Final Exam Flashcards

1
Q

List the types of acute burns

A
  • TENS/SJS
  • Friction injuries
  • Frostbite
  • IV infiltrates
  • Pressure injuries
  • Traumatic amputations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List the types of reconstructive burns

A
  • Congenital conditions
  • Scar contractures
  • Cleft lip and palate
  • Dog bites
  • Port wine stains
  • Congenital hairy nevus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T or F? Burn injuries change capillary permeability into the size of RBCs, then the edema goes to the burn site leaving the body hypovolemic

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

T or F? Over-resuscitation (too much fluid) can cause excess edema, stress kidney function, pulmonary complications, heart failure, etc.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Compartment syndrome can affect the ___________________, especially if the burn is circumferential

A

area of a burn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 4 factors for assessing a burn?

A
  • Mechanism of injury
  • Depth of injury
  • TBSA% (total body surface area)
  • Other influential factors (PMH, social history)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 3 zones of a burn?

A
  • Zone of hyperemia
  • Zone of stasis
  • Zone of coagulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

List the types of burns

A
  • Thermal
  • Chemical
  • Electrical
  • Friction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List the different types of thermal burns

A
  • Flame
  • Scald
  • Contact
  • Flash
  • Friction
  • Sunburn
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T or F? pH of chemical can affect treatment of a chemical burn

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How should you treat a chemical burn?

A

Flush with water to remove any chemicals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe electrical injuries

A
  • May cause damage to the skin and to internal tissues
  • EKG should be done on al patients with electrical burns to rule out cardiac issues
  • Common in hands/fingers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe friction burns

A
  • Most common: Treadmill belt, road rash, vacuum brushes
  • Radiographs should be taken to rule out fractures with trauma history
  • Deep injuries over thin skin on fingers can mean tendon involvement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the burn classification scale

A

First Degree:
- Superficial

Second Degree:
- Superficial partial thickness
- Deep partial thickness

Third Degree: Full Thickness

Fourth Degree: Full thickness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the “wallace rule of nines”

A

A tool used to estimate the TBSA (Total burn surface area)

Alternative: Lund & Browder chart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which factors affect how a patient is treated

A
  • Age
  • PMH/comorbidities
  • Body areas involved
  • Medical status
  • Additional trauma
  • Social concerns
17
Q

How should you prevent infection of a burn?

A

Superficial/Smaller injuries:
- Topical agent (bactroban, bacitracin)

Deeper injuries:
- Soak with different agent (silver, sulfamylon, etc.)

18
Q

T or F? A superficial second degree burn would be appropriate for barrier dressing

A

True

19
Q

How should you debride necrotic/dead tissue

A
  • Collagenase
  • In-clinic debridement
  • Mod sedation procedures
  • Tangential excision in operating room
20
Q

List the priorities of wound closure (in order from most to least important)

A
  1. Survival
  2. Function
  3. Appearance
21
Q

T or F? The likelihood of scarring is most likely if it takes more than 14 days

A

True

22
Q

How should a clinician manage a scar?

A
  • Scar massage
  • Pressure garment
  • Topical silicone
  • Laser treatments (surgical)
  • Z-plasty (surgical)
  • Release and graft (surgical)
23
Q

If a patient has a palmar burn, their hand should be _______ when in a splint

If a patient has circumferential burns, their hand shoulder be _____________ or ___________

A

Fisted

Extended of slight flexion

24
Q

How long does a scar take to mature?

A

At least 12 months

25
Q

List the characteristics of immature/active scars, and mature scars

A

Immature Scars:
- Red
- Raised
- Ridged

Mature Scars:
- Pale
- Planar
- Pliable

26
Q

T or F? Hypertrophic scars stays between the wound borders, keloids expand beyond the wound borders

A

True