Burns Flashcards
(23 cards)
part of burn that has the greatest heat transfer and has been damaged the most severely
zone of coagulation
how do we figure out the percent of burns over ones body
rule of nines
describe percentages related to the rule of nines:
1. trunk
2. legs
3. arms
4. peritoneal
5. head
- 18% on front and 18% on back
- 9% on front and 9% on back
- 4.5% on front and 4.5% on back
- 1% on front only
- 4.5%. on front and 4.5% on back
*do you get the idea??
superficial classification
2-3 layers of epidermis
partial thickness
all epidermis and part of dermis
deep-dermal partial thickness
entire epidermis and dermis layer
full thickness
epidermis to subcutaneous
*requires surgical intervention
what is airway management
-intubation
-check in mouth and nares for debris
what is circulatory management
pt may be hypovolemic
-determine fluid need by looking at depth and % of burns
burn shock
inadequate cellular perfusion
-hypovolemic
-edema
-hemodynamic alterations
NG tube is used for…
distention
pts prone to stress ulcers
inhalation injury
carbon monoxide poisoning
*do an ABG
carboxyhemoglobin
displace oxygen from hemoglobin
How are we going to treat oxygenation issues
non rebreather
high flow O2
10-15 L
electrical burns lead to….
rhabdomylosis
acidosis
what is important to remember regarding homografts
live or dead graft can be rejected
what is a heterograft
pig skin
which phase of a burn is hyper metabolic and can lead to wound infection and sepsis
acute care phase
dilantin induced skin eruption
round erythemous papule resembling an insect bite
“target”
steven johnson syndrome
skin detaches
<10%
toxic epidermal necrolysis
skin detaches
>30%
erythema multiforme
occurs after herpes simplex
self limiting
goal of burn wound
wound closure
