Burns Flashcards
Types of burns due to exposure to hot surface
Thermal burn
Electrical burn
Chemical burn
Radiation burn
Thermal burn
Types of burns due to Electrical Source
Thermal burn
Electrical burn
Chemical burn
Radiation burn
Electrical burn
Types of burns due to Strong Acids
Thermal burn
Electrical burn
Chemical burn
Radiation burn
Chemical burn
Types of burns due to UV Rays Exposure
Thermal burn
Electrical burn
Chemical burn
Radiation burn
Radiation burn
Mgt for small portion thermal burn
Put on running H2O
Whats degree first to burn in a thermal burn
1st degree, 1st to burn
What is the life-threatening complication of Electrical burn?
Cardiac Arrythmia
Check HR
What vital signs to check for the pt with Electrical burn
HR
What is the priority for the pt with electrical burn
Safety of the victim/rescuer
Stop the source
Best POC when with thunder
Go Indoor
Tripod / Landing Position
Whats degree first to burn in an Electrical Burn
4th degree, 1st to burn
Mgt for chemical burns
Liquid
Flood with H2O
Mgt for chemical burn
Powder
Scrape
Remove with brush
Most Painful Degree of burns
1st Degree
2nd Degree
3rd Degree
4th Degree
2nd Degree
Degree of burns that is Painful
1st Degree
2nd Degree
3rd Degree
4th Degree
1st and 2nd Degree
Degree of burns that is Painless
1st Degree
2nd Degree
3rd Degree
4th Degree
3rd and 4th Degree
- because nerve is Damage
-Burning sensation on the site
-Liquefaction Necrosis
-Stain
Are a characteristic of what types of burn?
Thermal burn
Electrical burn
Chemical burn
Radiation burn
Chemical burn
Classification of burns
2nd Degree 15-25 %
Minor
Moderate
Major
Moderate
Classification of burns
2nd Degree <15%
Minor
Moderate
Major
Minor
Classification of burns
2nd Degree >25%
Minor
Moderate
Major
Major
Classification of burns
Full thickness 2-10 %
Minor
Moderate
Major
Moderate
Classification of burns
Full thickness >10%
Minor
Moderate
Major
Major
Classification of burns w/
Presence of inhalation Injury
Minor
Moderate
Major
Major
Classification of burns that is
>60%
Minor
Moderate
Major
Moderate
Degree of Burns
Epidermis
1st Degree
2nd Degree
3rd Degree
4th Degree
1st Degree (superficial Partial)
Degree of Burns
Epidermis + Dermis
1st Degree
2nd Degree
3rd Degree
4th Degree
2nd Degree (Deep Partial)
Degree of Burns
Epidermis + Dermis + SQ Tissue
1st Degree
2nd Degree
3rd Degree
4th Degree
3rd Degree
Degree of Burns
Epidermis + Dermis + SQ + Muscle (Bones/Organs)
1st Degree
2nd Degree
3rd Degree
4th Degree
4th Degree
What degree of burn if DAMAGED is Dermis?
1st Degree
2nd Degree
3rd Degree
4th Degree
2nd Degree burns
What degree of burn if SQ is EXPOSED?
1st Degree
2nd Degree
3rd Degree
4th Degree
2nd Degree
What degree of burn with CONTRACTURES?
1st Degree
2nd Degree
3rd Degree
4th Degree
4th Degree
What degree of burn if with White Escar?
1st Degree
2nd Degree
3rd Degree
4th Degree
3rd Degree
What degree of burn if with ( + ) blisters ?
1st Degree
2nd Degree
3rd Degree
4th Degree
2nd Degree
What degree of burn if with Dermatitis ?
1st Degree
2nd Degree
3rd Degree
4th Degree
1st Degree
What degree of burn if with
SCALDS - Boiling water?
1st Degree
2nd Degree
3rd Degree
4th Degree
2nd Degree
What degree of burn if with Stiffening of Muscle?
1st Degree
2nd Degree
3rd Degree
4th Degree
4th Degree
What degree of burn if Pt is using
EXFOLIATION?
1st Degree
2nd Degree
3rd Degree
4th Degree
1st Degree
Mgt of Contractures in 4th Degree Full thickness Burns
ROME
Range Of Motion Exercise
Faces of Burns
What causes ⬇️Na / Hyponatremia in the Emergent Phase (Stage of Shock)
Na Rush into the Cell
Faces of Burns
What causes ⬇️Na / Hyponatremia in the Diuretic Phase
Na is excreted thru diuresis (urine)because of Polyuria
What electrolyte imbalance in the Emergent Phase?
