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Burns And Wound > Burns And Wound > Flashcards

Burns And Wound Flashcards

1
Q

Causes
Flames, scald, steam

A

Thermal - hot

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2
Q

Causes
Changes in sensation in cold

A

IBAN
Intense COLD
Burning pain
Aching pain
Numbness

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3
Q

Two types of thermal

A

Hot and cold

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4
Q

Causes
Considered as a third degree burn

A

Chemical

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5
Q

Causes
Eg. Liquid chemicals, gas, kitchen and bathroom materials

A

Chemical

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6
Q

Causes
Considered as a fourth degree burn

A

Electrical

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7
Q

Caused by a passage of an electric current

A

Electrical

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8
Q

Has an entrance and exit wound

A

Electrical

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9
Q

Causes
Complications in heart, lungs, neurological, eyes, fracture

A

Electrical

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10
Q

Causes
Lasers radiation therapy

A

Radiation

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11
Q

Causes of burns

A

Thermal
Chemical
Electrical
Radiation
Friction

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12
Q

A local injury to the skin

A

Burn

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13
Q

It assess the depth of burn injury and gives prognosis to cells affected

A

Zones of burn injurh

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14
Q

It assess the depth of burn injury and gives prognosis to cells affected

A

Zones of burn injurh

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15
Q

What are the 3 zones of injury

A

CoSH
Coagulation/necrosis
Stasis/Ischemia
Hyperemia/inflammation

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16
Q

Zone
Most severe injury

A

Coagulation/necrosis

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17
Q

Zones
Has irreversible damage

A

Coagulation/necrosis

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18
Q

Zones
Reversible cell damage

A

Stasis/Ischemia

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19
Q

Zones
If not treated within 24-48hrs cells may die

A

Stasis/Ischemia

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20
Q

Zones
Minimal cell damage

A

Hyperemia/inflammation

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21
Q

Zones
Vasodilation and inflammation WITHOUT permanent damage

A

Hyperemia/inflammation

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22
Q

Zone
Cells will regenerate in time

A

Hyperemia/Inflammation

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23
Q

Scars
Within the boundary

A

Hypertrophic

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24
Q

Scars
Outside the boundary

A

Keloid

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25
Q

For mx of hypertrophic scars

A

Pressure garments

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26
Q

Severity of burn
2nd degree
Minor

A

<15%

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27
Q

Severity of burn
2nd degree
Moderate

A

15-30%

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28
Q

Severity of burn
2nd degree
Major Critical

A

> 30%

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29
Q

Severity of burn
3rd degree
Minor

A

<2%

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30
Q

Severity of burn
3rd degree
Moderate

A

2-10%

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31
Q

Severity of burn
3rd degree
Major/Critical

A

> 10%

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32
Q

Severity of burn
What degrrr
Burn on face, perineum, hands, feet, smoke inhallation, fractures, complications

A

Major/Critical

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33
Q

How many % in Adult and Child
HEAD
TRUNK
1 UE
Perineum
1 LE

A

U know it

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34
Q

What are the complications in burn (10)

A

Pain
Cardiac
Pulmonary
Heterotropic ossificans
Myositis ossificans
Infection
Fracture
Contracture
Neurological
CATARACTS

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35
Q

Complications
More superficial more painful

A

Pain

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36
Q

Complications
Nerves are INTACT

A

Pain

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37
Q

Complications
Arrhythmia, HYPOvolemia, HYPOxia

A

Cardiac

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38
Q

Complications
Smoke inhallation injury, HYPOventilation, Pneumonia

A

Pulmonary

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39
Q

Complications
Abnormal bone growth AT JOINTS

A

Heterotropic ossificans

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40
Q

Complications
Abnormal bone growth AT MUSCLES

A

MYOsitis ossificans

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41
Q

Common site for heterotropic ossificans

A

Posterior elbow

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42
Q

Common site for myositis ossificans (UE and LE)

A

UE - brachialis
LE - Quads

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43
Q

Complications
MC cause of death in burn patients

A

Infection

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44
Q

Complications
Most significant cause of loss of function

A

Infection

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45
Q

Grafting
Allograft aka

A

Homograft

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46
Q

Grafting
Xenograft aka

A

Heterograft

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47
Q

Grafting
Taken from same species

A

Allograft

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48
Q

Taken from different species

A

Xenograft

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49
Q

Taken from patients own skin

A

Autograft

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50
Q

Grafting
Eg. Donor ,cadaver

A

Allograft

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51
Q

Grafting
Eg. Pig skin, fish skin

A

Xenograft

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52
Q

Grafting
Common site is in: CHAB (cheeks hips, abdomen, buttocks)

