Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
Basics in Burns for Nurses
Prema Dhanraj
SECTION ONE: INTRODUCTION TO BURNS
CHAPTER 1:
INTRODUCTION
CHAPTER 2:
NURSING
2.1 NURSING PRINCIPLES
CHAPTER 3:
ROLE OF A NURSE IN THE MANAGEMENT OF BURNS
3.1 IMMEDIATE
3.2 CARE OF THE PATIENT
3.3 INVESTIGATION
3.4 CARE OF THE BURN WOUND
3.5 NUTRITION
3.6 INSERT INDWELLING CATHETER
3.7 SYSTEMIC ANTIBIOTIC
3.8 EMOTIONAL SUPPORT
3.9 POSITION
3.10 LEGAL ISSUES
Specific Attention to Area's Affected by Burns
Discipline in Burn Unit
As a Nurse
Be Punctual
Prompt Reporting
CHAPTER 4:
ANATOMY AND PHYSIOLOGY OF SKIN
CHAPTER 5:
TYPES OF BURNS
CHAPTER 6:
INITIAL CARE
CHAPTER 7:
CLASSIFICATION OF BURNS
CHAPTER 8:
PATHOPHYSIOLOGY OF BURN SHOCK
SECTION TWO: ACUTE CARE
CHAPTER 9:
INTRODUCTION
CHAPTER 10:
FLUID RESUSCITATION
10.1 VARIOUS FORMULAS
10.2 FLUID CALCULATION
Modified Brooke's Formula (Christian Medical College)
10.3 ROLE OF NURSE IN FLUID RESUSCITATION
CHAPTER 11:
NUTRITION
11.1 INTRODUCTION
11.2 AIM
11.3 ADVANTAGES
11.4 PATHOPHYSIOLOGY
11.5 DISTURBANCES IN METABOLISM
There is marked muscle wasting in burn patients.
11.6 THE GOALS OF AGGRESSIVE NUTRITIONAL SUPPORT
11.7 EFFECTS OF POOR NUTRITION
CHANGES SEEN IN A BURN PATIENT THAT DEMANDS 11.8 NUTRITIONAL SUPPORT
11.9 PROBLEMS OF HIGH NUTRITION
11.10 NUTRITIONAL REQUIREMENT CALCULATION
Parenteral is required only when the patient goes into severe sepsis
11.11 ASSESSMENT OF NUTRITIONAL STATUS
11.12 ROUTES OF NUTRITIONAL SUPPORT
11.13 IMPORTANCE OF VERY EARLY NUTRITION SUPPLEMENTATION
11.14 NURSES ROLE IN NUTRITIONAL MANAGEMENT
11.15 PLANNING THE DIET
11.16 EARLY AND LATE NUTRITIONAL MANAGEMENTS IN CMC
11.17 COMPOSITION OF BURNS FORMULA DIET (BFD) USED IN CMCH, VELLORE
Ragi Feed
Rice Feed
11.18 ADVANTAGES OF SPECIAL FOOD (BFD)
11.19 FACTORS RESPONSIBLE FOR SUCCESS IN NUTRITIONAL MANAGEMENT
11.20 CONCLUSION
11.21 IMPORTANT POINTS TO NOTE
CHAPTER 12:
BURN WOUND CARE
12.1 JACKSONS ZONE OF INJURY
Zone of Hyperemia
Zone of Stasis
Zone of Coagulation
12.2 TREATMENT OF SUPERFICIAL BURNS
Consideration in Would Healing
12.3 TREATMENT OF FULL THICKNESS BURNS (FIGS 12.15 A TO C)
Calculation of Expected Blood Loss at Surgery
Blood Transfusion
12.4 OBJECTIVES OF MANAGEMENT OF BURN WOUND
12.5 TYPES OF DRESSING
Dressing Procedure
12.6 TECHNIQUE OF DRESSING
Open Technique
Advantage
Disadvantage
Closed Technique
Advantage
12.7 IMPORTANCE OF DRESSING
12.8 DIFFERENT TYPE OF OINTMENT AND DRESSING MATERIAL
Biological Dressing
Amniotic Membrane
Physiological Effects of Amnion
Indications
Contraindications
Procedure
Advantages
Complication
Conclusion
Homograft
Heterograft
Synthetic Skin
Topical Antibiotics
Advantages
Disadvantages
12.9 PRINCIPLES OF DRESSING TECHNIQUE
12.10 TYPE OF BURN WOUND EXCISION
12.11 ROLE OF NURSE IN BURN WOUND MANAGEMENT
12.12 CONCLUSION
Postoperative Wound Care
CHAPTER 13:
PREPARING THE PATIENT FOR SURGERY
13.1 PREPARING THE PATIENT
Preparation of the Wound
On the Day of Surgery
Chart Work
After Receiving the Patient from OR
CHAPTER 14:
EMERGENCY SURGICAL PROCEDURES IN BURNS
14.1 DIFFERENT TYPES OF SURGICAL INTERVENTION
Escharotomy
Fasciotomy
Tangential Excision
Wound Debridement
Amputation
CHAPTER 15:
SKIN GRAFT
15.1 DEFINITION
Graft
Donor Area
Recipient Area
15.2 CLASSIFICATION
Depending on the Depth of Dermal Involvement Skin Grafts are Classified into:
Depending on the Donor (Species)
15.3 INDICATION OF SKIN GRAFT
15.4 CONTRAINDICATION OF SKIN GRAFT
Avascular Area
Infection
Unhealthy Granulation Tissue
15.5 TAKE OF THE GRAFT
The Stages of Graft Take
Plasmatic Imbibition
Inosculation
Neovascularization
15.6 STORAGE OF SKIN GRAFT
15.7 POSTOPERATIVE CARE
Recipient Area
Secondary Wound
Primary Wound
Donor Area
Method of Graft Harvesting (Figs 15.13 to 5.17).
