Pain, Infection, Nutrition - Burns

• Relieving Pain in Burns

  Administer Morphine Sulfate per IV as prescribed; Monitor the client for respiratory depression; Have Narcan (Naloxone) readily available
• Relieving Pain in Burns

  Use bed cradle to relieve pressure from the top sheet and to prevent sticking of exudates to the top sheet
• Relieving Pain in Burns

  Avoid exposure of affected areas to draft - sudden gush of wind causes hypersensitivity of exposed nerve endings; CLOSE the door of the client's room
• Preventing Infection in Burns

  Practice Handwashing and Implement Reverse or Protective isolation
• Preventing Infection in Burns

  Administer Tetanus immunization
• Preventing Infection in Burns

  If history of tetanus immunization cannot be obtained, or the client had not received booster dose for the last five years, administer Immune Globulin
• Preventing Infection in Burns

  Irrigate affected area with normal saline (NS) solution
• Maintaning Adequate Nutrition in Burns

  Maintain NPO status for the first 48 hours to prevent paralytic ileus, gastric dilatation and water intoxication
• Maintaning Adequate Nutrition in Burns

  Diet: High Calorie, High Protein, High Carbs - promotes tissue healing and repair
• Maintaning Adequate Nutrition in Burns

  Diet rich in Vitamins: A, B, C maintains skin and mucuos membrane integrity, enhances metabolism, and increases resistance to stress and infection respectively
• Relieving Pain in Burns

  Administer Morphine Sulfate per IV as prescribed; Monitor the client for respiratory depression; Have Narcan (Naloxone) readily available
• Maintaning Adequate Nutrition in Burns

  Maintain NPO status for the first 48 hours to prevent paralytic ileus, gastric dilatation and water intoxication