Burns

Question 1

Two age groups most at risk for burn injury

Answer 1

Children and elderly

Question 2

What are the four burn types

Answer 2

Chemical, electrical, thermal, radiation

Question 3

Face/neck burn - nursing priority

Answer 3

Assess airway obstruction

Question 4

1st degree (Superficial)

Answer 4

Skin pink/red, painful (Sunburn)

Question 5

2nd Degree (deep thickness)

Answer 5

Skin red/white, blisters and swelling is noted

Question 6

3rd degree (full thickness)

Answer 6

Skin black/brown, edema, all layers of skin burned, grafting may be needed

Question 7

what is the formula used to determine fluid replacement for burns

Answer 7

Parkland Formula

Question 8

Parkland formula

Answer 8

4ml of lactated x weight x % of body burned

Question 9

Parkland formula for fluid given time

Answer 9

1/2 total volume first 8 hours
Next in next 16 hours

Question 10

Should a burn client burst a blister

Answer 10

NO

Question 11

Burn best route pain meds

Answer 11

IV

Question 12

Best diet for burns

Answer 12

High calorie high protein

Question 13

Common electrolyte problem for burns

Answer 13

hypokalemia or hyperkalemia

Question 14

Due to prolonged stress - ulcer risk for burns

Answer 14

Curlings ulcers

Question 15

Meds given before dressing changes

Answer 15

all pain meds

Question 16

BURNS priority

Answer 16

Watch for damaged airway due to burns, smoke inhalation, debris - S/S - smoky breath, hoarseness of voice, wheeze, crowing, stridor, drool

Question 17

Burn victims need to be evaluated for carbon monoxide poisoning - S/S

Answer 17

H/A, dizzy, tinnitus, elevated levels

Question 18

2 types of grafts for burns

Answer 18

HOMOgraft (allografts) - which are from human skin obtained from a cadaver

HETEROgraft (xenografts) - obtained from another species. Pigs most common