Burns (resuscitative stage) Examples Distilled water D5W D10W 0.45% NSS LR D50W 0.33% NSS NSS D5NSS 2.5% dextrose D5 0.225% NSS 5% dextrose in 0.45% D5LR TPN Dialysate contraindicated for clients with D5W if the client increased intracranial pressure, is at risk of increased clients at risk of 3rd space fluid intracranial pressure (ICP) shift Use LR for BURNS EXAMPLES: D5W/ D10W/ D50W red – NSS green – D5NSS yellow – D5LR pink – LR blue – 0.45 NSS sky blue – D5NM orange – IV THERAPY, complications Circulatory overload Dyspnea, increased BP slow down SOB, crackles Air embolism Dyspnea, decreased BP Discontinue Left sidelying and trendelenburg Phlebitis Swelling + Heat Discontinue Cold Elevate Restart Pyrogenic reaction Fever, chills Discontinue Retain IV equipment for C&S Infiltration Swelling + Cool Discontinue Warm/ Moist heat (due to edema) Elevate Restart (another site) L.A.S.E.R. L ight – A mplification by – S timulated – E mission of – R adiation – TYPES Carbon dioxide gas (clear goggles) – ND:YAG Neodymium: Yttrium Alluminum garnet) bright lamp (green goggles) – – Argon gas (orange goggles) – HAZARDS Eyes goggles  Skin gown and gloves  Lungs mask  LATEX ALLERGY FOODS: Avocado Potatoes Bananas Passion fruits Chestnuts Tropical fruits (mango) Kiwi fruits Strawberry Grapes Soy beans Pineapple Catheters, rubbers, condom, balloons Contraindicated with bifida patients Assess for signs and symptoms: STRIDOR (best option) harsh, high pitch sound caused by air passing through constricted air passages – Urticaria Wheezing Watery eyes Non latex gloves vinyl gloves  Non latex balloon mylar 
Burns (resuscitative stage) Examples Distilled water 0.45% NSS 0.33% NSS 2.5% dextrose D5W LR NSS D5 0.225% NSS D10W D50W D5NSS 5% dextrose in 0.45% D5LR TPN Dialysate contraindicated for clients with increased intracranial pressure, clients at risk of 3rd space fluid shift D5W if the client is at risk of increased intracranial pressure (ICP) Use LR for BURNS EXAMPLES: D5W/ D10W/ D50W – red NSS – green D5NSS – yellow D5LR – pink LR – blue 0.45 NSS – sky blue D5NM – orange IV THERAPY, complications Circulatory overload Dyspnea, increased BP SOB, crackles slow down Air embolism Dyspnea, decreased BP Discontinue Left sidelying and trendelenburg Phlebitis Swelling + Heat Discontinue Cold Elevate Restart Pyrogenic reaction Fever, chills Discontinue Retain IV equipment for C&S Infiltration Swelling + Cool Discontinue Warm/ Moist heat (due to edema) Elevate Restart (another site) L.A.S.E.R. L – ight A – mplification by S – timulated E – mission of R – adiation TYPES Carbon dioxide – gas (clear goggles) ND:YAG – Neodymium: Yttrium Alluminum garnet) – bright lamp (green goggles) Argon – gas (orange goggles) HAZARDS Eyes  goggles Skin  gown and gloves Lungs  mask LATEX ALLERGY FOODS: Avocado Bananas Chestnuts Kiwi fruits Grapes Pineapple Potatoes Passion fruits Tropical fruits (mango) Strawberry Soy beans Catheters, rubbers, condom, balloons Contraindicated with bifida patients Assess for signs and symptoms: STRIDOR (best option) – harsh, high pitch sound caused by air passing through constricted air passages Urticaria Wheezing Watery eyes Non latex gloves  vinyl gloves Non latex balloon  mylar