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AAW - Musc/Skele Week 2 > Rishavy - Burns > Flashcards

Flashcards in Rishavy - Burns Deck (17)
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1
Q

How much fluid do you give to a burn victim? (What is the parkland equation?)

A

4cc/kg/TBSA (total body surface area)

Give the first half of fluids 8 hours post burn,
other half next 16 hours

Inhalation injury add 25%

2
Q

What is the major cause of organ damage in burn victims? Why is vit C given to burn patients?

A

Cytokine release of free rad’s.

Vit C is an antioxidant.

3
Q

What do IVFs do to the “zone of statis” of a burn?

A

Drives it into the zone of hyperemia, away from the zone of coagulation (dead tissue).

4
Q

What is the best measure of IVF resuscitation when treating burns? What amount is sufficient?

A

Measure of urine output
peds 1cc/kg/hr
adult .5cc/kg/hr

5
Q

Predicted mortality of a burn?

A

TBSA + age

6
Q

Which blisters do we pop? Which do we leave alone?

A

Pop clear blisters (high concentration of inflamm mediators that lead to more dmg)

Leave hemorrhagic blisters (they are protective)

7
Q

Differences between 1st, 2nd, 3rd, and 4th degree burns.

A
He said it will be on the test.
1st - sunburn
2nd- blistering
3rd- penetrates subcu, needs grafting, painless
4th- Penetrates deep, bone, organ, etc.

(this stuff all seems pretty basic so far right? It gets better)

8
Q

The three main types of burn Tx from class

A

Silvadene, Mafenide acetate (sulfamylon), Silver nitrate.

9
Q

Silvadene complications

A

Neutropenia (low amount of neutrofils)

10
Q

Mafenide acetate (sulfamylon) complications

A

Carbonic anhydrase inhibitor (cannot convert CO2 + water –> bicarbonate + proton)
i.e. metabolic acidosis.

11
Q

Silver nitrate complications

A

leaches Na+, K+, Ca2+, Cl-

Hyponatremia, hypokalemia, hypocalcemia, hypochloremia

12
Q

Are antibiotics needed in the initial 24-72 hours after a burn?

A

No.

13
Q

Escharotomy

A

“Splitting the hot dog”

Skin cut to releave pressure if a circumferential burn is cutting off circulation.

14
Q

What urine output do you want with someone suffering an electrical injury?

A

> 100 cc/hr

15
Q

What is the type of injury resulting from acid burns?

A

Coagulation necrosis

16
Q

What do you give to someone suffering an HF burn?

A

5% CaGluconate & (Mg2+)

topically, subcu, intra-arterial until the pain stops.

17
Q

What is the type of injury resulting from alkali burns?

A

Liquefaction necrosis