Luis, 32 years old, obtained a third-degree circumferential arm burn after a pot of boiling oil was accidentally turned over. Escharotomy procedure was ordered for Luis. The nurse understands that the anticipated therapeutic outcome of the escharotomy is:
A)Return of distal pulses
B)Brisk bleeding from the site
C)Decreasing edema formation
D)Formation of granulation tissue

Question

Quizplus · Accepted Answer

Escharotomies are performed to relieve the compartment syndrome that can occur when edema forms under nondistensible eschar in a circumferential third-degree burn. Escharotomies are performed through avascular eschar to subcutaneous fat. Although bleeding may occur from the site, it is considered a complication rather than an anticipated therapeutic outcome. Usually, direct pressure with a bulky dressing and elevation will control the bleeding, but occasionally an artery is damaged and may require ligation. Formation of granulation tissue is not the intent of an escharotomy. Escharotomy will not affect the formation of edema.

Luis, 32 Years Old, Obtained a Third-Degree Circumferential Arm Burn