Burns (Exam 2) Flashcards
What type of burn patients go straight to the ICU?
Electrical, chemical, and inhalation burns
Pregnant women
Burns that cover 10% of body
Why are inhalation burns so dangerous?
They patients are usually Asymptomatic!
What part of the body is the respiratory system is the priority?
Neck, face, chest, torso
What part of the body where a disability is the priority?
Hands, eyes, feet, joints
What part of the body where infection is the priority?
Why is the ears so different/difficult with recovery?
Ears, eyes, perineum
Ears have a slow healing process
What are example of Thermal Burns?
Hot oil (Test Q)
What is a 1st degree burn?
How would they be describe?
Affects the epidermis
Red, blanchable, with pain (nerve endings are still present/intact) (TEST Q)
Example: Superficial burns
What is a 2nd degree burn?
How would they be describe?
What is the priority treatment? (TEST Q)
PARTIAL THICKNESS BURNS (example)
Very painful, more severe, blisters are PRESENT (fluids shifting in the tissues), swelling (d/t shift in fluids)
Pain managment
What are the effects of a 2nd degree burn (ex: blisters, vasodilation) and why do they occur?
BLISTERS (ruptures or intact)
if they remain intact is remains 2nd-degree
Vasodilation results in hypotension d/t the shift in fluids
What is a 3rd degree burn?
How would they be describe?
How do they differ from other degrees? (TEST Q)
Example: Full thickness burns
The dermis is being affected
Nerve endings may not be present, pts may not have pain
Pts will have hypertrophic scars (described as “white and charred”)
What is a 4th degree burn?
How would they be describe?
How do they differ from other degrees? (TEST Q)
Goes into the muscles and bones
interdisciplinary decision-making (esp w/ RT, hospitalists, nurses)
Fluid resuscitation is KEY!
Intubation/mechanical ventilation may occur esp. w/inhalation burns
What are the difference between Partial-thickness and Full-thickness? (Test Q)
PARTIAL-THICKNESS
Depth of Burn: involves the epidermis and part of the dermis
Appearance:
superficial partial (red, painful, may blister)
Deep partial thickness (red or mottled appearance with blistering and pain)
Healing Time:
superficial partial (heals withing a few weeks with minimal scarring)
Deep partial thickness (may require more time to heal, and scarring can be significant)
Regeneration Potential: is possible and skin function may be restored
Nerve Damage: may be damaged, leading to pain and sensitivity
Examples: 1st and 2nd degree burns
What are the difference between Partial-thickness and Full-thickness? (Test Q)
FULL-THICKNESS
Depth of Burn: reaches down to the SubQ tissues
Appearance: WHITE or CHARRED (may not be as painful d/t nerve damage)
Healing Time: Requires medical intervention and often results in scarring
Regeneration Potential: limited ability, grafts or other interventions are often required
Nerve Damage: are often damaged, leading to reduced sensation in the affected area
Example: 3rd degree burns
What is the most “reliable” indicator that burn treatment is effective?
How many mililiter (mL)?
Urine output (UO)
30mL/hr (indicates adequate perfusion) and foley catheter is placed
What is the priority assessment for 3rd degree burns?
fluid loss and swelling (if there is an increase)
