Med-Surg Nursing - 24
Terms
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- artificial skin
- a synthetic substance used to replace burned skin
- burn
- an injury to the tissues of the body caused by heat, chemicals, electrical current, or radiation
- chemical burns
- tissue injury and destruction from necrotizing substances
- closed method
- treatment of burn wounds with sterile dressings impregnated with or laid over a topical antibiotic
- contracture
- resistance to movement of a muscle or joint as a result of fibrosis of supporting soft tissues, atrophy and shortening of muscle fibers, or loss of the normal elasticity of the skin, such as from the formation of extensive scar tissue over a joint
- cultured epithelial autograft
- skin grafts grown from biopsies obtained from the patient's own skin
- Curling's ulcer
- type of gastroduodenal ulcer caused by generalized stress response common in burn patients
- debridement
- removal of dirt, foreign objects, damaged tissue, and cellular debris from a wound or a burn to prevent infection and promote healing
- electrical burn
- injury caused by intense heat generated from an electric current resulting in coagulation necrosis
- electrolyte shift
- movement of sodium into interstitial spaces and potassium into extracellular spaces following burn injury
- enzymatic debridement
- removal of damaged tissue and cellular debris from a wound or burn using enzymatic agents that liquefy necrotic tissue
- eschar
- a scab or dry crust, often black, that results from trauma, such as a burn, infection, or excoriating skin disease
- escharotomy
- incisions through eschar performed when eschar formation compromises circulation
- excision and grafting
- procedure during which eschar is removed down to the subcutaneous tissue or fascia, depending on the degree of injury. A graft is then placed on clean, viable tissue to achieve good adherence. Hemostasis is achieved by pressure and application of topical thrombin or epinephrine, after which the wound is covered with autograft.
- full-thickness burn
- destruction of all skin elements and subcutaneous tissues, with possible involvement of muscles, tendons, and bones
- hypermetabolic state
- an increase in resting metabolic expenditure of 50% to 100% above normal; often found in burn patients
- inhalation injury
- damage to tissues of the respiratory tract by inhalation of smoke, hot air, or noxious chemicals in burn injury
- open method
- treatment of burn wounds with topical antibiotics without dressings
- partial-thickness burn
- varying degrees of epidermal and dermal skin injury in which some skin elements remain viable for regeneration
- sludging
- increased blood viscosity and impaired microcirculation resulting from fluid shifts and damage to small capillary systems early in burn injury
- smoke and inhalation injuries
- damage to the tissues of the respiratory tract resulting from the inhalation of hot air or noxious chemicals
- thermal burns
- injury caused by flame, flash, scald, or contact with hot objects; the most common type of burn
- total body surface area
- calculation of the percent of the body that has been burned to determine the extent of a burn