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Concept Synthesis Exam > Burns > Flashcards

Burns Flashcards

1
Q

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

A

12 hours

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2
Q

superficial partial thickness/1st degree burn

A

epidermis is destroyed, goes into dermis

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3
Q

deep partial thickness/2nd degree burn

A

epidermis and upper levels of dermis destroyed, deep into dermis

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4
Q

full thickness/3rd degree burn

A

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

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5
Q

which type of burn is the most painful

A

2nd degree

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6
Q

which type of burn has no pain

A

3rd degree

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7
Q

blisters are most common in what type of burn

A

2nd degree

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8
Q

burn: reddened, blanches with pressure, dry

A

1st degree

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9
Q

burn: blisters, mottled red base, weeping, edema

A

2nd degree

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10
Q

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

A

3rd degree

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11
Q

water temp to treat 1st degree burns

A

cool

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12
Q

T or F: aloe is recommended following a burn

A

FALSE

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13
Q

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

A

airway

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14
Q

rule of nines: head and neck

A

9%

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15
Q

rule of nines: arms

A

each arm: 9%

both arms: 18%

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16
Q

rule of nines: legs

A

each leg: 18%

both legs: 36%

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17
Q

rule of nines: anterior trunk

A

18%

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18
Q

rule of nines: posterior trunk

A

18%

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19
Q

rule of nines: genitals

A

1%

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20
Q

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

A

FALSE

21
Q

biggest risk following electrical injury

A

cardiac

22
Q

most common cardiac issue following electrocution

A

v-fib

23
Q

after defibrillation, you must check what

A

carotid pulse

24
Q

emergent/resuscitative stage of burn

A

onset-48 hours

25
Q

acute stage of burn

A

48 hours-wound closure

26
Q

rehabilitative stage of burn

A

wound closure-reach highest level of fxn

27
Q

parkland formula

A

4 ml x kg x % of TBSA burned

28
Q

problems in emergent phase

A

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

29
Q

problems in acute phase

A

perfusion, pneumonia, infection

30
Q

when does the rehab phase begin

A

when pt first arrives to facility

31
Q

T or F: burn victims should not take aspirin

A

TRUE

32
Q

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

A

burn shock

33
Q

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

A

increased

34
Q

10-20% carbon monoxide poisoning s/s

A

HA, dizzy, N/V, vague sxs

35
Q

21-40% carbon monoxide poisoning s/s

A

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

36
Q

41-60% carbon monoxide poisoning s/s

A

convulsions, coma, DEATH IS NEAR

37
Q

tx of carbon monoxide poisoning

A

hyperbaric o2 chambers

38
Q

s/s of heat inhalation

A

edema of airway, laryngospasms, swollen lips, hoarseness

39
Q

GI issues in burn pts

A

paralytic ileus

curling’s ulcer

40
Q

important assessments r/t fluid balance in burn pts

A

edema
lung sounds
I&O
daily wts

41
Q

topical enzyme used to debride burns

A

santyl

42
Q

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

A

escharotomy

43
Q

incision made to relieve swelling beneath skin

A

fasciectomy

44
Q

own skin transplanted

A

autograft

45
Q

skin transplant from one human to another

A

homograft

46
Q

skin transplant from another species

A

heterograft/xenograft

47
Q

T or F: you should limit carbs in burn pts

A

TRUE, can increase risk of infection

48
Q

why is TPN/PPN usually avoided in burn pts

A

risk of infection

Concept Synthesis Exam (6 decks)

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