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Burns (Clinical Signs
& Symptoms (Bright cherry color skin, Tachypnea…
Burns
Pathophysiology
Management of burns proceeds through several phases: resuscitation, resurfacing, rehabilitation, and reconstruction.
The severity of burns and the likelihood of survival are determined by the percentage of body surface area BSA.
Serious cardiovascular effects, major burns can increase the patients metabolic rate by as much as three folds.
Burns can impair a patients immune response, increasing he likelihood of infection.
The body's release of pro0inflammatory mediators in a severe burn can indirectly affect the lungs, causing broncho-constriction, pulmonary edema, and ARDS
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Diagnostic
Test
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CBC, electrolytes, lactate
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Respiratory
Management
Immediately administer as high as on O2 concentration as possible: nonrebreather mask or high flow nasal cannula
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Aerosolized bronchodilators: if bronchospasm is present (no steroids or antibiotics) (unless respiratory infection is noted)
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Etiology
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Most burns are due to flame exposure, with burns due to hot liquids (scalding) being the next most common followed by inhalation injuries.
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