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E&I > Burns > Flashcards

Burns Flashcards

1
Q

TBSA

A

total burn surface area

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2
Q

HO

A

heterotopic ossification

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3
Q

8 alterations following a thermal injury

A
  1. loss of protection
  2. impaired thermoregulation
  3. change in sensory and secretory function
  4. loss of fluids
  5. dec vitamin D
  6. impaired skin regeneration
  7. loss of hair growth
  8. alteration in appearance
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4
Q

one of the most common places to get an infection

A

hospital

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5
Q

depth of burn related to these 3 things

A
  1. temp of thermal source
  2. duration of contact
  3. victims of pre-existing status
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6
Q

3 possible cardiac complications

A
  1. dysrhythmias
  2. hemodynamic stability
  3. CHF
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7
Q

4 possible respiratory complications

A
  1. pneumonia
  2. ARDS
  3. pulm edema
  4. pulm embolism
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8
Q

3 possible metabolic complications

A
  1. electrolyte imbalances
  2. inc metabolic rate
  3. pseudo diabetes
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9
Q

a partial thickness wound will generally heal without surgery in approx ____ days

A

7-21

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10
Q

sun burn is an example of what a ____ degree burn

A

1st

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11
Q

superficial partial thickness burns only involve what layer of skin?

A

epidermis

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12
Q

superficial partial thickness burn = ___ degree

A

2nd

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13
Q

deep partial thickness burn = _____ degree

A

2nd

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14
Q

how to tell the difference between a deep 2º and 3º?

A

if you pull out a hair in a 3º burn, it will come out because burn is as deep as follicle

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15
Q

injury involving entire epidermis and dermis

A

full thickness injury

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16
Q

what do full thickness injuries require to heal?

A

STSG

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17
Q

laser up and down sides of legs to allow circulation

A

escharotomy

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18
Q

prob the worst type of burn

A

electrical injuries

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19
Q

open up skin down to fascia to release pressure

A

fasciotomy

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20
Q

any burn that crosses a joint has a potential for…

A

contractures/deformities

21
Q

what of the skin changes in a chemical injury that puts a pt at risk for systemic complications?

A

ph of skin

22
Q

most common peds burn

A

scald injury

23
Q

almost always associated with inhalation injury

A

flame burn

24
Q

occurrence rate of contact injuries

A

low - small area injury

25
Q

inhalation injury inc risk of mortality by ____

A

30%+

26
Q

3 ways to map out extent of injury

A
  1. palmer method
  2. rule of nines
  3. lund and browder chart
27
Q

is there capillary refill in full thickness burns?

A

no

28
Q

texture of deep partial thickness vs full thickness

A

soft/most vs dry/firm

29
Q

are blisters present in superficial partial thickness burns?

A

no

30
Q

sensation of superficial partial thickness

A

sensative

31
Q

sensation of deep partial thickness

A

hypersensitive

32
Q

sensation of full thickness

A

initially absent

33
Q

STSG

A

split thickness skin graft

34
Q

post op day ___ = start rehab

A

5

35
Q

how long does it take for a STSG to heal?

A

14 days

36
Q

CEA

A

cultured epidermal autografts

37
Q

in 2-3 weeks, ____ sheets of cultured skin can be available

A

200

38
Q

used for large % burns

A

CEA

39
Q

if a graft is taken from the same person it’s being used for, its called an _________

A

autograft

40
Q

what healing phase do we need to be most involved in as PTs?

A

proliferation

41
Q

2 phases of scar formation

A

collagen production –> collagen degradation

42
Q

scar characteristics during collagen production phase

A

HYPERTROPHY 3 R’s

rigid, raised, red

43
Q

scar characteristics during collagen degradation phase

A

MATURATION

soft, flat, pale

44
Q

3 factors contributing to scarring

A
  1. depth of burn
  2. healing time
  3. skin color
45
Q

3 reasons for hypertrophic scarring

A
  1. inc collagen production
  2. irregular alignment of collagen
  3. inc vascularity
46
Q

calcium deposits that form across joints

A

heterotopic ossification

47
Q

best treatment for contractures/scar bands

A

prevention

48
Q

a surgical procedure used to treat full-thickness (third-degree) circumferential burns

A

escharotomy

49
Q

the tough leathery tissue remaining after a full-thickness burn has been termed….

A

eschar

E&I (13 decks)

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