Test #2 Burns ARTICLES- Dwayne

Question 1

Most common burn in children

Answer 1

scalds

Question 2

Most common burn in adults

Answer 2

Flame burns

Question 3

Depth of burn is R/T what

Answer 3

Contact Temp, duration of contact, thickness of skin

Question 4

Frostbite occurs from

Answer 4

ice crystals puncturing the cell or a hypertonic tissue environment

Question 5

Chemical burns are caused from

Answer 5

caustic substances causing alteration in pH, disruption of cell membrane and direct toxic effect

Question 6

Inhalation burns are caused from

Answer 6

flash burns and steam

Question 7

Whats is the most common radiation burn

Answer 7

sunburn

Question 8

what determines the depth of radiation exposure

Answer 8

the type of particle used

Question 9

Superficial of 1st degree burns

Answer 9

epidermal burn involving the epidermal layer ONLY

Question 10

Partial thickness burns

Answer 10

Involve the epidermal layer and portions of the dermis

Question 11

Partial thickness burn catagories

Answer 11

superficial - form blisters and the skin blanches with pressure
Deep - damage hair follicles, and glandular tissue. painful to pressure only, easily unroof, DO NOT Blanch under pressure

Question 12

Full thickness Burns

Answer 12

Destroy all layers of the dermis and injure the underlying subQ tissue
the eschar can compromise a limb or torso if circumfrential

Question 13

4th degree Burns

Answer 13

deep life threatening that extend from skin to fascia, muscle and or bone

Question 14

Are all burns included in a total burn surface area assessment?

Answer 14

NO superficial burns are not counted

Question 15

Most accurate way to determine Total body surface area

Answer 15

Lund-Browder chart

Question 16

Most expeditious way to determine Total body surface area

Answer 16

Rule of 9's
Each leg= 18%
Each Arm = 9%
anterior and posterior trunk each = 18%
Head = 9%
Your Junk = 1%

Question 17

Palm Method

Answer 17

The Pts whole hand = 1% in adults and kids

Question 18

The estimation of total body surface area includes?

Answer 18

partial thickness, full thickness, and 4th degree.

SUPERFICIAL DO NOT COUNT

Question 19

Urgent Immediate burn procedures are restrictive burns such as

Answer 19

eye lid release, mouth contractures, neurovascular bundles, sever neck contractires

Question 20

Skin grafts reduce ?

Answer 20

the presence of necrotic and infected tissue

Question 21

The advantage of primary closure is

Answer 21

improvement in esthetic outcomes theoretically

Question 22

Early wound closure is associated with

Answer 22

decrease in hypertrophic scaring, joint contractures, stiffness and promotes faster rehab

Question 23

Most frequent donor skin graft is

Answer 23

split thickness skin graft (STSG)

Question 24

Graft sites can be reharvested in how many days

Answer 24

10-15

Question 25

grafts are secured by?

Answer 25

staples, sutures or tissue glue

Question 26

Decreased STSG survival include?

Answer 26

inadequate vascularization, hematoma or seroma under graft, excessive mobilization, high contact/friction areas, local tissue hypoxia
Advanced age, malnutrition, DM or immune suppression, steroids