
This is a third degree burn which means that he has lost so much fluid that dehydration is a serious problem and because he burned off all protective tissues, he susceptible to infection.
Bacterial infection could led to bloodstream infection which is sepsis and is fatal. Fluid loss, including low blood volume.
He will need tp scrub the damaged tissue so new epithelial can take its place, skin grafts, and antibiotics. In the long run, he could develop keloids which is caused by an overgrowth of scar tissue.
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Second-degree burns involve the epidermis and part of the dermis. Blistering occurs and might leave a scar.
Third-degree burns involve the epidermis, dermis, and subcutaneous layer. Patients are hospitalized and treated for dehydration, given antibiotics and may need a skin graft
Burns are considered critical if over 25% of the body has second degree burns, if over 10% of the body has third-degree burns, or if third-degree burns are present on the hands feet, face or perineum