Flashcards in Week 3 Thermal Injury Deck (27):
Classify the different types of burns?
>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
Major burns are specified by:
-2nd degree >10% for adults and >20% extremes of age
- 3rd degree > 10%
-One complicated with inhalation
Are all electrical burns considered major?
How do you calculate mortality of burn patients?
Age + TBSA % = ( >115 and mortality is >80%)
T/F: Mortality is doubled with inhalation burn patients.
What is important to remember about a chemical burn?
-continues until removed or neutralized
-initial treatment with copious amounts of fluid
Electric burns will cause what problems?
What is the most common type of burn injury in children?
What inhalation burns will be seen in the upper airway?
-Chemicals from TOXINS
What inhalation burns will be seen in the lower airway?
During the resuscitative phase what type of intubation would be typically done?
During the resuscitative phase succinylcholine is given. What electrolyte would be increased and proliferation of what receptor?
T/F: After 24 hours it is not safe to administer succinylcholine.
When is it safe to give a burn patient succinylcholine.
- Wound is healed
-Patient gaining weight
Burn patient may need an increase in NDNMB by how much?
- 2 to 3 fold
How many burn patient die from CO poisoning?
CO bind to hemoglobin by __ time the affinity than O2.
What does CO cause to the tissue of the body?
-Disrupts oxidative phosphorylation
Metabolic acidosis at cellular level
The value for SaO2 to a patient with CO poisoning is?
The value for a SaO2 to a patient with CO poisoning?
Decreased Total Oxygen
A Co-Oximetry will give what information:
-True value of SaO2 and CO
When is fluid shift the greatest in a burn patient?
1st 12 hours
When will the patient begin to stabilize?
When does the hypermetabolic/hyperhemodynamic phase begin?
What will be the S/S of a patient with on burns?
-INREASED serum catacholamine
-INCREASEd O2 consumption, cataolims
Sepsis leasing cause of death in burn patients is __% in adult and __% in pediatric .