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1

How are burns classified?

by degree

2

First Degree Burn =

Second Degree Burn =

Third Degree Burn =

1 = through epidermis/dermis

2 = through hair follicles, sweat glands, nerves, blood vessels

3 = through fat, muscle, to bone

3

Second Degree burns heals within ---- days

5-30

4

Second Degree burns cause skin to be ---

mottled (white to cherry red)

5

Third Degree burns case skin to be ---

white, leathery, charred

6

Results from direct contact w/ flames.

Third Degree Burn

7

Causes tissue coagulation with no pain.

Third Degree Burn

8

Which degree of burns has NO pain?

Third Degree (b/c nerve endings are destoyed)

9

Blisters are seen in which degree of burns?

second degree

10

Along w/ severity, burns are also classified by ---

thickness

extent/location

11

Types of Burns

- Thermal Burns (most in kids)
- Chemical Burns
- Electrical Burns
- Radiation Burns

12

Assessing Burn Injuries

1) % of BSA affected
2) depth of burn
3) location of burn injuries

13

What are local responses to burns?

- Edema
- Fluid Loss
- Circulatory Stasis
- Burn Wound

14

Systemic responses to burns?

- Circulatory (shock)
- Anemia
- Renal (decreased urine output to maintain fluid vol)
- Metabolism
- Growth Changes

15

Nursing Responsibilities in Emergent Phase of Burn

1) put out (stop drop and roll)
2) cover burn w/ sterile/clean cloth or gauze
3) transport child to medical care
4) NPO
5) Provide reassurance

16

To prevent hypovolemic shock in burns, what do we do?

maintain circulating fluid volume

2-4 mL/kg x TBSA

17

In --- ---, the wound remains exposed to air after cleaning.

Exposure Therapy

18

In --- ----, wound is resurfaced after cleaning.

Occlusive Dressing

19

Which rule is used to classify burn extent or location?

Rule of 9s

20

Why would you get anemia with a burn?

destruction of RBCs

21

A sign of facial burns is --- --- ---.

singed facial hairs

22

Type of Burn:

- Pink-Red color (no blisters)
- blanches w/ pressure
- heals within 5-10 days
- no scarring

First Degree (Superficial)

23

Type of Burn:

- Pink-Red color (w/ blisters)
- blanches w/ pressure
- heals within 14-21 days
- some scarring

Second Degree (Superficial Partial Thickness)

24

Type of Burn:

- Red to tan, black, brown, or white in color
- dry, leathery appearance
- no blanching
- heals within weeks to months
- grafting required

Third Degree (Full Thickness)

25

Type of Burn:

- color variable
- dull and dry
- charring
- possible visible ligaments/bones/tendons
- NO PAIN

Fourth Degree (Deep Full Thickness)

26

Why would the burn injury to an infant be deeper than a normal child?

their skin is thinner

27

Should we use ice on a burn wound?

NO

cool water only

28

Avoid using ---- or ---- on burns.

greasy lotions

butter

29

Which IV fluids are used during the early stage of burn recovery?

Isotonic Crystalloids (0.9% NS, Ringer's Lactate)

30

Maintain urine output of ---.

1-2 mL/Kg/hr if less than 30 kg

30 mL/hr if more than 30 kg