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IM 7 Test 3 > Burns > Flashcards

Burns Flashcards

1
Q

how long can tissue damage continue after a burn

A

48+ hours

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2
Q

why does tissue damage continue so long

A

release of local mediators

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3
Q

how should superficial partial thickness burns heal

A

without intervention

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4
Q

superficial partial thickness burn appearance

A

pink to red

uncomfortable to touch

soothed by cooling

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5
Q

what can cause superficial partial thickness burns X2

A

sunburn

quick flash

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6
Q

what is involved in a deep partial thickness burn

A

epidermal and dermal layer

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7
Q

what does a deep partial thickness burn look like

A

red mottled edges but hair remains intact - very painful

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8
Q

how long does it take deep partial thickness burns to heal

A

2-4 weeks

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9
Q

what causes deep partial thickness burns X3

A

flame

scald

contact burn

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10
Q

what is involved in a full thickness burg

A

the full dermal layer

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11
Q

full thickness burn appearance

A

white, dry, leather like texture

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12
Q

do full thickness burns hurt

A

no - nerve destruction occurs at this level

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13
Q

how does electricity travel in a human

A

least resistance

skin then vessels then tendons/ligaments and muscle and bone last

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14
Q

how do bones fracture in electrical injuries

A

muscles can contract so hart the bones fracture

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15
Q

referral criteria to a burn center X8

A

burns over 10% of the body

all 3rd degree burns over than 5% TBSA

suspected inhalation injury

chemical burn

pediatric burns

burns associated with trauma

anything with a comorbidity

hands/face/feet/genital burns

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16
Q

head rule of 9’s

A

4.5% front and back

17
Q

chest rule of 9’s

A

9% front and back

18
Q

abdomen rule of 9’s

A

9% front and back

19
Q

genital region rule of 9’s

A

1%

20
Q

arms rule of 9’s

A

each arm is 4.5% front and back

21
Q

legs rule of 9’s

A

each leg is 9% front and back

22
Q

what is the palmar method

A

the patient’s palm is 1% of their TBSA

23
Q

pulse pressure formula

A

systolic-diastolic

24
Q

normal PP

A

40

25
Q

mode of antibiotics used in burns

A

minimal use of systemic antibiotics - prefer antimicrobials

26
Q

fluid resuscitation formula

A

weight in KG * TBSA * 4 mL

27
Q

what fluid is used in fluid resuscitation

A

LR

28
Q

how is fluid resuscitation administered

A

1/2 in first 8 hours

second 1/2 within next 16 hours

IM 7 Test 3 (5 decks)

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