A

Autograft

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53
Q

Grafting
Laboratory grown

A

Cultured

54
Q

Grafting
Synthetic

A

Artificial

55
Q

Grafting
Cultured/artificial

A

Biosynthetic graft

56
Q

Grafting
Epidermis and UPPER dermis taken from donor

A

SPLIT thickness graft

57
Q

Grafting
Epidermis and WHOLE Dermis taken from donor

A

FULL Thickness graft

58
Q

Delay in rom exercises how many days

A

3-7days

59
Q

Delay in ambulation how many days

A

1-10 days

60
Q

Pressure ulcer aka
P___ sore
B___ sore
I____ Sore
D___ ulcer

A

Pressure sore
Bed sore
Ischemic sore
Decubitus ulcer

61
Q

Reuslt to prolonged/sustained pressure of tissue over bony prominence

A

Pressure ulcer

62
Q

Most common site of pressure ulcer in adult

A

Sacrum

63
Q

Most common site of pressure ulcer in children

A

Occiput

64
Q

Proper positioning in supine (pressure ulcer)

A

Every 2hrs

65
Q

Proper positioning in sitting (pressure ulcer)

A

Every 15-20minutes

66
Q

Pressure Ulcer Stage
Superficial skin loss

A

I

67
Q

Pressure Ulcer Stage
Partial thickness skin loss (epi and dermis)

A

II

68
Q

Pressure Ulcer Stage
Full thickness skin loss (epi, dermi, s.t.)

A

III

69
Q

Pressure Ulcer Stage
Full thickness skin loss (epi, dermi, s.t.) extending to fascia, mm, and bones

A

IV

70
Q

Pressure Ulcer Stage
Painful, itchy, NON-blanchable erythema, warmer/cooler, firm/soft

A

I

71
Q

Pressure Ulcer Stage
(+) abrasion, SHALLOW crater, blisters

A

II

72
Q

Pressure Ulcer Stage
(+) DEEP crater and may or may not have tunneling/undermining

A

III

73
Q

Pressure Ulcer Stage
(+) Tunneling/undermining

A

IV

74
Q

Pressure Ulcer Stage
Osteitis/osteomyelitis possible

A

IV

75
Q

Pressure Ulcer Stage
Palpable tendon or bone

A

IV

76
Q

Neuropathic ulcer
Aka

A

Diabetic ulcer

77
Q

Ulcer
LOSS of protective sensations

A

Neuropathic u.

78
Q

Ulcer
Assoc c a combination of ISCHEMIA + NEUROPATHY

A

Neuropathic u.

79
Q

MC site of neuropathic u.

A

PLANTAR aspect of foot

80
Q

Best WB status for neuropathic u.

A

NWB

81
Q

Wagner Ulcer Classification
No open lesion

A

0

82
Q

Wagner Ulcer Classification
Superficial skin loss not involving ST (epi and dermi only)

A

I

83
Q

Wagner Ulcer Classification
Deep ulcer skin loss through ST
(Epi + dermi + ST)

A

2

84
Q

Wagner Ulcer Classification
Exposure of bones, muscle, tendons, fascia, cartilage

A

2

85
Q

Wagner Ulcer Classification
Osteomyelitis and abscess formation and or osteitis

A

3

86
Q

Wagner Ulcer Classification
Pre-ulcerative lesion with HEALED ulcers

A

0

87
Q

Wagner Ulcer Classification
(+) bony deformities

A

0

88
Q

Wagner Ulcer Classification
Gangrene of DIGIT

A

4

89
Q

Wagner Ulcer Classification
Gangrene of FOOT

A

5

90
Q

Wagner Ulcer Classification
Partial amputation

A

4

91
Q

Wagner Ulcer Classification
Amputation of entire foot

A

5

92
Q

DEBRIDEMENT
Removal of NON-viable tissues (Only!)

