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18 Cards in this Set
- Front
- Back
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What is a superficial - thickness burn?
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least amount of damage, only epidermis
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There are two categories of partial thickness burns, what are they?
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Superficial partial thickness wound
deep partial thickness burns |
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What is the s/s of superficial partial thickness burns? scarring?
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bright red, moist, glistening appearance w/blister formation
minimal or no scarring 3 weeks heal time |
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What is the s/s deep partial thickness burns? scarring?
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appears waxy and may be moist or dry
scar formation 3-6 weeks heal time |
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What is the rule of 9's?
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arms 9
legs 18 trunk 36 head/neck 9 perineum 1 |
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Do burns cause vasodialation or constriction?How?
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vasoconstriction
catecholamine's are released from the SNS |
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What is third spacing?
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vessels become more permeable...allows fluids and colloids to leak into surrounding tissues
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What does third spacing cause?
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hypovolemia
decrease blood volume and BP |
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What is another name for third spacing? how long does it last?
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burn shock
until the capillary injures are repaired, usually first 12 hr, can continue to 36hr |
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What two labs are you going to be worried about with someone who has a burn?
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K+ [hyperkalemia]
(due to cell injury releasing K+) Na+ [hyponatremia] (aldosterone increases --> third spacing) stress |
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What is the parkland/baxter formula?
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4ml of LR/kg body wt X % TBSA = ml of LR for 24 hours.
50% - 8hr 25% -8hr 25% -8hr |
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most common causes of burns to lungs is from?
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superheated air, steam, toxic fumes
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s/s of inhalation injury?
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dyspnea, sputum, wheezing, hoarseness
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What type of ulcer may develop w/burns? why?
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Curling's ulcer
acute ulcerative gastroduodenal disease |
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What are the 5 items needed for management of burns? meds?
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fluid replacement
respiratory management cardiac support - vasopressors pain control- morphine antibiotics |
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What is an escharotomy?
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an incision through the burn eschar to relieve pressure.
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Should bleeding occur in surgical debridement?
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yes, if not, procedure should continue until bleeding occurs
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what is autografting?
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removed from a healthy area of the body and applied to the burn area.
must wait 5 days before ROM can be resumed. |
