Burn Types and Classification Flashcards

1
Q

thermal burn

A
  • caused by conduction or convection

- contact with hot liquid, fire, or steam

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2
Q

electrical burn

A
  • caused by the passage of electrical current through the body
  • usually has a entrance and an exit wound
  • complications include cardiac arrhythmias, respiratory arrest, renal failure, neurological damage, and fractures,
  • example is lightening strike
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3
Q

chemical burn

A
  • certain chemical compounds come in contact with the body
  • reaction with continue until the chemical compound is diluted at the site of contact
  • examples are sulfuric acid, lye, hydrochloric acid, and gasoline
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4
Q

radiation burn

A
  • exposure to beam radiation therapy
  • DNA is altered in exposed tissues and ischemic injury may be irreversible
  • complications may include severe blistering and desquamation, non-healing wounds, tissue fibrosis, permanent discoloration, and new malignancies
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5
Q

zone of coagulation

A

the area of the burn that received the most severe injury with irreversible cell damage

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6
Q

zone of stasis

A

the area of less severe injury that possesses reversible damage the surrounds the zone of coagulation

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7
Q

zone of hyperemia

A

area surrounding the zone of stasis that presents with inflammation, but will fully recover without any intervention or permanent damage

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8
Q

superficial burn

A
  • involves only the outer epidermis
  • may be red with slight edema
  • healing occurs without peeling or evidence of scarring in two to five days
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9
Q

superficial partial-thickness burn

A
  • involves the epidermis and the upper portion of the dermis
  • may be extremely painful and exhibit blisters
  • healing occurs with minimal to no scarring in 5-21 days
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10
Q

deep partial thickness burn

A
  • involves complete destruction of the epidermis and the majority of the dermis
  • involved area may appear to be discolored with broken blisters and edema
  • damage to nerve endings may result in only moderate levels of pain
  • hypertrophic or keloid scarring may occur
  • in the absence of infection, healing will occur in 21 to 35 days
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11
Q

Full-thickness burn

A
  • involves complete destruction of the epidermis and dermis along with partial damage to the subcutaneous fat layers
  • involved layer typically presents with eschar formation and minimal pain
  • requires grafts and is susceptible to infection
  • healing time varies with small areas healing in weeks and larger areas taking months
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12
Q

subdermal burn

A
  • involves the complete destruction of the epidermis, dermis, and subcutaneous tissue
  • subdermal burns may involve muscle and bone and as a result requires surgical interventions and extensive healing times
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13
Q

silver sulfadiazine advantages

A
  • can be used with or without dressings
  • painless
  • can be applied directly to wound
  • broad spectrum
  • effective against yeast
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14
Q

silver sulfadiazine disadvantages

A
  • does not penetrate into eschar
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15
Q

silver nitrate advantages

A
  • broad spectrum
  • non allergenic
  • dressing application is painless
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16
Q

silver nitrate disadvantages

A
  • poor penetration
  • discolors, making assessment difficult
  • can cause severe electrolyte imbalance
  • removal of dressings is painful
17
Q

povidone iodine advantages

A
  • broad spectrum
  • antifungal
  • easily removed with water
18
Q

povidone iodine disadvantages

A
  • not effective against pseudomonas
  • may impair thyroid function
  • painful application
19
Q

mafenide acetate advantages

A
  • broad spectrum
  • penetrates burn eschar
  • may be used with or without occlusive dressings
20
Q

mafenide acetate disadvantages

A
  • may cause metabolic acidosis
  • may compromise respiratory function
  • may inhibit epithelialization
  • painful application
21
Q

gentamicin advantages

A
  • broad-spectrum

- may be covered or left open to air

22
Q

gentamicin disadvantages

A
  • has caused resistant strains
  • ototoxic
  • nephrotoxic
23
Q

nitrofurazone advantages

A
  • bacteriocidal

- broad-spectrum

24
Q

nitrofurazone disadvantages

A
  • may lead to overgrowth of fungus and pseudomonas

- painful application