13 July 2013

Burn


BURN
What Is BURN & Scalds ..??
Ø  Burn is an injury of tissues by heat, friction, electricity, radiation, or chemical...
Ø  Scalds are a type of burn cause by a hot liquid or steam ...

Classification Of Burn & Scalds...
·         First Degree = Superficial & Superficial Partial Thickness
·         Second Degree = Deep Partial Thickness
·         Third Degree = Full Thickness 



FLUID RESUSCITATION
·         To prevent hypovolemic shock and disturbance of body system.
·         Solutions use :
o   Ringer ‘s lactate ( hartman’s solution)
o   Plasma ( dextran , haemacell  )
o   Dextrose solution 5 %
o   Normal saline 0.9 % 

Using Parkland Formula
·         Adult : 4.0 Ml X Kg Body Weight X % Burn
·         Children : 3.0 Ml X Kg Body Weight X % Burn

First 24 Hr
  • Infusion Rate   First 8 Hr = ½ Amount Needed
                                    Second 8 Hr =  ¼ amount needed
             Third 8 Hr = ¼ amount needed

Second 24 Hr and the rest ...
    • Normal Replacement = Daily Amount + Loss Amount   

    cara untuk pengiraan burn boleh lihat disini....http://araaliyara.blogspot.com/2013/07/pengiraan-peratusan-burn.html

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