Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
|
Superficial burns :
|
Involve only the EPIDERMIS
Usually no blistering Redness, warmth, slight edema Might be painful Heals in 3-6 days |
|
|
Superficial partial-thickness burn:
|
Painful blistering
Moist and weeping Blanching Painful & sensitive to air/temperature Minimal/no scarring Heals in 2-3 weeks |
|
|
Deep partial-thickness Burns
|
Blanched
Less moist Healing slow (up to 6 weeks) Scarring likely (thick) Prone to infection (loss of barrier & vasculature) Should go to ER May progress to full-thickness |
|
|
Full-thickness burns
|
Death of skin in the affected area
Dry, leathery appearance Painless and insensate Initially red but fades to white in ~24 hours Healing is very slow (months) Scarring highly likely Surgical management needed (grafting) Physical therapy likely required |
|
|
When to Refer
|
Burn to BSA of 2% or more
Burns involving eyes, ears, face, hands, feet, or perineum Chemical burns Electrical or inhalation burns Persons of advanced age Patients w/DM or multiple medical disorders Immunocompromised patients |
|
|
Treatment of Minor Burns:
|
Relieve pain
Provide physical protection Provide an environment for healing Minimize risk of scarring and infection |
|
|
Treatment of Minor Burns (5)
|
1-Cool/tepid water immersion/irrigation
2-Gently cleanse with water and mild soap 3-Skin protectant if skin is intact 4-Do not break blisters or peel off burned skin 5-Rehydrate with oral fluids |
|
|
Skin Protectants
|
Help the area become less painful
Prevent drying of the stratum corneum Can be applied as often as needed Go to PCP if not improved within 7 days |
|
|
Systemic Analgesics
|
Ibuprofen, naproxen, aspirin, etc
Helps to relieve pain Can help reduce erythema Can be also used for sunburns |
|
|
Topical Anesthetics
|
Relief is short-lived
Use lower concentrations when burn is deep Limit use to TID-QID |
|
|
Hydrocortisone
|
Not typically used
Especially avoid if skin is broken (increased absorption) Can reduce inflammation/erythema Low-potency recommended |
|
|
Antimicrobials
|
Silver sulfadiazine (SSD)
Commonly used (gold standard) Rx only Tripple Antibiotic Some findings suggest SSD decreases wound healing due to cytotoxic activity on host cells Triple-antibiotic ointment |
