Burns Flashcards
Most common cause for hospitalization
flame burn
type of burn with the highest mortality
flame burn
when will you refer a patient to a burn center?
- > 10% TBSA
- face, hand, feet, genitalia, perineum, major joints
- 3rd degree burns
- Electrical/chemical burns
- Inhalation injury
- burn + co-morbidities
- Burn + trauma
- Children
- specialist
What is the Baxter Formula
4mL PLR/kg/%TBSA
What is the Curreri formula
kcal = 25kcal/kg/day + 40kcal/TBSA/day
what is the UO output goal for pediatric burn patients?
1 to 1.5 mL/kg/hr
The drug of choice for pain control in burn patients?
meperidine, nalbuphine
[jacksonian zones]
area of most severe burn injury
coagulation zone
[jacksonian zones]
area containing viable tissues
hyperemia
[burn classification]
dry
no blister
erythematous
painful
1st degree
[burn classification]
blebs with blisters mottled white to pink cherry red very painful
2nd degree
[burn classification]
dry leathery vessels visible under echar pearly color intact deep-pressure decreased pinprick
3rd degree
[burn classification]
dry
leathery
exposed bone, muscle, tendon
no pain
4th degree
[topical antibiotics]
penetrates eschar well
mafenide
[topical antibiotics]
causes metabolic acidosis
mafenie
[topical antibiotics]
good for facial and epithelializing wounds
bacitracin
[topical antibiotics]
causes hyponatremia
silver nitrate
[topical antibiotics]
penetrates eschar poorly,
causes leukopenia
SSD
[topical antibiotics]
antipseudomonal
SSD
[topical antibiotics]
effective agains MRSA
Daikin
5mL sodium hypochlorite + 985mL pNSS
most common cause of death in burn
burn wound sepsis
[burn complications]
increase airway pressure + hypoventilation
low UO
Hemodynamic compromise
Abdominal compartment syndrome
[burn complications]
stress ulcer
curling
