Burn

BURN

What Is BURN & Scalds ..??

Ø  Burn is an injury of tissues by heat, friction, electricity, radiation, or chemical...

Ø  Scalds are a type of burn cause by a hot liquid or steam ...

Classification Of Burn & Scalds...

·         First Degree = Superficial & Superficial Partial Thickness

·         Second Degree = Deep Partial Thickness

·         Third Degree = Full Thickness 

FLUID RESUSCITATION

·         To prevent hypovolemic shock and disturbance of body system.

·         Solutions use :

o   Ringer ‘s lactate ( hartman’s solution)

o   Plasma ( dextran , haemacell  )

o   Dextrose solution 5 %

o   Normal saline 0.9 % 

Using Parkland Formula

·         Adult : 4.0 Ml X Kg Body Weight X % Burn

·         Children : 3.0 Ml X Kg Body Weight X % Burn

First 24 Hr

• Infusion Rate  :  First 8 Hr = ½ Amount Needed

                                    Second 8 Hr =  ¼ amount needed

             Third 8 Hr = ¼ amount needed

Second 24 Hr and the rest ...

• Normal Replacement = Daily Amount + Loss Amount   

cara untuk pengiraan burn boleh lihat disini....http://araaliyara.blogspot.com/2013/07/pengiraan-peratusan-burn.html