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(3) PT in Special Conditions > S1L2: Assessment > Flashcards

S1L2: Assessment Flashcards

1
Q

Which statement/s refer to the criteria for admission?

  1. Partial and full thickness burn > 20% TBSA in pt. under 10
    & over 50 (children & elderly)
  2. Partial & Full thickness burn >5% of TBSA in other age
    groups
  3. Full thickness > 10% TBSA in any age group
A

None. There should be:

Partial and full thickness burn > 10% TBSA in pt. under 10 & over 50 (children & elderly)

Partial & Full thickness burn >20% of TBSA in other age groups

Full thickness > 5% TBSA in any age group

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2
Q

Which statement/s refer to the criteria for admission?

  1. Partial & full thickness burns involving the hand, feet, face,
    perineum, or skin overlying minor joints
  2. Electrical burns & lightning injuries
  3. Chemical burns
  4. Patient with inhalation injury
A

2-4 ONLY.

Partial & full thickness burns involving the hand, feet, face,
perineum, or skin overlying MAJOR joints

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3
Q

● Divides the body into areas of 9%
● More practical in the emergent of triage of a pt with an
acute burn injury

A

TOTAL BODY SURFACE AREA (TBSA)

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4
Q

TBSA

Head =
Torso front =
torso back =

A

TBSA

Head = 9
Torso front = 18
torso back = 18

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5
Q

TBSA

Arms front =
Arms back =
legs front =
legs back =

A

TBSA

Arms front = 4.5
Arms back = 4.5
legs front = 9
legs back = 9

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6
Q

Used better for more thorough assessment while the other one
is for quick assessments

A

MODIFIED LUND AND BROWDER METHOD

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7
Q

T/F: Modified lund and browder method divides the body into much smaller areas & gives you sizes that are associated with differently aged patients

A

True

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8
Q

T/F: Modified lung and browder method modify the percentages of body surface area to account
for a continuum age and to accommodate for growth of
different body segments

A

True

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9
Q

Which is more accurate, TBSA or Modified lung and browder method? Why?

A

Modified lung and browder method. gives
% depending on the age of pt

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10
Q

Identify if minor, moderate or major

Partial thickness burn

A

None

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11
Q

Identify if minor, moderate or major

SUSPECTED Inhalation injury

A

Moderate

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12
Q

Identify if minor, moderate or major

KNOWN Inhalation injury

A

Major

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13
Q

Identify if minor, moderate or major

Electrical burn

A

MAJOR

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14
Q

Identify if minor, moderate or major

Burn injury in eyes,
ears, face,
perineum, hands

A

MAJOR

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15
Q

Modified T/F:

A. comorbid factors & premorbid illness that are FX or TRAUMA, it is classified as MINOR
B. predisposing pt to infection such as DM or SCD, are classified as MAJOR

A

FF
A - Major
B - Moderate

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16
Q

Identify if minor, moderate or major

Children & Elderly <10% TBSA

A

Minor

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17
Q

Identify if minor, moderate or major

Children & Elderly 20% TBSA

A

Moderate

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18
Q

Identify if minor, moderate or major

Children & Elderly >20% TBSA

A

Major

19
Q

Identify if minor, moderate or major

Adult <15% TBSA

A

Minor

20
Q

Identify if minor, moderate or major

Adult 15-25% TBSA

A

Moderate

21
Q

Identify if minor, moderate or major

Adult >25% TBSA

A

Major

22
Q

Identify if minor, moderate or major

Full thickness burn 2% not involving the EEHFP

A

Minor

23
Q

Identify if minor, moderate or major

Full thickness burn 2-10%, except EEHFP, electrical or inhalation

A

Moderate

24
Q

Identify if minor, moderate or major

Full thickness burn >10%, except
EEHFP, electrical or inhalation

A

Major

25
Q

Modified T/F: Complications of Burns

A. Pulmonary complications include carbon monoxide
poisoning, tracheal damage, upper airway obstruction,
pulmonary edema, pneumonia

B. It is the leading cause of mortality

A

TF

B. Infection is the leading cause of mortality

26
Q

Give 2 common bacteria that affects open wounds

A

Pseudomonas Aeruginosa
Staphylococcus Aureus

27
Q

Modified T/F: Complications of Burns

A. Severe burns where there are hemodynamic changes from
the loss/shifting of fluids
B. 10% decrease in cardiac output within the first hour after
injury

A

TF

B - 15% decrease in cardiac output within the first hour after
injury

28
Q

Modified T/F: Complications of Burns
A. Thermal injuries cause a great metabolic and catabolic
change to the body
B. Rapid increase in body weight and increase in energy stores are vital to the healing process

A

TF

B - Rapid decrease in body weight and decrease in energy
stores that are vital to the healing process

29
Q

If individuals with burns are placed in a normal ambient temperature, excessive heat loss will be exhibited, therefore there is increase in stress response. What is the recommended room temperature to reduce the metabolic rate?

A

30°C

30
Q

Modified T/F: Complications of burns

A. Heterotrophic ossification occurs in areas of partial thickness burns or sites that remain unhealed for a prolonged period of time
B. The most common joint affected is the hip

A

FF
A - full thickness
B - Elbow

31
Q

T/F: Heterotrophic ossification suspected etiologies includes Immobilization, microtrauma, low protein intake, sepsis

A

False - Suspected etiologies: Immobilization, microtrauma, high
protein intake, sepsis

32
Q

Happens when compression bandages applied to tight, poorly fitted
splints, inappropriate positioning

A

Neuropathy

33
Q

Superficial nerves that can get impinged when wearing splint (3)

A

Brachial plexus, ulnar, common peroneal

34
Q

Refers to
● Deep partial thickness burns allowed to heal
● Full thickness burns that have been skin grafted

A

PATHOLOGICAL SCAR

35
Q

Wound healing: Inflammatory, proliferative or maturation

  1. Ratio of collagen breakdown to production determines the type of scar that forms
  2. Wound contraction
  3. Fibroblast formation
  4. Characterized by redness, edema, warmth, pain, and decreased ROM d/t pain
  5. Re-epithelialization is occurring at the surface of the wound, while deep within the wound, fibroblasts are migrating and proliferating
A
  1. M
  2. P
  3. P
  4. I
  5. P
36
Q

Modified T/F: In maturation phase

A. If collagen production is equal or greater than collagen breakdown, there will be hypertrophic scar
B. If collagen production is less than collagen breakdown, there will be a pale flat and pliable scar

A

FF
A - pale flat and pliable scar
B - hypertrophic scar

37
Q

Types of Burn scars

Characterized by extremely tight skin that can restrict your ability to move.

A

Contracture Scars

38
Q

Types of Burn Scars

Can appear as a firm, rubbery lesion or shiny, fibrous nodules

A

Keloid scars

39
Q

Types of Burn Scars

Excessive collagen deposits. Appear raised, but not to the
degree observed with keloids

A

Hypertrophic scars

40
Q

T/F: On histological examination, keloid scar tends to have regularly patterned collagen

A

False - hypertrophic scars

41
Q

T/F: Hypertrophic scars are contained in the site of injury and ,may regress over time

A

True

42
Q

Keloid scars come out on the usual []

A

wound bed

43
Q

Modified T/F: Contracture Scars

A. Abnormal and happens when a large array of skin is damaged resulting in a scar formation where the edges of
the skin are pulled together causing a tight area.
b. If too tight surgical intervention may be needed for release. Downside: need to heal again after the session

A

TT

(3) PT in Special Conditions (40 decks)

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