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Complete the following NUR185 Week 7 Pre-Class Assignment Concepts: Tissue integrity Note: Although the chapter covers all phases of care for the patient with burns, the LPN is most likely to work with patients during the acute phase (it can last for months), rehabilitation phase and home care. Focus on pages 1317 through 1321. Define Escharotomy why it is important? ________________________________________________________________________________________________________________________________________________________________. Name 4 common skin grafts _______________ 3. ___________ ________________ 4. ___________ What is the purpose for the use of skin grafts? _____________________________________________________________________________________________________________________________________________________________________________________. Define the pathophysiology of smoke inhalation: ________________________________________________________________________________________________________________________________________. What assessment findings indicate a high risk for respiratory distress? _________________________________________________________________________________________________________________________________________________________________________________________. Predicting and managing potential complications Consider each of the nursing diagnoses on the tables on pages 1320 and 1321. As you can see, these nursing diagnoses are a different way of stating concepts you have learned. Because this is a concept-based curriculum (and nurses think in concepts), when you are looking at the nursing diagnosis, connect it to a concept and recall and apply what you know about the concept. Practice doing this on the table below. Nursing Diagnosis Related Concept What you know about that concept that you’ll use in caring for the patient with burns Anxiety Anxiety Pain Pain Deficient knowledge Patient education Infection Infection Risk for trauma, related to excessive scratching Tissue integrity Social isolation Mood and affect Distorted Body Image Mood and Affect, Coping TASK The meds for this week are: Silver Sulfadiazine, tetanus, garamycin, dilaudid, propranolol. For each medication, list the functional class, some common uses, the routes that the med can be given, the common side effects (italicized), the serious side effects (in red), some nursing considerations and is there a black box warning, and if so, what is it? Med Name Generic & Trade Use(s) Route(s) Side Effects Common and Serious Nursing considerations Black box warning? Pt. Education Silver Sulfadiazine tetanus garamycin dilaudid propranolol Patient brought into the ER with burns to whole front torso, front Left thigh and the whole right leg front and back. Calculate the rule of nines to determine the percentage burn damage. _______
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NUR 185