What are first degree burns? - 1. sunburns 2. surface: epidermis 3. red, painful 4. treatment: hydration, moisturize What are second degree burns? - 1. severe sunburns, scalds 2. deeper: epidermis and dermis 3. blistering 4. very painful 5. if not managed well-develops into third degree 6. assess for blanching What are third degree burns? - 1. severe burn 2. deeper still: epidermis, dermis, subq 3. nerve damage, permanent scarring 4. eschar indicates no perfusion and won't stretch 5. do not heal on own What are fourth degree burns? - 1. most severe 2. deepest: epidermis, dermis, subq, bone, and muscle What are the key aspect of burn care? - 1. ABCs -especially if you suspect oropharynx damage 2. fluid balance 3. infection control 4. nutrition 5. temp. 6. pain control What is the treatment for burns? - 1. fluid balance: -risk for hypovolemic shock- maintaining BP and perfusion -fluid resuscitation: LRs preferred -based on UO (>50 ml/hr)