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22 Cards in this Set
- Front
- Back
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how does one identify inhalational injury
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face/neck burns
singed eyebrows carbonaceous sputum hoarseness carboxyhemoglobin greater than 10 percent |
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how does one identify inhalational injury
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face/neck burns
singed eyebrows carbonaceous sputum hoarseness carboxyhemoglobin greater than 10 percent |
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inhalation injury requires
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transfer to a burn center, consider intubation before transport (esp if stridor)
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main focus of a burn patient
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Airway
Stop the burning process IV access |
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main focus of a burn patient
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Airway
Stop the burning process IV acces |
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any patient with more than what perceent of burns will require fluid resucitation
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20
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palmar surface of the patients head represents
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1 % of a persons body
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percent head
percent chest and abdomen percent arm percent leg |
9 percent (4.5 perside)
18 percent anterior 18 percent posterior 9 percent (4.5 per side) leg is same as arm |
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pediatric head percent
arm leg chest and abdomen |
9% per front/back4
4.5 per side (same as adult) 7% per side 18% front 13% back |
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pediatric head percent
arm leg chest and abdomen |
9% per front/back4
4.5 per side (same as adult) 7% per side 18% front 13% back |
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the surfgace of a 3rd degree burn is described as
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usually dark leathery and maybe painless, dry and does not blanch
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If the patients Hemodynamic status and C-spine permits then
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elevation of the head and neck 30 degrees helps reduce neck and chest wall edema
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Describe the amount of IV therapy needed for an adult with burns
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2-4cc per KG of body wieght per percent 2nd/3rd degree burned in the first 24 hours with half in the first 8 hours and the other half in the following 16 hours
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Describe the amount of IV therapy needed for an adult with burns
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2-4cc per KG of body wieght per percent 2nd/3rd degree burned in the first 24 hours with half in the first 8 hours and the other half in the following 16 hours
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In children less than 30 IV resiscitation is titratable to
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1cc/kg/hr
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In children less than 30 IV resiscitation is titratable to
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1cc/kg/hr
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Escharotomies are usually not needed within
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the first 6 hours after a burn
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GAstric tubes in burn victims:
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insert a gastric tube and attach it to suction if more than 20 percent BSA burned
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Burn wound care
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partial thickness burns should be covered with clean linines
do not apply cold water to a patient with extensive burns (more than 10 percetn BSA) |
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which type of burn is worse
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alkali is worse than acid because alkali penetrates deeper
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If rhabdo is suspected in the setting of an electrical burn what should the fluid adm be titrated to
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100cc/hr of urine output, if pigment doesnt clear add 25g of manntiol and 12.5 gm to subsequent liters
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If rhabdo is suspected in the setting of an electrical burn what should the fluid adm be titrated to
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100cc/hr of urine output, if pigment doesnt clear add 25g of manntiol and 12.5 gm to subsequent liters
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