Chapter 15 Burn Rehabilitation Flashcards
BURNS
1. Secondary to external agents (________, ________, chemicals, electricity, and radiation).
2. #1 cause of accidental deaths in children under ________ years.
3. Leads to ________ state.
BURNS
1. Secondary to external agents (heat, cold, chemicals, electricity, and radiation).
2. #1 cause of accidental deaths in children under 2 years.
3. Leads to hypermetabolic state.
DEPTH/DEGREE
1. Superficial thickness (first degree): ________ only. red and painful, heals spontaneously in ________ to ________ days.
2. Partial thickness (second degree): ________ to ________ days to heal.
2a. superficial: epidermis with ________; ________ layer remains intact.
2b. deep: ________ involved with ________.
3. Full thickness (third degree): full ________ and ________ involvement, with possible fat, muscle, or bone affected. eschar forms and requires debridement with ________.
DEPTH/DEGREE
1. Superficial thickness (first degree): epidermis only. red and painful, heals spontaneously in 3 to 7 days.
2. Partial thickness (second degree): 7 to 21 days to heal.
2a. superficial: epidermis with blistering; basal layer remains intact.
2b. deep: dermis involved with blistering.
3. Full thickness (third degree): full epidermis and dermis involvement, with possible fat, muscle, or bone affected. eschar forms and requires debridement with grafting.
Parkland Formula = ________ mL lactated Ringer’s solution × body weight in kg × TBSA% burned.
Administer ________ the ________-hour total over the first 8 hours, ________ over the next 8 hours, and the remaining ________ over the last 8 hours.
Parkland Formula = 4 mL lactated Ringer’s solution × body weight in kg × TBSA% burned.
Administer ½ the 24-hour total over the first 8 hours, ¼ over the next 8 hours, and the remaining ¼ over the last 8 hours.
REHABILITATION GOALS
Limit loss of ________.
Reduce ________.
________ management.
Prevent ________ with positioning/splinting: including capsular contractions or shortening of tendons and muscles which cross joints.
REHABILITATION GOALS
Limit loss of ROM.
Reduce edema.
Scar management.
Prevent contractures with positioning/splinting: including capsular contractions or shortening of tendons and muscles which cross joints.
Scar management
1. ________ scarring: present at ≥________ months after burn injury with ≥________ mm in thickness.
2. more likely to occur if wounds take >________ weeks to heal.
3. usually matures at ________ years.
4. need ________ mm of pressure to counteract the contraction of a scar.
Scar management
1. hypertrophic scarring: present at ≥3 months after burn injury with ≥2 mm in thickness.
2. more likely to occur if wounds take >2 weeks to heal.
3. usually matures at 1½ years.
4. need 25 mm of pressure to counteract the contraction of a scar.
POSITIONING TO PREVENT CONTRACTURE
1. ________ and ________.
2. Prevent dependent ________.
3. Special beds (Kin Air, Roho).
POSITIONING TO PREVENT CONTRACTURE
1. Extension and abduction.
2. Prevent dependent edema.
3. Special beds (Kin Air, Roho).
Splinting – must be done in conjunction with mobilization
1. examples: resting hand splint, knee ________ with ________ of lower extremity, and elbow ________.
Splinting – must be done in conjunction with mobilization
1. examples: resting hand splint, knee extension with dorsiflexion of lower extremity, and elbow extension.
COMPRESSION GARMENTS
1. decrease ________ scarring.
2. blood flow reduced with pressure on capillaries, causing reduced ________ formation.
3. ________ hours/day wearing schedule.
COMPRESSION GARMENTS
1. decrease hypertrophic scarring.
2. blood flow reduced with pressure on capillaries, causing reduced scar formation.
3. 23 hours/day wearing schedule.
NUTRITION
2,000 to 2,200 calories/day.
Supplements: Vit ________, Vit ________, ________, copper, and manganese.
NUTRITION
2,000 to 2,200 calories/day.
Supplements: Vit C, Vit A, zinc, copper, and manganese.
COMPLICATIONS
peripheral ________ and multiple ________.
bone/joint changes and ________.
heterotopic ossification: ________ is the #1 site.
________/kyphosis.
________/dislocation.
COMPLICATIONS
peripheral neuropathy and multiple mononeuropathy.
bone/joint changes and osteophytes.
heterotopic ossification: elbow is the #1 site.
scoliosis/kyphosis.
subluxation/dislocation.