Third part
- Medicines and solutions
Medications used in the unit: -
Adrenaline
Atropine
Dopamine
Xylocaine
Sodium bicarbonate
Solutions used in the unit:-
Salt solution
Solution C 5%
Solution C 10%
Solution C 25%
Ringer's solution
Sodium bicarbonate
Potassium chloride
Blood
Plasma
Famine
Intralibid
Medicines and solutions used in the burn unit
Adrenaline
Cardiovascular stimulant
Dosage:
According to doctor's orders
Nurse's role:
Note the side effects
Tremors - vomiting - headache - sweating - yellowing - fear - increased heart rate - chest pain, and you must inform the doctor immediately.
Atropine
It is used in cases of low heart rate
Dosage:
According to the doctor's order
Side effects :
Dry throat - dilated pupils - high temperature - lack of concentration - hallucinations
Nurse's role:
It should be given with caution under the supervision of a physician, especially in cases of:
Low blood pressure - inability to breathe - electrical muscle disturbance in the heart.
Dopamine
It is used in cases of decreased blood circulation - heart enlargement
Dosage:
According to doctor's orders
Side effects :
Irregular heartbeats - feeling the heart beating strongly - low blood pressure - nausea - vomiting - headache
The role of the nurse:
Do not add to alkaline solution (sodium bicarbonate).
Place the patient on the monitor
Make a fluid map
Xylocaine
Antiarrhythmic, local anesthetic
Dosage:
Intravenously, 100 ml initial dose, then 1-2 g/500 mg 5% glucose at a speed of 1-4 mg/min. And according to the doctor's orders
Side effects :
Reduction of Blood pressure
Severe decrease in blood circulation
Cramps
Sodium bicarbonate
It is used to treat acidity in the body, an example of which is diabetic coma, and it is used according to blood gas analysis
Nurse's role:
It is not given with calcium solution
Note the occurrence of alkaline activity:
(Vomiting - diarrhea - weak breathing - lack of concentration - agitation - tremors)
Solutions used in the burns unit: -
Salt solution:
It is used in cases of lack of fluids in the body and after the operation
Solution C 5%: acute decline in blood circulation and cases of diabetic coma with insulin
Solution C 10%: acute decline in blood circulation and cases of diabetic coma with insulin
25% solution: It is used in cases of post-concussion and diabetic coma resulting from low blood sugar.
Ringer's solution: in cases of fluid deficiency
Sodium bicarbonate: It is used in cases of excess acidity in the body (cardiac and respiratory arrest).
Potassium chloride: in cases of potassium deficiency
Blood: Whole (red cells - platelets - plasma - clotting parameters) and is used in cases of shock due to fluid deficiency. Bleeding, decreased coagulation factors
Plasma: in cases of burns and protein deficiency in the body
Famine: It contains amino acids and proteins and is given in cases of severe protein deficiency, coma cases, and major surgical operations (not eating for a long time).
Intralipid: It is a solution containing fatty acids that the body needs (in cases of complete coma - in cases of cholesterol deficiency).