Burn

Question 1

etiology of pancreatitis?

Answer 1

**alcohol

**biliary system disease(gallstones)

hyperlipidemia(hypertriglyceridemia)

Hypercalcemia-Hyperparathyroidism

infection

Pancreatic duct obstruction

Question 2

sympt pf shock?

Answer 2

tachycardia(>120b/m)

hypotension(systolic<90)

tachypnea(>25 breaths/min)

altered mental status

delayed capillary refill/cold extremities

oliguria(<0.5)

Question 3

What is the most common type of burn?

Answer 3

Thermal/flames burn

Question 4

What are the INITIAL EVALUATION & MANAGEMENT of burns?

Answer 4

„ -Airway management

„ -Evaluation of other injuries
„
-Estimation of burn size

„ -Diagnosis of CO and cyanide poisining

Question 5

What is the smoke inhalation assessment?

Answer 5

-NasoTracheal intubation-oral intubation
-**check ABC..
-IV

Question 6

What is a common complication of smoke inhalation?

Answer 6

Hypothermia**

(+CO poisoning)

ST elevation(heart is compensating)

Lactic acidosis

Question 7

What is the affinity of CO for Hb ?

Answer 7

The affinity of CO for Hb 200-250 times than oxygen…anoxia and DEATH!!!

Question 8

**What are the factors affecting Burn depth?

Answer 8

[TDT]
temperature

Duration of contact

Dermal thickness

Very young /very old have thinner skin

Question 9

Which degree of burn experiences PAINLESS white/black lesions affecting all layers of skin

Answer 9

Full thickness;3rd degree

Question 10

**Which of the following is an indicator for referring pt to a burn center?

Answer 10

3rd degree burns

Partial-thickness* burns >10% TBSA**

Electric /Chemical burns

Inhalation injury

Burn injury in pts requiring special social support ex. Autistic or abused

Burn injury in children admitted to a hospital without qualified personnel or equipment for pediatric care

Any burn with concomitant trauma (e.g., fractures)

Question 11

COMPLICATIONS IN BURN CARE?

Answer 11

*Pneumonia (especially ventilator-associated)

Abdominal compartment syndrome (massive ressustation)

DVT (deep vein thrombosis)

Catheter related complications…infection…

Question 12

What is escharotomies ?

Answer 12

Cutting superficial tissue to release tension of burned area to avoid compartment syndrome and necrosis bcz the muscle are compressed

Question 13

To whom is NG tube not given to?

Answer 13

Pts with burns on face or smoke inhalation bcz it causes perforation

Question 14

Why do you keep burn pt warm

Answer 14

To avoid dehydration(bcz burn pts lose the skin layer which protects them from dehydration)

Question 15

Oliguria

Answer 15

Urine output: 0.5ml/hr in adults &400ml/day

Question 16

Anuria?

Answer 16

Urine output: 100ml/day

Question 17

…… burn -2 large bore IV’s

„…. burn (< 15% TBSA) – one IV Access
oral resuscitation possible
„
(IV through non-burn area if possible)

Answer 17

Large

Smaller