La importancia del tratamiento inicial adecuado en una quemadura subdérmica en miembro inferior. Caso clínico

  1. Jordi Guinot-Bachero
  2. Adrián García-Montero
  3. Nuria Martínez-Blanco
  4. Soledad Viedma-Contreras
  5. Yolanda Gombau-Baldrich
Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2018

Volume: 29

Issue: 2

Pages: 100-104

Type: Article

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Abstract

ABSTRACT Burn is a multicausal lesion that affects different body tissues. In lower limbs, they present with postphlebitic syndrome, retractable scars and motor dysfunctions, so early diagnosis and adequate treatment are key components. We present the case of a 37-year-old paraplegic man with total thickness burn in the right leg. The initial treatment based on non-stick mesh, ointments and crepe bandages caused signs of involution and flebolinfedema in the limb. The objective is to expose the treatment performed in each phase of the injury, specifying the algorithm of action before the complications that have arisen. The results determine that the initial approach was inefficient, worsened the lesion and conditioned the subsequent evolution of the lesion. The executed plan of care is described, specifying the different dressings used in each phase of the evolution of the wound and the approach of the detected complications until their epithelial closure.

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