Burns Flashcards Preview

ER/Surg Unit 1 > Burns > Flashcards

Flashcards in Burns Deck (18)
Loading flashcards...
0
Q

pale pink to white, decreased cap refill, may be less painful

A

deep partial thickness burn

1
Q

pink, moist, blisters

A

superficial partial thickness burn

2
Q

examples of the 3 burn types?

A

superficial burn- sunburn
partial thickness burn- hot water scald (superficial)
full thickness burn- flame burn

3
Q

who is at highest risk for burn shock?

A

pts w/ >20% TBSA

4
Q

intubate if… (many)

A

closed space injury, carbonaceous sputum, facial burns, Hb CO >5, hoarse voice, singed facial hair, large dose of narcotics

5
Q

risk of smoke inhalation injury (6)

A

closed space injury, carbonaceous sputum, CO Hb >5, hoarse voice, singed facial hair

6
Q

management of inhalation injury (4)

A

mechanical ventilation
aggressive pulmonary toilet
pneumonia prevention/tx
supplemental nutrition

7
Q

parkland formula?

A

4 mL LR x Wt x TBSA = 24h postburn total fluids

8
Q

signs of abdominal compartment syndrome (4)

A

decreased urine output
increased bladder pressure
increased peak expiratory pressure
poor ventilation

9
Q

management of chemical burns

A

irrigate copiously with water
don’t try to neutralize
find out what its from, get MSDS

10
Q

concern with electrical burns?

A

current follows path of least resistance –> damage may be hidden under good skin

11
Q

management of electrical burns (3)

A

monitor for heart abnormalities
fluid resuscitation, even for small injuries
watch for rhabdo- myoglobinuria will require dialysis

12
Q

which burns have a risk of compartment syndrome?

A

circumferential burns

13
Q

only definitive skin graft?

A

autograft

14
Q

metabolic needs of a burned pt (4)

A

increased- can require more than 5000 cal/day
duodenal route is better tolerated, TPN not recommended
Need a lot of protein- 1.5-2.0 g/kg
supplement Vit A, D, E, C, selenium, zinc

15
Q

which scar overgrows beyond the area of injury

A

keloid

16
Q

which scar doesn’t grow beyond the area of injury

A

hypertrophic

17
Q

consequence of connective tissue being replaced with fibrotic tissue? (2)

A

decreased ROM

shortening of muscle