Burns Notes Types & Causes Care for Minor Burns Burn injuries caused by direct tissue damage from exposure to: • Sun • Chemicals • Thermal (boiling liquids) • Electricity As you know the skin is made of 3 layers - epidermis, dermis, & subcutaneous tissue (that fatty bubble looking tissue) under the skin we find fascia, muscle, & bone. Epidermis Dermis Subcutaneous ssue ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! NCLEX TIP First-degree (superficial) • Dry with blanchable redness Third-degree (full-thickness) • Dry waxy white, leathery, or charred black color, non-blanchable Fourth-degree (full-thickness) • “Red, moist, shiny fluid filled vesicles” • Painful Blisters Second-degree (paral thickness) ! ! C Cool water C Cover the area C Clothing removal Prehospital Care C - Cool water � Briefly soak area • NO ice, creams, anbioc ointment to open skin C - Cover area “Clean dry cloth” C - Clothing & Jewelry removal • Not adhered Saunders • Cooling the injury with water The nurse instructs firefighters that in the event of a tar burn, which is the immediate acon? • Removing all clothing, including gloves, shoes, and any undergarments Chemical burn injury... The nurse instructs the employees that what is the first consideraon in immediate care? Kaplan Queson The nurse is caring for a client with full thickness burns covering 20% of their body. What is the priority of care aſter ensuring a patent airway: ● IV fluids ANTIBIOTIC OINTMENT ! ! ! HCP remove anything scking to the skin REMOVING ALL