TIM CARPER - MEDICAL EDUCATION
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Vocal Characteristics
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EnglishVoice Age
Middle Aged (35-54)Accents
North American (General) North American (US General American - GenAM)Transcript
Note: Transcripts are generated using speech recognition software and may contain errors.
Hello, I'm Tim from 24 7 nurse tutors dot com And today we're going to take a look at the Dermot. A logical system. First, let's practice a newly licensed nerves is preparing to perform wound care for a burn client for the first time. What is the most important action to implement before wound care? A explain step by Step one care may obtain all needed supplies. See hang the next scheduled i v antibiotic or D determine. Time of last analgesia Russia Now Hey, directions for step by step wound care. The client should be informed of the steps of the procedure, but the highest priority is to ensure client comfort and safe administration of one care bay obtained the needed supplies. To prevent prolonging the procedure, the nurse should collect all the supplies needed before starting. However, the clients comfort is best insured with pre medication. See hang the clients next to scheduled Ivy antibiotic. See hang the clients. Next scheduled i v. Antibiotic. The nurse should administer this clients antibiotic medication when it is due day, determine Time of last Anil Jesu. The highest priority is to verify that the client has had previous Anil jesu that will be adequate and effective during the wound care. The answer is D. Now let's take a look at the functions of the skin. The main functions of the skin include maintenance of body temperature, production of vitamin D. It is a barrier prevents evaporative water loss, protection for micro organisms and protection from the environment. Also, sensations of touch pressure and pain and cosmetic appearance down was now let's discuss the stages of burn care. Stage one emergent phase. This starts at the time of injury. It lasts approximately 48 to 72 hours until Cavalleri bed stabilized Fluids shift from intravascular compartment to interstitial space causes shock. Stage two. The acute phase starts about 48 to 72 hours after burn, the diary says. Begins fluid shifts from interstitial to intravascular watch for fluid overload. Stage three Rehabilitation phase begins after a major one closure has occurred. Grafting can occur, and depending on burn, death can take several years. A medication for burns and algae Asia. These can include morphine analgesic, drugs sustained Release morphine, M s countin hydromorphone, Dilaudid, Finton Ooh, sub LeMay's oxycodone contained in Percocet. Methadone. Non steroidal anti inflammatory. A junked of an algae. Six e g. Gabba Penta sedation. Hello, Ed. A van versus anti microbial agents Silver sell food I Z Meffan. I'd acetate silver impregnated dressings, nutritional support Vitamins A, C E and multivitamin minerals, Zinc ia and Alexandra Gastro Intestinal support Zantac. Michael Staton, Mylanta or Maalox Nursing Management Assess the ABC Airway Breathing Circulation Assess for S s of adequate hydration. The Parkland of formula. We will discuss this on the next page S s of inhalation burns. So it horse boys s O B. Listen to bowels out. Check urinary output. Calculate total body surface area. Superficial burns are not involved in the calculation. Lund and Browder chart is the most accurate because it does adjust for age the rule of nines. The rule of nines can be used to determine the total percentage of area burned for each major section of the body. The bodies on your screen are divided into the major sections. Please pause and fill in your workbook with e section. We will now look at the Parkland formula. This formula gives you the volume of lactate, id, ringers and solution. The formula is four millimeters times the B s a in percentage times the weight in kilograms. Give half of the solution for the 1st 8 hours. Give the other half of the solution for the next 16 hours. What's practice? A patient is brought into the emergency department after suffering from third degree burns in an explosion. The patient has burns on approximately 40% of his body. The nurse waste a patient and notes that he weighs £170. Calculate the rate of I V fluid This patient must receive in the 1st 24 hours using the Parkland formula. Use the answer. A eight leaders be 16 leaders see four leaders or D 12 leaders. The answer is D 12 leaders. The ration down. Let's use the formula four milliliters times the percentage of B S A, which we were told was 40% four times 40 times weight in kilograms. We were given the weight as £170. To get kilograms, we divide by 2.2. That gives us 12,363 milliliters or 12 leaders. Well, now discuss pressure, ulcers. Pressure ulcers commonly occur over the sacrum. The greater TRO Cantor, the SQL Tubarao city, the ****. The fibula ahead had the scapula staging of pressure ulcers. Stage one. The skin is unbroken, but in flame. During Stage two, the skin is broken to the epidermis or Durmus. During Stage three. The ulcer extends to subcutaneous fat layer, and in stage for the ulcer extends to the muscle or bone. Undermining is also likely the treatment objectives identify the problem. The debridement of necrotic tissue. Moist wound care without maceration, control of infection or bio burden. Management of pain and pressure redistribution or offloading the choice of wound care products is individual preference. As long as the above objectives are met. Let's discuss wound care. Dressing changes are very painful. Medicaid client. Prior to procedure, apply Silver Self a dia zine Civitan cream toe burns as described. Remember as you study for your exams, you will be successful. This is Tim for 24 7 nurse tutors dot com