burns

Question 1

what are the layers of the skin

Answer 1

epidermis, dermis, subcutaneous

Question 2

partial thickness burn

Answer 2

pink to red, moist, mod deem, painful

top layer and dermis aka 2nd degree

Question 3

superficial burn

Answer 3

first degree. erythema, mild edema/pain. blanches of pressure

Question 4

full thickness brun

Answer 4

third degree epi and dermis destroyed. white waxy to black. dry, deem, painless.

Question 5

fourth degree burn

Answer 5

dry, black painless, could have exposed mm / bone

Question 6

which burn associated with inhalation injury

Answer 6

flame

Question 7

whats high n low voltage injuries

Answer 7

> 1000 or less V

Question 8

how are most adult burns

Answer 8

fire flame and then scald and then contact

Question 9

how are most kids burns

Answer 9

scalds, contact, flame electric

Question 10

risk of mortality goes up with

Answer 10

age, size and if there was inhalation

Question 11

what are the zones and whats the worst area

Answer 11

coagulation, stasis, hyperaemia (coag. is irreversible)

target stasis cus it can go either way

Question 12

cardiac effects of burns

Answer 12

inc cap permeability (edema, hypovolemia).
peripheral vasoconstriction
dec CO

Question 13

renal effects of bruns

Answer 13

loss of fluids

Question 14

metabolic effects burns

Answer 14

goes up because increased nutritional demands

Question 15

immunological/ gastro effect burn

Answer 15

reduced response / compromised

Question 16

signs of inhalation injury

Answer 16

singed eye brow / nasal hair

swollen lips, hoarse voice, face burn

Question 17

when does inhalation injury happen

Answer 17

0-24 hrs , in upper airway
24-48 hrs pulmonary edema
38 = ARDS, pneumonia , bronchiolitis

Question 18

early burn PT role

Answer 18

AROM, PROM, poisoning, edema management (elevate, compress), ambulation , scars

Question 19

what motion does you lose first

Answer 19

tissue, tendon, mm (2-3 weeks), ligaments

Question 20

contraindications for PT

Answer 20

exposed joint, DVT, compartment syndrome, new skin graft

Question 21

whats the progressive dependency protocol

Answer 21

observe, figure 8 wrap , place limb in dangle (DEPENDENT position ) , elevate, remove wrap and re assess

Question 22

how often do silver acticoat need to be changed

Answer 22

5-7 days

Question 23

how long are split thickness skin grafts immobilized

Answer 23

5 days

Question 24

advantages for full thicken skin graft

Answer 24

decreased secondary contracture, and durability,

Question 25

scar is soft in what stages

Answer 25

stage 1 and 3

Question 26

pressure garments management

Answer 26

replace every 2-3 months