Академический Документы
Профессиональный Документы
Культура Документы
Infection
Reparation
Clinical course:
1.Stage of Shock (large area)
1. hypovolemic shock
●within first 48 hour;
●lost of body fluid in the wound surface
and/or tissue space--efflusion of body fluid,
oxygen deficit,evaporation;decrease of
circulation volume;
Clinical course:
1.Stage of Shock (large
area)
2. nervous shock ——For pain or
dread in early stage;
1.General management:
*Salt beverage;
** Antibiotics;
*** TAT (Tetanus antitoxin);
Treatment in Small area burns
2. Management of the burn wound:
*Debridement: germ free, pain is
relieved;blisters;
**The open
method:All part of body especially head,face
and perineum,or when number of patients is
large;
***The closed method(wrapping):The
extremities and trunk;
Treatment-- Large area burn
Fluid infusion :
quality
1. Crystalloid liquid
2. Colloid liquid
Principles
First Degree : Keep the wound clean and relieve pain .
Superficial II : Prevent from infection .
Promote wound healing
Open or closed method .
Deep II : Prevent from infection .
Promote epithelial healing .
Reduce scars.
Third Degree : Prevent from infection . Protect eschar .
Perform escharotomy and skins grafting.
Rotating bed and Baking lamp
2.Management of burn wound
Skingrafting
In a large area,III degree burn
Methods:
1. Variant graft ;
2. Split-thickness autograft ;
3. mesh skin graft ;
3.Prevention and treatment of sepsis
Using
medicine
3.Prevention and treatment of sepsis
1. Respiratory infection
& Acute failure of respiratory
2. Stress ulcer & Acute gastrectasis
3. Acute renal failure
4. Malnutrition
5.Bedsore
6. Shock
7. General infection
Wish u good luck!