burn care

Question 1

what are the indications for endotracheal intubation during your initial burn survey?

Answer 1

comatose patient, symptomatic inhalation injury, deep fascial burns, 40% TBSA

Question 2

Burns increase insensible heat loss. Burn casualties with injuries _____TBSA are at high risk of hypothermia.

Answer 2

> 20%

Question 3

T/F when providing point of injury care to a burn patient, you must immediately debride blisters and cover burns with loose, moist gauze wraps or a wet clean sheet

Answer 3

false, use loose dry gauze or clean dry sheet until at a surgical site

Question 4

calculate a burn patients initial burn size using the rule of _____

Answer 4

9’s

Question 5

________burn is NOT included in the estimation of TBSA used for fluid resuscitation.

Answer 5

Superficial (1st degree)

Question 6

which burn is classified as moist and sensate, blister, and blanch.

Answer 6

Partial thickness burns (2nd degree)

Question 7

which classification of burns appear red, do not blister, and blanch easily?

Answer 7

Superficial (1st degree)

Question 8

which classification of burns appear leathery, dry, non-blanching, are insensate, and often contain thromboses vessels?

Answer 8

full thickness (3rd degree)

Question 9

For children, __x TBSA x body weight in kg gives the volume for the first 24 hrs.

Answer 9

3

Question 10

what is the rule of 10s burn fluid resuscitation equation?

Answer 10

(10ml/hr x %TBSA)

Question 11

T/F a hypertonic solution is the preferred resuscitation fluid for a burn patient

Answer 11

false, isotonic is preferred

Question 12

T/F Both under- and over-resuscitation can result in serious morbidity and even mortality; patients who receive over 250 mL/kg in the first 24 hours are at increased risk for severe complications including acute respiratory distress syndrome and both abdominal and extremity compartment syndromes.

Answer 12

true

Question 13

At 8-12 hours post-burn, if the hourly IV fluid rate exceeds 1500 mL/hr or if the projected 24 hr total fluid volume approaches 250 mL/kg, initiate 5% _______ infusion for adults

Answer 13

albumin

Question 14

what are the clinical signs of inhalation injury?

Answer 14

progressive voice change, soot about mouth and nares, hypoxia, SOB

Question 15

Definitive care for US service members is provided at the ______

Answer 15

USAISR Burn Center in San Antonio, Texas.

Question 16

T/F Early ambulation and physical therapy, is critical to the long-term functional outcome in burn patients. Once post-operative dressings are removed, perform range of motion of all affected joints.

Answer 16

true

Question 17

__________ is the most common infectious complication and usually presents within 5 days of injury.

Answer 17

Cellulitis