K
Na
⬆️k (Hyperkalemia)
⬇️Na (Hyponatremia)
What electrolyte imbalances during Diuretic Phase?
K
Na
⬇️K (Hypokalemia)
⬇️Na (Hyponatremia)
What electrolyte imbalance during Recovery Phase
K
Ca
⬇️K (Hypokalemia)
⬇️Ca (Hypocalcemia )
Faces of Burns:
What electrolyte imbalance incase of Emergent Phase
K
Na
⬆️K (hyperkalemia)
⬇️Na (Hyponatremia)
Faces of Burns:
What electrolyte imbalance incase of Diuretic Phase
K
Na
⬇️K (Hypokalemia)
⬇️Na (Hyponatremia)
Na rush into the cell
⬆️kalemia
⬇️natremia
What phase?
Hyponatremia
Emergent phase
Sodium os excreted in the urine, that phase?
Emergent Phase
Diuretic Phase
Diuretic Phase
Faces of burns
1st 48 hrs
Emergent Phase or
Diuretic Phase
Emergent Phase
Faces of burns
Fluid remobilization
Emergent Phase or
Diuretic Phase
Diuretic Phase
Faces of burns
Hypertension
Emergent Phase or
Diuretic Phase
Diuretic Phase
Faces of burns
Risk for thrombus(clot) formation -lumalapot ang dugo
Emergent Phase or
Diuretic Phase
Emergent Phase
Faces of burns
Hemodilution
Emergent Phase or
Diuretic Phase
Diuretic Phase
Faces of burns
⬇️kalemia
⬇️natremia
Emergent Phase or
Diuretic Phase
Diuretic Phase
Faces of burns
⬆️kalemia
⬇️natremia
Emergent Phase or
Diuretic Phase
Emergent Phase
Faces of burns
Metabolic Acidosis
Emergent Phase or
Diuretic Phase
Emergent Phase
Faces of burns
Fluid replacement
Emergent Phase or
Diuretic Phase
Emergent - risk for thrombus
Best way to apply antibiotic in burn pt?
Gloved hands
What antibiotic is painful because it penetrates in the wound?
Silver Nitrate
Sulfamylon
Silver Sulfadiazine
Sulfamylon
Causes Leukopenia (Agranulocytosis)
Silver Nitrate
Sulfamylon
Silver Sulfadiazine
Silver Sulfadiazine
What is the Ulcer due to burns
Curling’s Ulcer
Stress Related - due to Adrenaline Rush
What is used in cellular repair during Recovery Phase
K
Na
Ca
K - Potassium
What is used in scar formation during Recovery Phase
K
Na
Ca
Ca - Calcium
DOC for pain
Morphine Sulfate
What you will do to prevent sticking of Exudates?
Bed Cradle
DOC for topical Antibiotic for burns
Silver Nitrate
Sulfamylon
Silver Sulfadiazine
Sulfamylon
What drug turns the skin into black
Silver Nitrate
Sulfamylon
Silver Sulfadiazine
Silver Nitrate
What drug causes Leukopenia (Agranulocytosis)
Silver Nitrate
Sulfamylon
Silver Sulfadiazine
Silver Sulfadiazine
What type of dressing in case of burn pt
Wet - to - Dry
Wet - to - Wet
Dry - to - Wet
Wet - to - Dry
Room type of pt with burn
Private Room or
Charity Ward?
Private Room
Cutting thru a dead skin (Grid) procedure
Escharotomy
Purpose:
To allow new skin to Grow
Skin Grafting
Grafting: Human - to - Human
Homograft
Heterograft / Xenograft
Homograft
Grafting: Animal - to - Human
Homograft
Heterograft / Xenograft
Heterograft / Xenograft
Type of Homograft:
Donor + Recipient are the same
Autograph
Isograph
Allograft
Autograph
Type of Homograft:
Genetically Related
(Identical Twins - Best)
Autograph
Isograph
Allograft
Isograph
Type of Homograft:
Not Genetically Related
Autograph
Isograph
Allograft
Allograft
What part of the body can you harvest skin grafting
T
A
Ba
S
Thigh
Abdomen
Back
Scalp
What vitamin is use to prevent infection
Vitamin C
Vitamin D
Vitamin C