Care experience on two cases of severe burn patients（护理经验两例严重烧伤患者）.doc

Care experience on two cases of severe burn patients A large area of #8203;#8203;burn patients to acute and re-injury, timely and effective emergency care for patients is an important measure to rescue the patient’s life, now two cases of severe burn patients, nursing experience are summarized as follows: 1 clinical data Two cases of patients were male, a 25-year-old, for the alkali burn, a 15-year-old, arc burns, the area was 40%, burn depth II-III degree, occur in varying degrees of shock on admission. 2 Nursing Experience 2.1 patients with large burn area, and part of the burn depth of II-III, after admission to the immediate establishment of intravenous access, application intravenous catheter two-way needle or deep venous catheter infusion, rehydration take to slow down after the first crystal plastic principle, to balance the liquid crystal, followed by isotonic saline to make up half of the total of 24 hours in the first eight hours of hospital admission, electrolytes, colloids, and cross water input, and blood as soon as possible given the blood type and cross matching blood given fresh plasma or whole blood. to add volume, as well as to correct the acidosis and prevent hemoglobin degradation products of deposition in the renal tubules, alkalization of urine application in the infusion of sodium bicarbonate, in addition also to comfort and encourage patients to it is emotional stability, and severe pain analgesics or stability, to avoid the painful shock. ECG observed changes in vital signs, indwelling catheter, observed hourly urine output. 2.2 protect the wound, good wound care, patients admitted to hospital quickly cut personal clothing and avoid avulsion to prevent the pull to break the adhesion of wound skin, exposed wounds were taken to sterile debridement packets wound clean up, clean up after therapy, wound with silver sulfadiazine dry and warm in patients with burn treatment machines with high-energy wave. 2.3 for isolat