The attending nurse must look for airway breathing and circulation. Assess oxygen saturation using pulse oximetry & start on nasal oxygen if saturation is <94% spO2.
Hypoxemia symptoms include confusion, anxiety, restlessness, and disorientation.
- The client may have sustained an inhalation injury as a result of the recent fire and burn injuries, which might be causing hypoxia.
- Medication may be prescribed once hypoxemia and other medical reasons have been ruled out.
Management of burns
Treatments based on water.
- To clean and stimulate wound tissue, your care team may employ procedures such as ultrasonic mist therapy.
Fluids to keep you hydrated.
- To avoid dehydration and organ failure, you may require intravenous (IV) fluids.
Anxiety and pain relievers
- Healing burns may be excruciatingly painful.
- Morphine and anti-anxiety drugs may be required, particularly for clothing changes.
Creams and ointments for burns.
- If you are not being transported to a burn centre, your care team may choose from a number of topical wound healing medications, such as bacitracin and silver sulfadiazine (Silvadene).
- These aid in the prevention of infection and the preparation of the wound for closure.
Dressings.
- To prepare the wound for healing, your care team may also employ a variety of specialist wound dressings.
Infection-fighting medications.
- If you become infected, you may require IV antibiotics.
Shot for tetanus.
- Following a burn injury, your doctor may advise you to get a tetanus vaccination.
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