Instrument Used
Healing of Donor Site
15.8 PHYSICAL CHANGES IN THE SKIN GRAFT
Graft Contraction
Pigment Changes
Sun Blocking Agent
15.9 ROLE OF NURSE IN SKIN GRAFT CARE
Preoperative Care
Postoperative Care
Day-1
Day-1-9
Donor Site
CHAPTER 16:
SKIN SUBSTITUTES
16.1 INTRODUCTION
16.2 CLASSIFICATION
Temporary
Semi-Permanent
Permanent
16.3 ADVANTAGES OF SKIN SUBSTITUTES
16.4 PROPERTIES OF SKIN SUBSTITUTES
16.5 TYPES OF SKIN SUBSTITUTES
Biological
Synthetic
Biosynthetic
Collagen based dermal analog
Culture derived tissue
Biological
Allograft (Homograft)
Advantages
Disadvantages
Frozen Skin
Heterografts (xenografts)
Amniotic Membrane (Davis 1910)
Advantages
16.6 HEALICOLL: (NEW PRODUCT WITH EXCITING EXPERIENCE)
Methods
Application procedure (Figs 16.1 to 16.8)
Dressing
16.7 SYNTHETIC SKIN SUBSTITUTES (FIG. 16.9)
Biosynthetic (Rational for Developing)
CHAPTER 17:
PAIN MANAGEMENT
17.1 TYPES OF PAIN
17.2 OBJECTIVES OF PAIN MANAGEMENT
17.3 CLINICAL VARIATION OF PAIN
17.4 ROUTES OF ADMINISTRATION
Commonly Used Analgesics
Side Effects
17.5 TO OVER COME PROBLEMS
CHAPTER 18:
OUT-PATIENT CARE
18.1 EXISTING METHOD
Disadvantage of this Method
How to Over Come
18.2 DESIGN OF THE BURN CLINIC
Implementation
18.3 WOUND CARE
SECTION THREE: COMPLICATIONS: EARLY AND LATE
CHAPTER 19:
COMPLICATIONS ENCOUNTERED IN BURNS
19.1 IMMEDIATE
19.2 INTERMEDIATE
19.3 LATE
CHAPTER 20:
BURN WOUND SEPSIS
20.1 FACTORS RESPONSIBLE FOR BURN WOUND INFECTION
20.2 CLASSIFICATION OF BURN WOUND
Colonization
Septic Burn Wound
Burn Wound Sepsis
Septicemia (Sepsis)
Septic Shock
20.3 VARIOUS FACTORS RESPONSIBLE FOR BURN WOUND CONTAMINATION
Bacteria of the Burn Wound
20.4 LOCAL SIGNS OF BURN WOUND INFECTION (FIG. 20.1)
20.5 EFFECTS OF LOCAL WOUND SEPSIS
20.6 POLICY TO FOLLOW (METHOD OF CONTROL OF BURN WOUND INFECTION)
20.7 PREVENTION OF BURN WOUND COLONIZATION
Aseptic Measures
Local Treatment
Systemic Treatment
20.8 ROLE OF NURSE IN WOUND CARE
In Summary
CHAPTER 21:
SEPTIC SHOCK
21.1 INTRODUCTION
21.2 CLINICAL MANIFESTATION
CHAPTER 22:
ADULT RESPIRATORY DISTRESS SYNDROME
22.1 NURSING ASSESSMENT
22.2 SIGNS AND SYMPTOMS
Respiratory Problems
Cardiac Problems
Neurologic
22.3 DIAGNOSTIC STUDIES
22.4 MEDICAL MANAGEMENT
22.5 PHARMACOLOGICAL TREATMENT
22.6 SPECIFIC NURSING MANAGEMENT
Treatment of ARDS
22.7 INHALATION INJURY
Physical Examination
22.8 CONCLUSION
Success in ARDS Management is Achieved by
22.9 ROLE OF NURSE IN PATIENTS WITH ARDS
CHAPTER 23:
OXYGEN THERAPY
23.1 MASKS
Fixed Performance Masks
Variable Performance Masks
23.2 NASAL PRONGS
23.3 NASAL PHARYNGEAL CANNULA
23.4 HUMIDIFICATION
Nebulizers
CHAPTER 24:
FACE MASK CONTINOUS POSITIVE AIRWAY PRESSURE
24.1 DESIGN OF CPAP
CHAPTER 25:
HYPERTROPHIC SCAR AND KELOID
25.1 SCAR
25.2 KELOID
25.3 CLINICAL FINDING
