Minor Burns, Sunburns, and Wounds

Question 1

When do acute injuries heal?

Answer 1

Less than 1 month

Question 2

(T/F) Chronic damage eventually heals through normal stages of tissue repair

Answer 2

False, does not heal thru normal means

Question 3

UVA vs UVB vs UVC

Which suppresses immune system?

Answer 3

UVA

Question 4

UVA vs UVB vs UVC

Which produces sunburns?

Answer 4

UVB

Question 5

UVA vs UVB vs UVC

Which is in range of 290-320nm?

Answer 5

UVB

Question 6

UVA vs UVB vs UVC

Which is in range of 320-400nm?

Answer 6

UVA

Question 7

UVA vs UVB vs UVC

Which mostly reflects off ozone layer?

Answer 7

UVC

Question 8

UVA vs UVB vs UVC

Which synthesizes vit. D-3?

Answer 8

UVB

Question 9

UVA vs UVB vs UVC

Is the main driver causing skin cancer

Answer 9

UVB

Question 10

UVA vs UVB vs UVC

Causes premature aging

Answer 10

UVA

Question 11

UVA vs UVB vs UVC

Most of what does make it thru is absorbed by stratum corneum

Answer 11

UVC

Question 12

What are the parts of wound healing?

Answer 12

1. Inflammatory
2. Proliferative
3. Maturation

Question 13

Wound healing

How long does the inflammatory stage last?

Answer 13

3-4 days

Question 14

Wound healing

What are the subgroups of the inflammatory stage?

Answer 14

1. Hemostasis

2. Inflammation

Question 15

Wound healing

How long does the proliferative stage last?

Answer 15

About 3 weeks

Question 16

Wound healing

What is the special function of the proliferative stage?

Answer 16

Wound is filled w/ new connective tissue + covered w/ new epithelium

Question 17

Wound healing

How long does the maturation stage last?

Answer 17

About 60 days

Question 18

What are the factors that delay healing?

Answer 18

1. Medical conditions
2. Poor nutrition
3. Infection
4. Decreased vascularization

Question 19

How does decreased vascularization affect delayed healing?

Answer 19

Poor circulation, poor oxygenation, poor leukocyte function, which all causes increased risk of infection

Question 20

In stage 1 of superficial burns, it involves the _____ layer of the skin w/ no loss of skin layer

Answer 20

epidermis

Question 21

In stage 1 of superficial burns, can by treated by ____ ____

Answer 21

self care

Question 22

In stage 1 of superficial burns, it will usually heal within __ to __ days

Answer 22

3 to 6

Question 23

In stage 2 of burns, it involves the ____ and part of the ____ layer

Answer 23

epidermis + dermis

Question 24

In stage 2 of burns, may involve ______

Answer 24

drainage

Question 25

In stage 2 of burns, it takes about ____ weeks to heal

Answer 25

2+

Question 26

What percentage of your body can be treated w/ self care?

Answer 26

<2%

Question 27

Sunburns that blister are considered stage ___ burn

Answer 27

2

Question 28

In stage 3 of burns, it involves what layers of the skin?

Answer 28

Epidermis + Dermis + may involve subcutaneous

Question 29

In stage 4 of burns, it involves what layers?

Answer 29

Stage 3 + underlying muscle, tendon and/or bone

Question 30

Just know that a diabetic pt w/ a burn is an exclusion for self-care

Answer 30

okay

Question 31

For burns, immediately cool the area w/ ____ tap water for ______ minutes

Answer 31

cool + 10 to 30

Question 32

Irrigate chemical burns w/. copious amounts of water for at least ___ minutes

Answer 32

15

Question 33

What is the advantage of gauze?

Answer 33

Cheap + available

Question 34

What is the disadvantage of gauze?

Answer 34

Adheres to wound, must be changed often, needs surgical tape to hold in place

Question 35

What do antimicrobial wound dressings contain?

Answer 35

Silver or iodine

Question 36

What is the benefit to foam + alginates?

Answer 36

Absorbs excess moisture + beneficial early in healing process

Question 37

What is the benefit to transparent film dressings/hydrocolloids/adhesive bandages?

Answer 37

Maintains moisture + preferred during proliferative phase

Question 38

What dressing is beneficial early in the healing process?

Answer 38

Foams + Alginates

Question 39

What dressing is preferred during the proliferative phase?

Answer 39

Transparent film + Hydrocolloids + Adhesive bandages

Question 40

NSAIDS vs Tylenol Which provides just analgesia?

Answer 40

Tylenol

Question 41

NSAIDS vs Tylenol Which provides both analgesia + anti-inflammatory effects?

Answer 41

NSAIDS

Question 42

What is the pediatric dosing of Tylenol?

Answer 42

10-15mg/kg Q4-6H

Question 43

What is the pediatric dosing of Ibuprofen?

Answer 43

5-10mg/kg Q6-8H Dont use younger than 6 months

Question 44

What is a precaution of using hydrogen peroxide?

Answer 44

Releases oxygen, dont use in abscess, can damage tissues

Question 45

What is a precaution of using ethyl alcohol?

Answer 45

Can use around damaged tissue, but not directly on wound

Question 46

What is a precaution of using isopropyl alcohol?

Answer 46

Dehydrates wound area + higher reported infection rate

Question 47

What is a precaution of using iodine?

Answer 47

Causes skin irritation + skin discoloration

Question 48

What is a precaution of using povidone/iodine?

Answer 48

Can be absorbed systemically + elevate iodine levels

Question 49

What is a precaution of using camphorated phenol?

Answer 49

If used on moist areas, phenols can separate from H2O and lead to toxic concentrations

Question 50

What are some complimentary therapies for burns?

Answer 50

Aloe vera, honey, and calendula

Question 51

What does aloe vera contain?

Answer 51

Vit. A, B, C, and E

Question 52

What does honey contain?

Answer 52

Purported to have antibacterial, anti-inflammatory, and anti-fungal properties

Question 53

What can calendula do to burns?

Answer 53

Said to decrease healing time

Question 54

To prevent burns, bath water should be below ____ degrees F

Answer 54

100