A

Selective

93
Q

DEBRIDEMENT
Removal of VIABLE and NON-viable tissues

A

Non-Selective

94
Q

SELECTIVE DEBRIDEMENT
use of sharp objects

A

Sharp D.

95
Q

SELECTIVE DEBRIDEMENT
Use of body’s own natural enzymes

A

AUTOlytic

96
Q

SELECTIVE DEBRIDEMENT
Use of enzymes for debridement

A

Enzymatic d.

97
Q

SELECTIVE DEBRIDEMENT
Knife, forceps, scissors

A

Sharp d.

98
Q

SELECTIVE DEBRIDEMENT
Use of enzymatic DIGESTION

A

AUTOlytic

99
Q

SELECTIVE DEBRIDEMENT
Used when autolytic debridement is not applicable for the patient

A

Enzzymatic d.

100
Q

SELECTIVE DEBRIDEMEN
DOES NOT USE ANESTHESIA

A

Sharp D.

101
Q

SELECTIVE DEBRIDEMENT
(+) enzymes
(+) dressing

A

Autolytic

102
Q

SELECTIVE DEBRIDEMENT
(+) Enzymes (only)

A

Enzymatic D.

103
Q

SELECTIVE DEBRIDEMENT
Done by therapist

A

Sharp D.

104
Q

NON-SELECTIVE D.
Aka

A

Mechanical D.

105
Q

SELECTIVE DEBRIDEMENT
Use of pressurized water to remove N.T.

A

Wound Irrigation

106
Q

SELECTIVE DEBRIDEMENT
Whirlpool WITH agitation

A

Hydrotherapy

107
Q

SELECTIVE DEBRIDEMENT
Softens and loosens wound

A

Hydrotherapy

108
Q

SELECTIVE DEBRIDEMENT
Side effect of hydrotherapy

A

Edema

109
Q

Solution applied with clean wound

A

Normal saline solution

110
Q

Applied in hydrotherapy if px has infection on wound

A

Povidone iodine/hydrogen peroxide

111
Q

Applied when wound has serous or clear drainage

A

Normal saline solution

112
Q

Applied when wound has pus or purulent, green necrotic tissues

A

Povidone iodine/ hydrogen peroxide

113
Q

PT/OT MX
Negative pressure wound therapy is aka

A

Vacuum assisted closure (VAP)

114
Q

PT/OT MX
Pt is placed in a closed chamber with 100% oxygen at GREATER THAN 1 Atmosphere (2-3X Inc in atmosphere)

A

HYPERBaric Oxygen

115
Q

PT/OT MX
Anode is for clean/infected

A

Clean

116
Q

PT/OT MX
Cathode is for clean/infected

A

Infected

117
Q

PT/OT MX
for ACUTE/CHRONIC wounds

A

Negatibe pressure wound therapy

118
Q

PT/OT Mx
For pts with EDEMA and to HYPEROxygenate wound

A

Hyperbaric oxygen

119
Q

PT/OT MX
wound has dressing attached then a secondary dressing is also attached via tubing to a vacuum pump

A

Negative pressure wound therapy
Or vacuum assisted closure

120
Q

DRESSING
Under dry wounds

A

Hydrogel
TRANSPARENT FILM
Wet to wet dressing

121
Q

DRESSING
Under minimal to moderate dressing

A

Hydrocolloid
Wet to dry

122
Q

ModeRATE to heavy drainage

A

Calcium algiNATE
SEMI PERMEABLE
Dry to dry dressing

123
Q

Gel + water

A

Hydrogel - dry wound

124
Q

Partial to full thickness wound (2)

A

Minimal to moderate d.
Moderate to heavy d.

125
Q

Gel forming
Minimal to mod or mod to heavy

A

Minimal to mod

126
Q

Highly absorptive
Minimal to mod or mod to heavy

A

Mod to heavy

127
Q

DRAINAGE
Clear, watery, transparent

A

Trasnsudate

128
Q

DRAINAGE
Clear with tinge of brown/red

A

SEROSANGUINEOUS

129
Q

DRAINAGE
Yellow/brown, CREAMY, THICK

A

Exudate

130
Q

DRAINAGE
Yellow/Brown, thick MOD-HEAVY d.

A

Pus/Purulent

131
Q

DRAINAGE
Yellow/green/blue, thick, and FOUL SMELLING

A

Infected Pus

Burns And Wound (1 decks)

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