Integument

Question 1

Psoriasis

Answer 1

Automimmune disorder that affects the skin, looks like silver plaques on reddened skin.
- Light exposure helps!

Question 2

Types of Burns

Answer 2

1. chemical
2. electrical
3. heath/thermal

Question 3

Severity of Burns

Answer 3

1st degree - blanchable redness (superficial)
2nd degree - blisters, wheeping, edema (partial thickness)
3rd degree - subcut, edema, eschar, pain reduced
4th degree - Muscle and bone involved, eschar, severe edema, no pain (full thickness)

Question 4

Rule of nines

Answer 4

• Head 9% (4.5% front/back)
• Arms 9% each (4.5% front/back)
• Torso 32% (18% front/back)
• Legs 18% each (9% front/back)

Question 5

Tx for Burns

Answer 5

• LR for fluid (Lots of it! 4ml x kg x %burn over 24hr)
• IV analgesic
• tetanus shot
• foley for strict I/O
• normothermia

Question 6

Burn Complications (9)

Answer 6

• Hyperkalemia
• Dehydration
• Compartment syndrome (tight skin and/or third spacing increases pressure on vessels)
• Hypovolemic shock
• Hyperglycaemia (increased cortisol)
• Inhalation injury
• carbon monoxide poisoning (false SPO2 reading) blast O2
• Burn sepsis
• ARDS

Question 7

Pressure Ulcer Stages

Answer 7

1. erythema
2. shallow open wound, red or pink
3. subcutaneous fat visible
4. muscle or bone visible
5. unstageable: eschar or slough in the way