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EDN LECTURE FINALS > Burns > Flashcards

Burns Flashcards

1
Q

A burn less than 10% usually requires ____.

A

minimal supplementation

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2
Q

It is the exposure of vein (jugular or great saphenous) to insert an IV cannula.

A

Venous Cutdown

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3
Q

Reduced vascular volume may lead to _____ if untreated.

A

Shock

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4
Q

Burns over this area also require special treatment as constant motion will make healing more complicated.
Example: backs of the knees

A

skin over joints

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5
Q

First, Second (S), Second (D), or Third Degree
Formation of eschar

A

Third Degree

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6
Q

First, Second (S), Second (D), or Third Degree
Not painful; inelastic

A

Third Degree

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7
Q

Body attempts to compensate for losses of plasma volume by:

A
  1. Constriction of blood vessels
  2. Withdrawal of fluid to undamaged extracellular space
  3. Patient is thirsty
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8
Q

It occurs during the 3rd –10th day.

A

Hyponatremia

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9
Q

Edema results for the first _____ hours peaking at ___ hours post burn.

A

24-36, 12

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10
Q

Major, Moderate, or Minor
Third degree burns on more than 10% BSA

A

Major Burns

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11
Q

First, Second (S), Second (D), or Third Degree
Wound moist and painful

A

Second Degree (Superficial)

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12
Q

Results from contact, ingestion or injection of acids, alkalis or vesicants that can cause tissue injury or necrosis

A

Chemical Burns

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13
Q

Day1: ½ of the computed fluid is given for the _____ post burn

A

first 8 hours

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14
Q

What do we observe when inspecting the oral cavity?

A

Blistering lips
Singed nasal hair
Soot in oropharynx

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15
Q

When administering Nalbuphine or Morphine, we should check first the ___.

A

Respiratory Rate

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16
Q

These may indicate intubation.

A

Stridor and Drooling

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17
Q

Burns may vary from ___ burns to ____ burns.

A

minor superficial, full thickness

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18
Q

An adult burn patient may require _____ calories per day

A

3000-5000

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19
Q

Parkland Formula for Day 2

A

SIDE DRIP: 0.5 mL colloid x weight (kg) x BSA (%)
MAIN LINE: 2000 mL of D5 Water (for 24 hours)

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20
Q

Arrange:
A. Rinse the burn in cool or cold water.
B. Have the person follow up with a health care provider.
C. Ensure that the source of the burn has been dealt with and the scene is safe.
D. Apply antibiotic or burn cream if no allergies exist.
E. Wear PPE and get the first aid kit.
F. Cover with a clean, dry non-stick dressing.

A

C. Ensure that the source of the burn has been dealt with and the scene is safe.
E. Wear PPE and get the first aid kit.
A. Rinse the burn in cool or cold water.
D. Apply antibiotic or burn cream if no allergies exist.
F. Cover with a clean, dry non-stick dressing.
B. Have the person follow up with a health care provider.

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21
Q

First, Second (S), Second (D), or Third Degree
Maybe yellowish but soft; elastic

A

Second Degree (Deep)

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22
Q

Type of feeding for 10-20% BSA

A

Oral Feedings

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23
Q

Injuries from flaming objects, flash, scald, or contact with hot objects

A

Thermal Burns

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24
Q

It is directly proportional to the extent and depth of burn injury.

A

Fluid Volume Deficit

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25
Q

It is the best way to put a fire out from the person.

A

Stop, Drop, & Roll

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26
Q

Results from coagulation necrosis cause by intense heat; it usually occurs after contact with faulty electrical wiring or high voltage power lines

A

Electrical Burns

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27
Q

Ineffective Breathing Pattern: _____
Impaired Gas Exchange: _____

A

Respiratory Rate
Oxygen Saturation

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28
Q

As fluid shift occurs and potassium is not replaced.

A

Hypokalemia

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29
Q

The stress ulcers secondary to systemic burns are known as ____. It includes gastric and duodenal ulcers.

A

Curling Ulcers

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30
Q

No blister appear, but white, brown, or black leathery tissue and thrombosed vessel are visible

A

Second Degree (Deep)

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31
Q

It is the primary metabolic fuel.

A

Glucose

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32
Q

Pain that may last up to 48 hours in first degree burns is relieved by ______

A

cooling

33
Q

Major, Moderate, or Minor
Second degree burns on less than 10% in
child BSA

A

Minor Burns

34
Q

When assessing for inhalation injury, we should listen for?

A

Hoarseness and Crackles

35
Q

Type of feeding for 30% and above BSA

A

TPN Enteral Feedings

36
Q

First, Second (S), Second (D), or Third Degree
Pink to red; slight edema which subsides quickly

A

First Degree

37
Q

It is the outermost layer of epidermis, when it is damaged, severe systemic reaction from fluid losses occur.

