Which interventions would the nurse expect to see included in the plan of care for a patient with partial and full thickness burns on the lower extremities?

Respuesta :

It is usually necessary to perform an escharotomy (a scalpel incision through full-thickness eschar) to restore circulation to the affected extremities.

Briefing :

To reduce infection and speed up wound healing, daily cleaning and debridement as well as the use of an antibiotic ointment are expected treatments. Myoglobin and hemoglobin discharged into the circulation by full-thickness burns can obstruct renal tubules. To avoid this blockage, sufficient fluid replenishment is needed. In the treatment of a burn injured patient, pain management is crucial.

What is escharotomy?

In order to remove the eschar and its constricting effects, restore distal circulation, and enable proper ventilation, an escharotomy is an emergency surgical technique that involves cutting through scorched skin in affected regions. Escharotomy incisions don't penetrate the deep fascial layer, unlike fasciotomies, which include making cuts particularly to decompress tissue compartments.

Escharotomies are frequently carried out as a preventative measure because, alas, there is no scientific technique to detect when they are required. Escharotomy has recently been grouped with other decompressive procedures such fasciotomy, nerve release, and decompressive laparotomy.

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