NURSE-UN 1243 Lecture Notes - Lecture 6: Metabolic Acidosis, Oliguria, Hypervolemia
29 Apr 2019
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> 25% of bsa of a partial thickness. > 10% of bsa of a full thickness: d. age < 2 years old or > 60 years old, the mortality rates increases, body part involved - not all are equal. Colloids - replacement begins during the second 24 hours following the burn to replace intravascular volume. Once capillary permeability significantly decreases: general indications for fluid resuscitation, 1. Burns > 20% of bsa with adults: 2. Burns > 10% of bsa with children: 3. Signs of adequate fluid resuscitation: clear sensorium, pulse < 120 bpm, urine output for adults 30 - 50 cc/hour, systolic blood pressure > 100 mm hg, blood ph within normal range 7. 35 - 7. 45. Acute period - end of emergent period until burns heals focus now shifts to care of wounds and prevention of complications: actual range of this phase depends on degree and extent of burn, assessment:
