As the saying goes, 'water and fire are merciless', once encountering a fire, many people are inevitably prone to burns. Children do not understand danger, and even tigers dare to touch their butts, so they are more prone to danger. Burns have always been ranked high in the danger list for children. What are the nursing measures for burns?
1. Early treatment of wounds
After the patient's shock is basically controlled, simple debridement should be performed as soon as possible under good anesthesia and sterile conditions. The order of debridement is generally from the head, limbs, chest and abdomen, back, and perineum.
2. Nursing of bandaging therapy
The method of wrapping, sealing and fixing burn wounds with dressings is suitable for limb burns, with the aim of reducing wound pain, preventing wound deepening, and preventing wound infection. At the same time, a certain amount of pressure can partially reduce wound exudation and alleviate wound edema.
3. Nursing of Exposure Therapy
Suitable for burns, wounds in special areas (such as the head, face, neck, or perineum), and special infections (such as Pseudomonas aeruginosa and fungi), as well as large wounds.
The ward for exposure therapy should have the following conditions: indoor cleanliness, necessary disinfection and isolation conditions; The room temperature is controlled at 28-32 ℃ and the humidity is around 70%; Easy to rescue and treat.
The turning bed is a device used in burn wards to treat large area burns. Before use, explain to the patient the significance, methods, and safety of using the turning bed, eliminate the patient's fear and doubts, and prevent suffocation and close observation for first-time prone patients.
4. Shedding and skin grafting care
Deep burn wounds heal slowly or are difficult to heal, and scar hyperplasia can cause deformities and functional impairments. Therefore, early excision, scab removal, and skin grafting should be performed on burn wounds, and proper care should be taken before and after skin grafting surgery.
5. Treatment of infected wounds
Strengthen the care of burn wounds and promptly remove pus and necrotic tissue.
6. Nursing care for burns in special areas
(1) Inhalation of human injury: ① Prepare emergency supplies by the bedside; ② Maintain airway patency, such as for tracheostomy patients, take care of tracheostomy; ③ Timely oxygen inhalation; ④ Closely observe. And actively prevent lung infections.
(2) Head and neck burns: Exposure therapy is commonly used, where the patient is placed in a semi recumbent position and observed for respiratory burns. If necessary, appropriate treatment is given.
(3) Perineal burns: Keep the area dry, abduct the thigh to expose the wound; To avoid contamination from urination and defecation, clean the anus and perineum with physiological saline after use, and pay attention to keeping the area around the wound clean.
This article discusses the nursing measures for burns. For those who have burn patients at home, these measures need to be learned, otherwise they may not be able to do a good job in caring for burn patients. Improper nursing can make it difficult for burns to heal.
