burns

Question 0

CO2 poisoning

Answer 0

Intercepts the O2 from binding with Hgb –>hypoxia
Tx- 100% O2
Sometimes a pt. Is intubated prophylactically.

Question 1

Airway injury and burns

Answer 1

Burns to face or chest

Question 2

Fluid replacement calculation and rules for burns

Answer 2

4mL LR x kg x %TBSA= total fluid for first 24 hours
First 24 hours are from when the burn occurred, NOT when treatment begins.
Calculate what is need for 24 hours and give half in the first 8 hours

Question 3

Medical Tx for larger than minor burns

Answer 3

Albumin- pulls fluid back into vascular system

Tetanus toxoid- active immunity

Question 4

Renal complications with burns

Answer 4

Due to third spacing of fluids, kidneys will try to retain water, there fore urine output may be minimal at first.
Should begin to diurese in 48 hours. Can use Mannitol (large molecule to pull fluid back into vascular space) to increase diuresis.

Question 5

HYPERkalemia and burns

Answer 5

With tissue damage, cells lose and release K+ into the blood stream–> HYPERkalemia

Question 6

GI problems with burns

Answer 6

With decrease fluid volume come decrease perfusion to the gut–>decrease intestinal motility. Coupled with HYPERkalemia will cause paralytic ileus.
NG tube instead and used until bowel sounds return.

Question 7

Medications for burns

Answer 7

Rotating antibiotics

With Mycin, worry about oto and nephrotoxicity (check BUN for increase)

Question 8

Chemical burn, how long do you flush the site?

Answer 8

15-20 minutes

Question 9

Electrical burn, most common heart arrhythmia?

Answer 9

V-fib

Question 10

Mycin antibiotics

Toxicity S/Sx

Answer 10

Oto and nephro

Question 11

Order to remove PPE

Answer 11

Gloves
Eye protection- do not touch front
Gown- untie, inside out
Mask- do not touch front