Electrical Burn Ques 46 Flashcards
Acute gastric erosion as complications of severe burns ischemia and cell necrosis of gastric mucosa
Curling ulcer
Are injuries to the skin caused by exposure to extreme heat, hot liquids, electrical agent, strong chemicals, or radiation
Burns
About ___American seeks care for burns each year
48600
About___ patients are hospitalized for minor burns each year
34,00
Fires and burns kill approximately___people each year in the United States
4000
Today___ a patient treated and burns center survive
96.7
Damaged tissue deep within the body
Electrical burn
This type of burn damage is not always visible and the entrance site and exit site may appear smaller
Electrical burn
What type of monitoring should be initiated on a patient with electrical burn
Cardiac monitoring should be initiated if the patient does not complain of chest pain
Causes greater injury and burns by liquefying the tissue
Alkalis
Damage the tissue by coagulating cells and proteins
Acids
All__should be considered potentially life-threatening until they are thoroughly assessed
Burns
When a burn area is large the inflammatory response can result in
Massive shift of water,
electrolytes
and proteins into the tissue
which equals severe EDEMA
Massive shift of water,
electrolytes
and proteins into the tissue
which equals severe EDEMA
Can happen when a burn area is large
My potassium is released from damage cells it causes
Hyperkalemia
Caused by the stress response and potassium shift
Hyponatremia
When a Burn area is large what happened to your respiratory
It goes in the metabolic acidosis
The loss of the fluid from vascular space can lead to
Hypervolemia with low blood pressure
What increases when you have a burn area that is large
Hematocrit and viscosity of the blood
Hematocrit will increase because
A concentration of the blood
which is missing the component that shift into the tissue
The viscosity of the blood will increase causing
Slowing of the blood flow in the small vessels which in turn causes hypoxia
Kidney failure can be a risk from
Hypovolemia
If the burn was caused by a fire what happens to long
Lung tissue injury from inhalation of heat and smoke because Alveolar Edema
Why would the Hematocrit the increase in a patient with a large burn area
Fluid loss
What are released in the body in response to stress
CATECHOLAMINES
Aldosterone
cortisol
antidiuretic hormone
How is the severity of the burnt determined
Depends on the cause
the temperature
duration of contact
extent of burn
area region of the body involved
Depends on the cause
the temperature
duration of contact
extent of burn
area region of the body involved
Are how the severity of burn are determined
Sign and symptoms of burns
Reddening of the skin to full loss of tissue down the bone with black charred area
Blisters
A dry scab like crust
Eschar
Leathery layer
Can blisters form if the patient is burn
Yes
Can a dry scab like form over superficial burns occur if the patient is severely burned
Yes
Leathery layers of dead tissue happens when
Eschar is hard
There has been a full thickness injury
it is dark brown to black
Diagnosis of the depth of the burn is made based on
A classification system
Is based on the amount of the body surface that has been burned and the depth of the burn
Classification system of burns
What group cannot be assessed using the rule of nine
Children
Your head and arms are what percent when you’re talking about burns
4.5%
Your chest and your back is what percent when you’re talking about burns
18%
Your legs are what percent when you’re talking about burn
9%
Your groin area is what percent what you’re talking about burns
1%
