Burns

Question 1

1st degree tx

Answer 1

Clean + neosporin, pain meds

Question 2

2nd degree tx

Answer 2

• Remove blisters
• Silvadene
• Dressing
• Pain meds
• Silver ion dre

Question 3

3rd degree tx

Answer 3

• Debride eschar

- Split thickness skin graft

Question 4

Abx:

Answer 4

• Silvadene- abx, misses pseudomonas. CI in sulfa allergy, preg, non on face

Question 5

Pain mgmt

Answer 5

• Acetamenophin

- NSAIDs +/- opioids

Question 6

Cleansing

Answer 6

• Mild soap and water
• Irrigate chemical burns
• Debride sloughed, necrotic skin

Question 7

Dressings:

Answer 7

• Non-adherant gauze (kerlix) on partial, full thickness burns
• Individually wrap fingers, toes

Question 8

Fluids

Answer 8

Lactated ringers with parkland formula

Question 9

Complications

Answer 9

Fluid loss
- Infection
- CO2 poisoning
Teatnus
- Cardiac dysrhythmias w/ electrical