Lesson 8

Question 1

82% of people die each year in household fires t/f

Answer 1

T!

Question 2

skin function

Answer 2

protect

regulate temp

altered by burns

Question 3

skin layers

Answer 3

epidermis

dermis

sub q

Question 4

burns are ____ _____ _____ injuries

Answer 4

diffuse
soft
tissue

Question 5

severity of injury depends on…

Answer 5

the amount of heat you have been exposed to

how long you were exposed

Question 6

thermal burns

Answer 6

flame 
scald (liquids)
contact 
steam 
flash (lightning)

Question 7

burn shock

Answer 7

reduces volume

NEED TO GIVE FLUIDS

6-8 hour onset for fluids

look at other injuries

Question 8

air way burns

Answer 8

causes swelling reducing airway

Question 9

smoke inhalation

Answer 9

CO

cyanide

causes hypoxia

Question 10

carbon monoxide

Answer 10

present in all forms of combustion

attaches with great affinity to RBCs

might not be cherry red

Question 11

chemical burn causes

Answer 11

acids
bases
oxidizers 
phosphorus
vesicants

Question 12

electrical burns

Answer 12

contact - touch something hot

flash - lightning

flame

Question 13

electrical burns can cause

Answer 13

asphxia
seizures
neurological

Question 14

__ Canadians die a year due to lightning

Answer 14

6

Question 15

radiation burns

Answer 15

alpha (stopped by the skin)

beta (stopped by clothing)

gamma

Question 16

burn general assessment

Answer 16

chief complaint (cold)

Question 17

in burns do we leave clothes on?

Answer 17

NO

Question 18

how to assess burn severity

Answer 18

depth
extent
other complications

Question 19

how many types of burns

Answer 19

4

Question 20

superficial burns

Answer 20

1st degree
epidermis
painful
skin red, hot, dry

Question 21

partial thickness burns

Answer 21

2nd degree

epi/dermis
skin red/hot/blisters

very painful
causes by hot liquids

Question 22

full thickness

Answer 22

3rd degree burn

all layers burnt

no pain

needs skin grafting

white/pale/brown/leathery/charred

Question 23

secondary assessment of burns

Answer 23

body uses lots of sugar check that!

Question 24

radiation burns are high priority t/f

Answer 24

T

Question 25

burn treatment

Answer 25

stop burning keep patient warm treat other injuries IV/fluids (large bore) ringers/saline used burn upper extremity vs lower

Question 26

parkland formula how much fluid a patient needs within first 24 hours (divide by 2 to get for 8 hours)

Answer 26

4ml x patients weight x body surface area

Question 27

manage superficial burns

Answer 27

soak hands/feet dry sterile dressings

Question 28

manage partial thickness burns

Answer 28

cool elevate IV wrap burns pain management

Question 29

manage 3rd degree burns

Answer 29

cool sterile dressings IV/fluids pain meds

Question 30

manage chemical burns

Answer 30

avoid exposure take of patient clothing flush with water (apply dry lime) know chemical involved

Question 31

t/f sodium metal reacts with water? how to treat these

Answer 31

T! oil

Question 32

eye burns

Answer 32

flush with lots of water remove contacts

Question 33

electrical burn treatment

Answer 33

turn of power ABC ready for cardiac arrest look for entry/exit points

Question 34

who gets more injured by burns?

Answer 34

children need more fluids maybe dextrose? child abuse?

Question 35

geriatric burns

Answer 35

6th leading cause of death in elderly

Question 36

types of minor burns that go to burn centre

Answer 36

50% + superficial 15% + partial thickness 2% + full thickness

Question 37

types of moderate burns that go to burn centre

Answer 37

50% + superficial 30% + partial thickness 10% + full thickness

Question 38

types of critical burns that go to burn centre

Answer 38

30% + partial thickness 10% + full thickness inhale