25.4 CLINICAL DIFFERENCE
25.5 PROBLEMS ASSOCIATED WITH ABNORMAL SCARS
25.6 TREATMENT
Pressure Therapy
Compression Treatment Includes
Procedure
Advantages
Disadvantages
Silicone Gel Sheet
Action
Disadvantage
Contratubex Ointment
Intralesional Steroid Injections
Contraindication
Adverse Effects
SECTION FOUR: RECONSTRUCTION
CHAPTER 26:
RECONSTRUCTIVE PHASE
CHAPTER 27:
BURN CONTRACTURE
27.1 TYPES OF CONTRACTURES
Extrinsic contracture (Figs 27.3 to 27.5)
Intrinsic Contracture
Extrinsic Contracture
CHAPTER 28:
BURN RECONSTRUCTION
CHAPTER 29:
RECONSTRUCTIVE PRINCIPLES DURING ACUTE PHASE
29.1 RECONSTRUCTIVE PRINCIPLES AREA WISE
Face
Eyelid Reconstruction
Ear Reconstruction
Nasal Reconstruction
Nasal Stenosis
Oral Commissure
Lower Lip
Neck Contracture
Axilla
Lower Extremity
Breast
Perineal Contractures
CHAPTER 30:
POST BURN AXILLARY CONTRACTURES
30.1 INTRODUCTION
30.2 CLASSIFICATION
Group I
Group II
Group III
30.3 TREATMENT
30.4. ADVANTAGES
SECTION FIVE: REHABILITATION
CHAPTER 31:
REHABILITATION PHASE
31.1 INTRODUCTION
31.2 GOALS
31.3 TECHNIQUES
Active Range of Motion and Exercise
Examples of Position to Prevent Deformity
Scar Management/Pressure Therapy
31.4 GARMENTS
Pressure Garments
Types of Pressure Garments
Custom made Gradient Pressure Garments
Static Splints
Elbow/Knee Extension Splint (Conformer)
Factors Influencing the Success of Rehabilitation Program
Rehabilitation Team
In Summary
31.5 POSITIONING
Head
Shoulder
Wrist and Hand
Hip
Knee
Ankle and Foot
Splinting
Casting
Prosthetics
Scar Management
Pressure Therapy
Inserts
Massage
31.6 CONCLUSION
Success is Achieved Through
CHAPTER 32:
REHABILITATION OF HAND BURNS
32.1 INTRODUCTION
Function
Prevention of Deformity
Pathology of Hand Burns
Contributing Factors
Aim of Treatment (Figs 32.1 and 32.2)
Three Phases of Rehabilitation
Role of Therapist
Management of Burned Hand
Timing of Reconstruction
Classification of Burn Deformity
Post Burn Claw Hand
Boutonniere
Swan Neck Deformity
Role of Occupational and Physiotherapy
Advantages of Pressure Therapy
Maintenance of Function
32.2 CONCLUSION
32.3 ROLE OF NURSES
CHAPTER 33:
MAKE UP FOR BURN PATIENTS
CHAPTER 34:
PSYCHOLOGICAL SUPPORT OF BURN SURVIVORS
34.1 PROBLEMS
34.2 ROLE OF NURSES IN EMOTIONAL SUPPORT
CHAPTER 35:
BURN UNIT
CHAPTER 36:
PREVENTION OF BURNS
36.1 INTRODUCTION
Do's
Dont ‘s
Avoid
Smoking
Flame Burns
Scald Burns
How to Avoid
Treatment
Acid Burns
Electrical Burns
Burns Due to Fire Crackers
Car Fire
Engine Burning?
General Measures
Prevention of Deformities in Burn Patients
Physiotherapy
Appropriate Positioning in the Bed
Pressure for Scar Management
Prevention
Preventive Program
36.2 CONCLUSION
36.3 GOALS OF THE NURSE
CHAPTER 37:
BURNS: THE INDIAN SCENARIO
INDEX
TOC
Index
×
Chapter Notes
Save
Clear