Burn

Question 1

Modified Brooke formula

Answer 1

2mL/kg/TBSA (half over 8hrs, half next 16hrs) titrate to UOP 0.5-1 cc/kg/hr

Question 2

Silver sulfadiazine SE

Answer 2

Transient neutropenia

Question 3

Best predictor of appropriate fluid resuscitation in burn victim

Answer 3

UOP 0.5-1cc/kg/hr

Question 4

Who should be referred to burn center

Answer 4

> 10% partial thickness
Partial thickness to face, hands, feet, genitals, joints
3rd degree
Electrical, chemical, inhalational
Children

Question 5

Full thickness circumferential burn, next step

Answer 5

Bedside escharotomy

Question 6

Burn that extends into dermis, painful and blistering

Answer 6

Second degree

Question 7

Pathophys of inhalational burn injury

Answer 7

Thermal damage dissipated in upper airway, toxin damage of airway, increased pulm blood flow, increased cap permiability->edema, fibrin casts difficult to clear.

Question 8

Bacitracin SE

Answer 8

Nephrotoxicity and renal failure

Question 9

SE mafenide acetate

Answer 9

Metabolic acidosis

Question 10

SE silver nitrate and tx

Answer 10

Hyponatremia and Methemoglobinemia, methylene blue

Question 11

Topical agent for raw first degree burns

Answer 11

Bacitracin

Question 12

Topical agents that penetrate eschar

Answer 12

Mafenide acetate and silver nitrate

Question 13

Burn that spares dermal appendages

Answer 13

Partial thickness second degree

Question 14

Mafenide acetate MOA

Answer 14

Carbonic anhydrase inhibitor (causes secondary metabolic acidosis)

Question 15

Nonblanching, leathery, painless burn

Answer 15

Third degree, full thickness

Question 16

Advantage of full thickness vs split thickness skin grafts

Answer 16

FTSG have less propensity for secondary wound contracture

Question 17

Difference between deep partial burn and superficial partial burn

Answer 17

Reduced pain, blanching, no dermal appendages. Requires grafting.

Question 18

CO poisoning; initial tx

Answer 18

100% O2 via NRB

Question 19

Hydrofluoric acid burn, tx

Answer 19

Copious water irrigation and calcium

Question 20

Rule of 9s

Answer 20

Head - 9
Arm - 9
Leg - 18
Torso - 36

Question 21

MRSA in burn; tx

Answer 21

Mupirocin

Question 22

Parkland formula

Answer 22

4mL/kg/%TBSA half in first 8hrs

Question 23

Scald injury into subcutaneous fat; what degree burn?

Answer 23

3rd