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25 Cards in this Set
- Front
- Back
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Pt presents with a painful, red sunburn. It blisters mildly and is painful when touched.
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1st degree burn
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what thickness is 1st degree burn
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partial thickness
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burn victem presents with large blisters. Burst blisters are moist. Pt reports sensation in the area burned.
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2nd degree burn
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2nd degree burn involves injury to what layers of the skin
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injury to epidermis & PART dermis
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Pt presents with burn that appears black. He reports no pain and doesn not report sensation in the burned area.
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3rd degree burn
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3rd degree burns involve these layers of the skin
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full thickness-epidermis & all dermis
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treatment of 3rd degree burns
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skin graft
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Child presents with burn injury inconsistent with hx. What must you consider
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child abuse
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when evaluating severity burn look at these 2 factors first
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extent(% of body surface area)depth
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Which pts require fluid therapy?
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Total burn > 20%
Age <2yrs>60yrs |
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2 stages of smoke inhalation
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immediate stage: damage from the heat
pulmonary edema |
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Smoke inhalation pt presents with horse voice. What do you do?
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evaluate the airway
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what fluid should you give
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100% crystalloid
(salt & water) |
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Fluid necessitation formula:
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2cc/Kg/%burn
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how long do you give fluid
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push fluid as much as you can until they put out urine
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pt w/ 70% burn is given fluid but not peeing, should you give diaretic?—
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No – pt losing fluid to interstitial tissue (edema) – lasix will drop blood pressure
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pt presents with burns. After securing the airway and making sure the pt is stable what should you do?
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always look for other injuries that may be hidden:
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3 types of burns:
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electrical burn
chemical burns thermal burn |
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3rd degree burn tx
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immediately excise the part that is 3rd degree
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Partial thickness burns (1st degree & 2 degree) will heal in about _______
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2 weeks
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3rd degree burns take this long to heal
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longer than a month
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skin grafts usually come from this body part
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thigh
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burn victems require increased calories and often require _______ nutrition
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parenteral
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skin grafts are usually of this type
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split thickness
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skin grafts are usually of this type
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split thickness
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