Burns

Question 1

you should get intervention within how many hours of a burn to increase survival rate

Answer 1

12 hours

Question 2

superficial partial thickness/1st degree burn

Answer 2

epidermis is destroyed, goes into dermis

Question 3

deep partial thickness/2nd degree burn

Answer 3

epidermis and upper levels of dermis destroyed, deep into dermis

Question 4

full thickness/3rd degree burn

Answer 4

epidermis and dermis destroyed, sq tissue injured or destroyed, muscle and bone may be injured

Question 5

which type of burn is the most painful

Answer 5

2nd degree

Question 6

which type of burn has no pain

Answer 6

3rd degree

Question 7

blisters are most common in what type of burn

Answer 7

2nd degree

Question 8

burn: reddened, blanches with pressure, dry

Answer 8

1st degree

Question 9

burn: blisters, mottled red base, weeping, edema

Answer 9

2nd degree

Question 10

burn: dry, pale, white, leathery or charred, broken skin with fat exposed, edema

Answer 10

3rd degree

Question 11

water temp to treat 1st degree burns

Answer 11

cool

Question 12

T or F: aloe is recommended following a burn

Answer 12

FALSE

Question 13

priority when any part of the neck, chest, face is burned

Answer 13

airway

Question 14

rule of nines: head and neck

Answer 14

9%

Question 15

rule of nines: arms

Answer 15

each arm: 9%

both arms: 18%

Question 16

rule of nines: legs

Answer 16

each leg: 18%

both legs: 36%

Question 17

rule of nines: anterior trunk

Answer 17

18%

Question 18

rule of nines: posterior trunk

Answer 18

18%

Question 19

rule of nines: genitals

Answer 19

1%

Question 20

T or F: you should put water on a chemical burn

Answer 20

FALSE

Question 21

biggest risk following electrical injury

Answer 21

cardiac

Question 22

most common cardiac issue following electrocution

Answer 22

v-fib

Question 23

after defibrillation, you must check what

Answer 23

carotid pulse

Question 24

emergent/resuscitative stage of burn

Answer 24

onset-48 hours

Question 25

acute stage of burn

Answer 25

48 hours-wound closure

Question 26

rehabilitative stage of burn

Answer 26

wound closure-reach highest level of fxn

Question 27

parkland formula

Answer 27

4 ml x kg x % of TBSA burned

Question 28

problems in emergent phase

Answer 28

fluid loss, edema, reduced blood flow, fluid and electrolyte imbalance

Question 29

problems in acute phase

Answer 29

perfusion, pneumonia, infection

Question 30

when does the rehab phase begin

Answer 30

when pt first arrives to facility

Question 31

T or F: burn victims should not take aspirin

Answer 31

TRUE

Question 32

increased capillary permeability, fluid leakage/third spacing, fluid volume deficit/hemeconcentration, decreased cardiac output, stroke volume, tissue perfusion, and BP, metabolic and respiratory acidosis: s/s of what

Answer 32

burn shock

Question 33

h and h, na, k, bun, creatinine: increased or decreased in burn victims

Answer 33

increased

Question 34

10-20% carbon monoxide poisoning s/s

Answer 34

HA, dizzy, N/V, vague sxs

Question 35

21-40% carbon monoxide poisoning s/s

Answer 35

drowsy, irritable, change in personality, decreased HR/BP, pale or dark red skin

Question 36

41-60% carbon monoxide poisoning s/s

Answer 36

convulsions, coma, DEATH IS NEAR

Question 37

tx of carbon monoxide poisoning

Answer 37

hyperbaric o2 chambers

Question 38

s/s of heat inhalation

Answer 38

edema of airway, laryngospasms, swollen lips, hoarseness

Question 39

GI issues in burn pts

Answer 39

paralytic ileus | curling's ulcer

Question 40

important assessments r/t fluid balance in burn pts

Answer 40

edema lung sounds I&O daily wts

Question 41

topical enzyme used to debride burns

Answer 41

santyl

Question 42

linear incision that releases constriction of underlying tissue in an effort to improve perfusion

Answer 42

escharotomy

Question 43

incision made to relieve swelling beneath skin

Answer 43

fasciectomy

Question 44

own skin transplanted

Answer 44

autograft

Question 45

skin transplant from one human to another

Answer 45

homograft

Question 46

skin transplant from another species

Answer 46

heterograft/xenograft

Question 47

T or F: you should limit carbs in burn pts

Answer 47

TRUE, can increase risk of infection

Question 48

why is TPN/PPN usually avoided in burn pts

Answer 48

risk of infection