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18 Cards in this Set

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What is a superficial - thickness burn?
least amount of damage, only epidermis
There are two categories of partial thickness burns, what are they?
Superficial partial thickness wound
deep partial thickness burns
What is the s/s of superficial partial thickness burns? scarring?
bright red, moist, glistening appearance w/blister formation
minimal or no scarring
3 weeks heal time
What is the s/s deep partial thickness burns? scarring?
appears waxy and may be moist or dry
scar formation
3-6 weeks heal time
What is the rule of 9's?
arms 9
legs 18
trunk 36
head/neck 9
perineum 1
Do burns cause vasodialation or constriction?How?
vasoconstriction
catecholamine's are released from the SNS
What is third spacing?
vessels become more permeable...allows fluids and colloids to leak into surrounding tissues
What does third spacing cause?
hypovolemia
decrease blood volume and BP
What is another name for third spacing? how long does it last?
burn shock
until the capillary injures are repaired, usually first 12 hr, can continue to 36hr
What two labs are you going to be worried about with someone who has a burn?
K+ [hyperkalemia]
(due to cell injury releasing K+)

Na+ [hyponatremia]
(aldosterone increases --> third spacing) stress
What is the parkland/baxter formula?
4ml of LR/kg body wt X % TBSA = ml of LR for 24 hours.
50% - 8hr
25% -8hr
25% -8hr
most common causes of burns to lungs is from?
superheated air, steam, toxic fumes
s/s of inhalation injury?
dyspnea, sputum, wheezing, hoarseness
What type of ulcer may develop w/burns? why?
Curling's ulcer
acute ulcerative gastroduodenal disease
What are the 5 items needed for management of burns? meds?
fluid replacement
respiratory management
cardiac support - vasopressors
pain control- morphine
antibiotics
What is an escharotomy?
an incision through the burn eschar to relieve pressure.
Should bleeding occur in surgical debridement?
yes, if not, procedure should continue until bleeding occurs
what is autografting?
removed from a healthy area of the body and applied to the burn area.

must wait 5 days before ROM can be resumed.