Burns

Question 1

Second-degree burn

Answer 1

Red, shiny, has vesicles, wet

Question 2

Third-degree burn

Answer 2

White, dry, hard, painless, nerve damaged

Question 3

For what purpose do you use the rule of nines

Answer 3

To estimate the percentage of the body surface burned

Question 4

In the rules of nines…

Answer 4

Head & Neck 9%
Ea. Arm 9%
Front & Posterior trunk 18%
Ea. Leg 18%
Genitalia 1%

Question 5

What is the only IM given to a burn patient

Answer 5

Tetanus toxoid, if they had previous immunization

Tetanus antitoxin, if they have never been immunized before

Question 6

In the emergent phase do you cover burns

Answer 6

Yes, with anything clean and dry

Question 7

Should you remove adhered clothing

Answer 7

No

Question 8

Name the 3 phases of burn

Answer 8

Shock
Diuretic
Recovery

Question 9

Fluid moves from the________to the_____ _____ in the shock phase

Answer 9

Bloodstream, interstitial space

Question 10

The shock phase last for the first __ to__ hours after a burn

Answer 10

24 to 48hrs

Question 11

During. Shock phrase of a burn is potassium increased or decreased? Why?

Answer 11

Increased, because of all the cells damaged the K+is released from damaged cells

Question 12

What acid base disorder is seen in the shock phase of a burn

Answer 12

Metabolic acidosis

Question 13

What is the #1 therapy in the shock phases

Answer 13

Fluid replacement/resuscitation

Question 14

How will you know the patient has entered the fluid mobilization or diuretic phase

Answer 14

The urine output will increase

Question 15

How long does the fluid mobilization or diuretic phase of a burn last

Answer 15

2 to 5 days

Question 16

In a diuretic phase, K+ levels rise or fall

Answer 16

Fall, remember diuretic always causes hypokalemia

Question 17

If the nurse accidentally runs the IVs at the shock phase rate during the diuretic phase the patient will experience _____ ______.

Answer 17

Pulmonary edema

Question 18

The burn patient will be on___ urine output and daily_____

Answer 18

Hourly, weight

Question 19

Sulfamyon cream____

Answer 19

Burns

Question 20

Silver nitrate cream___ the___

Answer 20

Stains,skin

Question 21

Pain meds should be administered___ mins before____ care

Answer 21

30mins, wound care

Question 22

When using a sliver nitrate, the dressing must be kept__

Answer 22

Wet

Question 23

What is curlings ulcer? Why is it a problem in burn patients? What drugs prevent it?

Answer 23

•Stress GI ulcer
• You get these with any severe physical stress 
• Drugs: 
    Antacid, antihistamine -dine 
    PPI-zole

Question 24

First-degree burn

Answer 24

Red, no vesicles