Burns

Question 1

What is a 1st degree burn?

Answer 1

epidermis only

Question 2

What is a 2nd degree burn?

Answer 2

epidermis and varying levels of dermis

Question 3

What is a 3rd degree burn?

Answer 3

full thickness: all layers of skin, entire dermis

Question 4

What does a 1st degree burn look like?

Answer 4

dry, painful, red areas (no blisters)

Question 5

What does a 2nd degree burn look like?

Answer 5

painful, swollen, blisters

Question 6

What does a 3rd degree burn look like?

Answer 6

painless, swollen, dry, white and charred areas, dried leather

Question 7

How are 1st degree burns treated?

Answer 7

keep clean, Neosporin, pain meds

Question 8

How are 2nd degree burns treated?

Answer 8

remove blisters, silvadene ointment, dressing, pain meds

Question 9

How are 3rd degree burns treated?

Answer 9

excise eschar and graft

Question 10

What is an autograft vs allograft?

Answer 10

autograft: pt’s own skin
allograft: skin from a cadaver

Question 11

What should you do if patient has soot in their mouth or smoke inhalation has occurred?

Answer 11

suspect esophageal burn: admit to burn unit

Question 12

What diagnostic imaging is used for smoke inhalation?

Answer 12

bronchoscopy

Question 13

What should you do immediately if you notice patient has inhaled smoke?

Answer 13

intubate immediately

Question 14

What is the parkland formula?

Answer 14

Volume of crystalloid fluid = Burn % x weight in kg x 4

Question 15

When should the calculated fluid be given?

Answer 15

half in the first 8 hours, the rest over the next 16 hours

Question 16

How is volume status monitored for burn pts?

Answer 16

Urine output

Question 17

What is the name of the ulcer associated with burns and what is given for prophylaxis?

Answer 17

Curling ulcer; PPIs