2nd degree burn healing stages treatment

Stop the infusion after 48 hours, if fluid requirements can be met by the oral route or gavage. In patients with oliguria despite adequate fluid replacement:ĭopamine IV: 5 to 15 micrograms/kg/minute by IV pumpĮpinephrine IV: 0.1 to 0.5 micrograms/kg/minute by IV pump Target endpoints for IV replacement fluids

Reduce replacement fluid volumes if urine output exceeds the upper limit. This formula provides a guide only and should be adjusted according to systolic arterial pressure (SAP) and urine output. Intravenous replacement fluid to correct hypovolaemia:įluid and electrolyte requirements during the first 48 hours according to ageĬhildren 50% BSA, limit the calculation to 50% BSA. General measures during the first 48 hours Resuscitative measures Look for complications (arrhythmia, rhabdomyolysis, neurological disorders). Clinical manifestations of electrical burns vary significantly according to the type of current.In the case if altered consciousness, consider head injury, intoxication, postictal state in epileptic patients. Burns alone do not alter the level of consciousness.Burns do not bleed in the initial stage: check for haemorrhage if haemoglobin level is normal or low.Prepare the patient for the first dressing procedure in the operating room.Additional testing: haemoglobin, blood group, urine dipstick test.Intensive monitoring: level of consciousness, heart rate, blood pressure, SpO 2, respiratory rate (RR) hourly temperature and urine output every 4 hours.Calculate and initiate fluid and electrolyte requirements for the first 24 hours.Insert a nasogastric tube if burns involve > 20% of BSA (in the operating room while carrying out dressing procedure).15% of BSA, and in the case of electrical burns or burns of the perineum/genitalia.

2nd degree burn healing stages treatment