Test #2 Burns ARTICLES- Dwayne Flashcards Preview

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Flashcards in Test #2 Burns ARTICLES- Dwayne Deck (26):
1

Most common burn in children

scalds

2

Most common burn in adults

Flame burns

3

Depth of burn is R/T what

Contact Temp, duration of contact, thickness of skin

4

Frostbite occurs from

ice crystals puncturing the cell or a hypertonic tissue environment

5

Chemical burns are caused from

caustic substances causing alteration in pH, disruption of cell membrane and direct toxic effect

6

Inhalation burns are caused from

flash burns and steam

7

Whats is the most common radiation burn

sunburn

8

what determines the depth of radiation exposure

the type of particle used

9

Superficial of 1st degree burns

epidermal burn involving the epidermal layer ONLY

10

Partial thickness burns

Involve the epidermal layer and portions of the dermis

11

Partial thickness burn catagories

superficial - form blisters and the skin blanches with pressure
Deep - damage hair follicles, and glandular tissue. painful to pressure only, easily unroof, DO NOT Blanch under pressure

12

Full thickness Burns

Destroy all layers of the dermis and injure the underlying subQ tissue
the eschar can compromise a limb or torso if circumfrential

13

4th degree Burns

deep life threatening that extend from skin to fascia, muscle and or bone

14

Are all burns included in a total burn surface area assessment?

NO superficial burns are not counted

15

Most accurate way to determine Total body surface area

Lund-Browder chart

16

Most expeditious way to determine Total body surface area

Rule of 9's
Each leg= 18%
Each Arm = 9%
anterior and posterior trunk each = 18%
Head = 9%
Your Junk = 1%

17

Palm Method

The Pts whole hand = 1% in adults and kids

18

The estimation of total body surface area includes?

partial thickness, full thickness, and 4th degree.
SUPERFICIAL DO NOT COUNT

19

Urgent Immediate burn procedures are restrictive burns such as

eye lid release, mouth contractures, neurovascular bundles, sever neck contractires

20

Skin grafts reduce ?

the presence of necrotic and infected tissue

21

The advantage of primary closure is

improvement in esthetic outcomes theoretically

22

Early wound closure is associated with

decrease in hypertrophic scaring, joint contractures, stiffness and promotes faster rehab

23

Most frequent donor skin graft is

split thickness skin graft (STSG)

24

Graft sites can be reharvested in how many days

10-15

25

grafts are secured by?

staples, sutures or tissue glue

26

Decreased STSG survival include?

inadequate vascularization, hematoma or seroma under graft, excessive mobilization, high contact/friction areas, local tissue hypoxia
Advanced age, malnutrition, DM or immune suppression, steroids