Week 3 Thermal Injury Flashcards Preview

Levi's Class 2014 > Week 3 Thermal Injury > Flashcards

Flashcards in Week 3 Thermal Injury Deck (27):
1

Classify the different types of burns?

-1 DEGREE
>Limited to epidermis and heals spontaneously

- 2 DEGREE
>Extends to dermis and may need grafting
(deep, superficial partial thikness)

- 3 DEGREE
>Extend to subcutaneous and skin grafting is
required. (full thickness)

- 4 DEGREE
>Muscle, fascia, bone which is extensive

2

Major burns are specified by:

-2nd degree >10% for adults and >20% extremes of age

- 3rd degree > 10%

-Electical Burns

-One complicated with inhalation

3

Are all electrical burns considered major?

YES

4

How do you calculate mortality of burn patients?

Age + TBSA % = ( >115 and mortality is >80%)

5

T/F: Mortality is doubled with inhalation burn patients.

TRUE

6

What is important to remember about a chemical burn?

-continues until removed or neutralized

-initial treatment with copious amounts of fluid

7

Electric burns will cause what problems?

-myoglobinia

-renal failure

8

What is the most common type of burn injury in children?

- Thermal

9

What inhalation burns will be seen in the upper airway?

-Thermal air
-Steam
-Smoke
-Chemicals from TOXINS

10

What inhalation burns will be seen in the lower airway?

-Chemical
-Soot partical

11

During the resuscitative phase what type of intubation would be typically done?

-Direct laryngoscopy

- Fiberoptic

- Awake

12

During the resuscitative phase succinylcholine is given. What electrolyte would be increased and proliferation of what receptor?

- K+

- Acetylcholine

13

T/F: After 24 hours it is not safe to administer succinylcholine.

TRUE

14

When is it safe to give a burn patient succinylcholine.

- Wound is healed

-Patient gaining weight

15

Burn patient may need an increase in NDNMB by how much?

- 2 to 3 fold

16

How many burn patient die from CO poisoning?

50-60%

17

CO bind to hemoglobin by __ time the affinity than O2.

-200

18

What does CO cause to the tissue of the body?

-Disrupts oxidative phosphorylation

Metabolic acidosis at cellular level

19

The value for SaO2 to a patient with CO poisoning is?

Normal

20

The value for a SaO2 to a patient with CO poisoning?

Decreased Total Oxygen

21

A Co-Oximetry will give what information:

-True value of SaO2 and CO

22

When is fluid shift the greatest in a burn patient?

1st 12 hours

23

When will the patient begin to stabilize?

24 hours

24

When does the hypermetabolic/hyperhemodynamic phase begin?

48 hours

25

What will be the S/S of a patient with on burns?

-Hyperthermia
- Tachyapnea
-Tachycardia
-INREASED serum catacholamine
-INCREASEd O2 consumption, cataolims

26

Sepsis leasing cause of death in burn patients is __% in adult and __% in pediatric .

-75
-100

27

The caloric requirement for a 40% burn patient is ___ %

132