Week 2 Burns- Rishavy Flashcards Preview

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Flashcards in Week 2 Burns- Rishavy Deck (9)
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1

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

2

How do you determine morbitity?

TBSA + age

3

How do you determine TBSA?

only 2,3, and 4th degree burns
Rule of 9's!

4

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

5

What is IV fluid supplemented with? Why?

VITAMIN C!!!
This is a free radical scavenger!!! (Presumed that a significant amount of organ damage is caused by cytokine release of free radicals

6

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

7

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)

8

At what temperature should you rewarm a frostbite?

Rapid rewarm at approximately 104 degrees

9

What kind of necrosis is caused by Acids? by alkalis?

Acids cause coagulation necrosis
Alkalis can cause liquefaction necrosis