Burn scar care
Burns is a common knowledge point in surgical nursing. In addition to clinical characteristics, burn staging, burn area, burn care is also a frequently reviewed knowledge point. The nursing diagnosis of burn patients is mainly based on the following issues:
1. There is a risk of suffocation: related to burns on the head, face, respiratory tract or chest.
2. Insufficient body fluids: It is related to excessive exudation of burn wounds and decreased blood volume.
3. Impaired skin integrity: related to tissue damage caused by burns.
4. There is a risk of infection: related to impaired skin integrity.
5. Sadness: It is related to disfigurement, limb disability and physical dysfunction after burn.
And our nursing goals for these nursing problems mainly focus on the following points:
1. The patient's airway is unobstructed and breathing is steady.
2. The patient's vital signs were stable and he passed the shock period smoothly.
3. The patient's burn wound healed gradually.
4. The patient did not develop infection.
5. The patient is emotionally stable, able to cooperate with treatment and nursing, and dare to face self-image after injury.
Therefore, our nursing measures for burn patients mainly face from the urgent need to solve the breathing problem to the later health education, focusing on the following measures:
1. Maintain effective breathing: keep the airway unobstructed, clear respiratory secretions in time, encourage patients to breathe deeply, cough hard, expectorate sputum, turn over, buckle back, change body position regularly to facilitate discharge of secretions, and suck sputum when necessary. Oxygen can be inhaled by nasal cannula or face mask, and the oxygen concentration is 40%.
2. Maintain effective circulating blood volume: light saline or burn beverages can be taken by mouth for light patients, intravenous channels should be established immediately for severe patients, and fluids should be refilled in time. Follow the infusion principle of crystal first, then salt, sugar, fast and slow infusion. At the same time pay attention to observe the resuscitation effect.
3. Strengthen wound care and promote healing: bandage therapy care for patients with shallow second-degree burns of small area and limbs, raise the affected limb and maintain the functional position, while keeping the dressing clean and dry. For patients with head and face, perineal burns, and large-area burns, exposure therapy is required to keep the room clean, the room temperature is maintained at 30-32℃, and the humidity is about 40%.
4. Prevention and treatment of infection: Use antibacterial drugs as prescribed by doctors, correctly treat wounds, nutritional support, and increase the ability to resist infection.
According to authoritative expert reports, physical pressure therapy has a great repairing effect on patients undergoing skin graft surgery after burns. It can quickly stop bleeding, inhibit fluid leakage, and prevent complications; reduce pain, make wounds better fit, and promote capillaries Growth accelerates wound healing.
Zilimei Medical Elastic Sleeve is mainly designed for burns and plastic surgery department and combines nanotechnology to introduce carbon crystal molecules into the fibers. The carbon crystals can reduce the heat generated by subcutaneous tissue trauma and the accumulation of tissue fluid, and promote the acceleration of subcutaneous fat Decomposition and metabolism, rapid repair of postoperative tissue trauma, can effectively avoid "postoperative complications, sequelae" and other symptoms, shorten recovery time, and consolidate the effect of surgery.