Burns

Question 1

TBSA

Answer 1

total burn surface area

Question 2

HO

Answer 2

heterotopic ossification

Question 3

8 alterations following a thermal injury

Answer 3

1. loss of protection
2. impaired thermoregulation
3. change in sensory and secretory function
4. loss of fluids
5. dec vitamin D
6. impaired skin regeneration
7. loss of hair growth
8. alteration in appearance

Question 4

one of the most common places to get an infection

Answer 4

hospital

Question 5

depth of burn related to these 3 things

Answer 5

1. temp of thermal source
2. duration of contact
3. victims of pre-existing status

Question 6

3 possible cardiac complications

Answer 6

1. dysrhythmias
2. hemodynamic stability
3. CHF

Question 7

4 possible respiratory complications

Answer 7

1. pneumonia
2. ARDS
3. pulm edema
4. pulm embolism

Question 8

3 possible metabolic complications

Answer 8

1. electrolyte imbalances
2. inc metabolic rate
3. pseudo diabetes

Question 9

a partial thickness wound will generally heal without surgery in approx ____ days

Answer 9

7-21

Question 10

sun burn is an example of what a ____ degree burn

Answer 10

1st

Question 11

superficial partial thickness burns only involve what layer of skin?

Answer 11

epidermis

Question 12

superficial partial thickness burn = ___ degree

Answer 12

2nd

Question 13

deep partial thickness burn = _____ degree

Answer 13

2nd

Question 14

how to tell the difference between a deep 2º and 3º?

Answer 14

if you pull out a hair in a 3º burn, it will come out because burn is as deep as follicle

Question 15

injury involving entire epidermis and dermis

Answer 15

full thickness injury

Question 16

what do full thickness injuries require to heal?

Answer 16

STSG

Question 17

laser up and down sides of legs to allow circulation

Answer 17

escharotomy

Question 18

prob the worst type of burn

Answer 18

electrical injuries

Question 19

open up skin down to fascia to release pressure

Answer 19

fasciotomy

Question 20

any burn that crosses a joint has a potential for…

Answer 20

contractures/deformities

Question 21

what of the skin changes in a chemical injury that puts a pt at risk for systemic complications?

Answer 21

ph of skin

Question 22

most common peds burn

Answer 22

scald injury

Question 23

almost always associated with inhalation injury

Answer 23

flame burn

Question 24

occurrence rate of contact injuries

Answer 24

low - small area injury

Question 25

inhalation injury inc risk of mortality by ____

Answer 25

30%+

Question 26

3 ways to map out extent of injury

Answer 26

1. palmer method 2. rule of nines 3. lund and browder chart

Question 27

is there capillary refill in full thickness burns?

Answer 27

no

Question 28

texture of deep partial thickness vs full thickness

Answer 28

soft/most vs dry/firm

Question 29

are blisters present in superficial partial thickness burns?

Answer 29

no

Question 30

sensation of superficial partial thickness

Answer 30

sensative

Question 31

sensation of deep partial thickness

Answer 31

hypersensitive

Question 32

sensation of full thickness

Answer 32

initially absent

Question 33

STSG

Answer 33

split thickness skin graft

Question 34

post op day ___ = start rehab

Answer 34

5

Question 35

how long does it take for a STSG to heal?

Answer 35

14 days

Question 36

CEA

Answer 36

cultured epidermal autografts

Question 37

in 2-3 weeks, ____ sheets of cultured skin can be available

Answer 37

200

Question 38

used for large % burns

Answer 38

CEA

Question 39

if a graft is taken from the same person it's being used for, its called an _________

Answer 39

autograft

Question 40

what healing phase do we need to be most involved in as PTs?

Answer 40

proliferation

Question 41

2 phases of scar formation

Answer 41

collagen production --> collagen degradation

Question 42

scar characteristics during collagen production phase

Answer 42

HYPERTROPHY 3 R's | rigid, raised, red

Question 43

scar characteristics during collagen degradation phase

Answer 43

MATURATION | soft, flat, pale

Question 44

3 factors contributing to scarring

Answer 44

1. depth of burn 2. healing time 3. skin color

Question 45

3 reasons for hypertrophic scarring

Answer 45

1. inc collagen production 2. irregular alignment of collagen 3. inc vascularity

Question 46

calcium deposits that form across joints

Answer 46

heterotopic ossification

Question 47

best treatment for contractures/scar bands

Answer 47

prevention

Question 48

a surgical procedure used to treat full-thickness (third-degree) circumferential burns

Answer 48

escharotomy

Question 49

the tough leathery tissue remaining after a full-thickness burn has been termed....

Answer 49

eschar