Burns

Question 1

What is it called when you make a slit in a burn to allow it to open up and breath?

Answer 1

Escotomy

Question 2

This type of burn affects only the epidermis of the skin?

Answer 2

Superficial burn

Question 3

This type of burn affects the upper third of the dermis. The wounds are red and moist and they blanch with light pressure. With these burn blisters will start to form? What type of burn is it?

Answer 3

Superficial Partial Thickness Burn

Question 4

This type of burn goes deep down into the dermis leaving fewer healthy cells. Wound is red and dry with white areas in deeper parts, wound won’t blanch, edema is moderate and pain is less.

Answer 4

Deep Partial Thickness Burn

Question 5

This type of burn occurs with destruction of the entire epidermis and dermis, leaving no skin cells to repopulate . wound does not regrow and has a hard, dry, leather eschar that forms.

Answer 5

Full Thickness wound

Question 6

Treatment for a superficial burn?

Answer 6

cool the pt, aloe, NSAIDs

Question 7

Treatment for a superficial partial thickness?

Answer 7

Silvadine, change dressing 2x/day, wrap fingers and toes individually, educate regarding S/S of infection, elevate if burn is on a limb

Question 8

Treatment for a deep partial thickness and full thickness burn?

Answer 8

Silvadine, change dressing 2x/day, wrap fingers and toes individually, teach S/S of infection, fluid resuscitation with lactated ringers, and nutritional supplementation with TPN/CPN.

Question 9

What type of isotonic fluid do you give a patient with a burn?

Answer 9

Lactated ringers

Question 10

Three concomitant problems to burns

Answer 10

pulmonary injury from carbon monoxide toxicity and inhalation injury, infection, trauma

Question 11

how do you know that the patient might have an inhalation injury?

Answer 11

they will present with a hoarse voice, soot around their nose or mouth, and singed eyebrows or nose hairs.

Question 12

What is the fluid formula for fluid resuscitation of a burn?

Answer 12

4ml/kg/% in 24 hours

Question 13

what do you suspect if a pt has eschar that circles the whole limb?

Answer 13

Compartment syndrome

Question 14

What position do you leave a patient in who has compartment syndrome?

Answer 14

Leave the limb at heart level

Question 15

Overall treatment for any type of burn?

Answer 15

fluid resuscitation, pulmonary support (think intubation), physical therapy, pain management, wound care, nutritional support, keep them warm,

Question 16

What type of fluid do you want to avoid in a patient with burns?

Answer 16

Hypotonic solutions