Edema and inflammation are the initial response to injury. Breakdown products of damaged tissue and leukocytes are released into the circulation and cause damage to other organs. Loss of the skin's protective layer causes the body to lose it's ability to conserve heat and fluids.
Infection develops in necrotic and edematous tissues.
If the patient or parent says the child has pain. He or she has pain. Burn patients experience both pain and anxiety during dressing changes. These two states must be assessed and managed together by using opioids and benzodiazepines. It is recommended that the medications be given around the clock, rather than as needed.