Burns Flashcards Preview

Nclex Review > Burns > Flashcards

Flashcards in Burns Deck (24):
1

Second-degree burn

Red, shiny, has vesicles, wet

2

Third-degree burn

White, dry, hard, painless, nerve damaged

3

For what purpose do you use the rule of nines

To estimate the percentage of the body surface burned

4

In the rules of nines...

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

5

What is the only IM given to a burn patient

Tetanus toxoid, if they had previous immunization

Tetanus antitoxin, if they have never been immunized before

6

In the emergent phase do you cover burns

Yes, with anything clean and dry

7

Should you remove adhered clothing

No

8

Name the 3 phases of burn

Shock
Diuretic
Recovery

9

Fluid moves from the________to the_____ _____ in the shock phase

Bloodstream, interstitial space

10

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

24 to 48hrs

11

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

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

12

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

Metabolic acidosis

13

What is the #1 therapy in the shock phases

Fluid replacement/resuscitation

14

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

The urine output will increase

15

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

2 to 5 days

16

In a diuretic phase, K+ levels rise or fall

Fall, remember diuretic always causes hypokalemia

17

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

Pulmonary edema

18

The burn patient will be on___ urine output and daily_____

Hourly, weight

19

Sulfamyon cream____

Burns

20

Silver nitrate cream___ the___

Stains,skin

21

Pain meds should be administered___ mins before____ care

30mins, wound care

22

When using a sliver nitrate, the dressing must be kept__

Wet

23

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

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

24

First-degree burn

Red, no vesicles