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Flashcards in burns Deck (37):
1

increased risk of death in which age groups?

really old, really young

2

most common airway injury (burn)

carbon monoxide poisoning

3

rule of nines (adult)
- head/neck
- arms
- trunk (back and front)
- genitals
- legs

9% - head/neck
9% - arms
18% - trunk (back and front)
1% - genitals
18% - legs

4

if burn client is restless, consider which 3 problems?

- inadequate fluid replacement
- pain
- hypoxia

5

examine what to determine if fluid volume is adequate?

urine output

6

why is there more death with upper body burns?

airway injury

7

burn client with shallow respirations - retaining what and experiencing what imbalance?

CO2, acid
respiratory acidosis

8

measure this hourly to ensure not overloading burn client with fluid

CVP - want to see slow rise of BP

9

why give albumin to burn patient?

draws volume into the vessels

increases: vascular volume, BP, CO, workload of heart

10

why are IV meds preferred to IM meds in burn clients?

decreased perfusion to absorb IM

acts quicker

11

tetanus toxoid: type of immunity and length of time to develop

active, 2-4 weeks

12

immune globulin: type of immunity and length of time to develop

passive, immediate

13

escharotomy

cut through eschar to relieve pressure and restore circulation

14

fasciotomy

cut deep into tissue - through eschar and fascia - relives pressure and restores circulation

15

burn client circulatory check (x4)

pulse
color (skin)
temp (skin)
cap refill

16

burn client with brown or red urine: action and what it means

call provider
muscle damage --> myoglobin --> could gunk up glomerulus --> kidney damage

17

drug used to flush out kidneys in burn patient

mannitol - osmotic diuretic

18

uop less than 30mL/hour in burn client, worry?

kidney failure

19

48 hours post burn concern?

client will begin to diurese (if kidneys not damaged) because fluid is going back into vascular space; worry about fluid volume excess

20

electrolyte imbalance frequently seen in burn patients

hyperkalemia because cells have lysed and expelled contents into serum

21

prevent stress ulcer/Kerling's ulcer in burn patients

carbonate/magnesium carbonate (Mylanta)
pantoprazole (Protonix)
famotidine (Pepcid)

22

paralytic ileus in burn patients: why and treatment

decreased vascular volume and gi motility; hyperkalemia
treat with: NPO and NG tube hooked to suction

23

labs to ensure proper nutrition and positive nitrogen balance in burn patients? x3

albumin (status weeks ago)
prealbumin (status today)
total protein

24

superficial thickness burn

aka 1st degree
damage to epidermis only

25

partial thickness burn

aka 2nd degree
damage to entire epidermis and varying depth of dermis

26

full-thickness burn

aka 3rd degree
damage to entire dermis and sometimes fat

27

#1 complication with perineal burn

infection

28

eschar

dead tissue, needs to be removed for tissue to regenerate

bacteria love it!

29

enzymatic drugs to treat eschar in burn patients

sutilanis (Travase)
collagenase (Santyl)
silver sulfadiazine
"eats" dead tissue

30

hydrotherapy

aka whirlpool therapy
eschar debridement
- give pain meds first
- worry about cross contamination

31

considerations for broad spectrum abx in burn patients?

avoid to prevent secondary infection, superinfection

ok to use until wound cultures return

32

two ae of -mycins

nephrotoxicity (will see increase in BUN, creat)
ototoxicity

33

how often can you reharvest from a graft donor site (given patient is well nourished?)

every 12 - 14 days

34

how long do you flush a chemical burn?

15 to 20 minutes

35

priority for new electrical burn patient?

heart monitor for 24 hours

36

what arrhythmia is electrical burn patient at risk for?

v fib

37

what causes renal damage in electrical burn patient?

myoglobin, hemoglobin build up