Flashcards in Week 2 Burns- Rishavy Deck (9)
How do you determine what degree a burn is?
1st --> sunburn, erythema and swelling
2nd --> Blisters, very painful
3rd --> painless, penetrates into the subcutaneous and needs grafting
How do you determine morbitity?
TBSA + age
How do you determine TBSA?
only 2,3, and 4th degree burns
Rule of 9's!
How do you determine how much fluid to give a burn vicitim?
4 cc/ kg/ TBSA
Cut this number in half and that needs to be given with-in the first 8 hours
Give the other half over the next 16
What is IV fluid supplemented with? Why?
This is a free radical scavenger!!! (Presumed that a significant amount of organ damage is caused by cytokine release of free radicals
Why do burn victims need a foley catheter?
BEST MEASURE OF RESUSCITATION IS URINE OUTPUT!!!
For PEDs want 1cc/kG/hour
For Adults want .5 cc/kG/hour
For electrical burn injury how much urine out put would you like to see?
Need to keep urine output > 100cc/hour (urine is a brown tea color)
At what temperature should you rewarm a frostbite?
Rapid rewarm at approximately 104 degrees