A

Water Vapor Barrier

38
Q

It results from RBC destruction.

A

Anemia

39
Q

Due to an exposure to radioactive substance or from UV due to excessive exposure to sunlight (Sunburn)

A

Radiation Burns

40
Q

What conditions are common in patients with deep muscle damage, in electrical burns that may lead to ACUTE TUBULAR NECROSIS.

A

Hematuria and Myoglobinuria

41
Q

First, Second (S), Second (D), or Third Degree
Weeping and edematous, elastic vescles

A

Second Degree (Superficial)

42
Q

If chemical entered the eye, flush with large amount of water or NSS for ___.

A

at least 30 minutes

43
Q

Initial _____ due to hyperventilation; _____ due to pulmonary insufficiency.

A

Respiratory Alkalosis, Respiratory Acidosis

44
Q

How much isotonic enteral tube feedings is started within 24 hours to maintain GI function?

A

5-10 mL/hr

45
Q

Indications for Immediate IV Fluid Resuscitation:

A

18%-20% Adult BSA
12%-15% Child BSA
Electrical injuries

46
Q

Major mediator of the hypermetabolic response to burn injury.

A

Catecholamine

47
Q

Parkland Formula for Day 1

A

4 mL of PLR x weight (kg) x BSA (%)

48
Q

First, Second (S), Second (D), or Third Degree
Reddened areas do not blanch with pressure

A

Third Degree

49
Q

Type of feeding for 20-30% BSA

A

Enteral Feedings

50
Q

Results when skin is rubbed harshly against a coarse surface

A

Friction or Abrasion Burns

51
Q

A fatal dysrhythmia common in high voltage electrocution.

A

Ventricular Fibrillation

52
Q

First, Second (S), Second (D), or Third Degree
Sensitive to cold

A

Second Degree (Deep)

53
Q

Damage extends through deeply charred subcutaneous tissue, to muscles and tendons, and bones

A

Third Degree

54
Q

A procedure using a special blade to slice off thin layers of damaged skin until live tissue is evidenced by capillary bleeding.

A

Tangential Excision

55
Q

Capillary permeability starts to change in about ___, but protein in interstitial spaces may remain for _____ before returning to the vascular system.

A

48 hours, 5 days to 2 weeks

56
Q

Major, Moderate, or Minor
Electrical burns

A

Major Burns

57
Q

The _____ is the start of the counting of the first eight hours.

A

time of burn injury

58
Q

First, Second (S), Second (D), or Third Degree
Sensitive to cold

A

Second Degree (Deep)

59
Q

It occurs initially due to cell destruction.

A

Hyperkalemia

60
Q

Major, Moderate, or Minor
Second degree burns on less than 15% of
adult BSA

A

Minor Burns

61
Q

Occurs from a direct contact with any heat source, electricity, or certain chemicals.

A

Burn

62
Q

Nursing diagnoses (Integumentary)

A

Impaired skin integrity
Acute pain
Risk for infection
Ineffective thermoregulation or Hypothermia

63
Q

How many bacterial count as determined by wound biopsy indicates wound sepsis?

A

1,000,000 per gram of tissue

64
Q

Lessened circulating blood volume resulting to ___ CO, then ___ HR.

A

decreased, increased

65
Q

Major, Moderate, or Minor
Second degree burns on 15-25% of adult BSA

A

Moderate Burns

66
Q

Abnormal inflammatory response after burn injury causes a decreased delivery of ___, ___, and ___to the injured area.

A

Antibiotics, WBC, Oxygen

67
Q

Aside from Body Image Disturbance, what are the other nursing diagnoses for psychological changes in patients with burns.

A

Fear r/t prolong hospitalization
Ineffective coping
Hopelessness

68
Q

How many percent is the genital area using the rule of nines?

A

1%

69
Q

How many days do bacteria fully colonize a wound?

A

3-5 days

70
Q

Example of a weak base

A

Sodium Bicarbonate

71
Q

Major, Moderate, or Minor
Second degree burns on 10-20% child BSA

A

Moderate Burns

72
Q

Decreased peristalsis and gastric distention are due to what kind of response?

A

SNS response

73
Q

What are the signs and symptoms of carbon monoxide poisoning?

A

Headache
Visual changes
Confusion
Irritability
Nausea
Ataxia
Collapse

74
Q

“Fever spikes” 38.8°C and above

A

Burn Fever

75
Q

Causing erythema and pain

A

First Degree

76
Q

Benefits of hydrotherapy (tubbing)

A

Facilitate cleansing and debridement of the burned area
Promotes daily assessment of BSA and ROM exercises

77
Q

Producing blisters and mild-to-moderate edema and pain

A

Second Degree (Superficial)

78
Q

What pain medication lowers blood pressure?

A

Tramadol

EDN LECTURE FINALS (11 decks)

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