Minor Burns, Sunburns, and Wounds Flashcards
When do acute injuries heal?
Less than 1 month
(T/F) Chronic damage eventually heals through normal stages of tissue repair
False, does not heal thru normal means
UVA vs UVB vs UVC
Which suppresses immune system?
UVA
UVA vs UVB vs UVC
Which produces sunburns?
UVB
UVA vs UVB vs UVC
Which is in range of 290-320nm?
UVB
UVA vs UVB vs UVC
Which is in range of 320-400nm?
UVA
UVA vs UVB vs UVC
Which mostly reflects off ozone layer?
UVC
UVA vs UVB vs UVC
Which synthesizes vit. D-3?
UVB
UVA vs UVB vs UVC
Is the main driver causing skin cancer
UVB
UVA vs UVB vs UVC
Causes premature aging
UVA
UVA vs UVB vs UVC
Most of what does make it thru is absorbed by stratum corneum
UVC
What are the parts of wound healing?
- Inflammatory
- Proliferative
- Maturation
Wound healing
How long does the inflammatory stage last?
3-4 days
Wound healing
What are the subgroups of the inflammatory stage?
- Hemostasis
2. Inflammation
Wound healing
How long does the proliferative stage last?
About 3 weeks
Wound healing
What is the special function of the proliferative stage?
Wound is filled w/ new connective tissue + covered w/ new epithelium
Wound healing
How long does the maturation stage last?
About 60 days
What are the factors that delay healing?
- Medical conditions
- Poor nutrition
- Infection
- Decreased vascularization
How does decreased vascularization affect delayed healing?
Poor circulation, poor oxygenation, poor leukocyte function, which all causes increased risk of infection
In stage 1 of superficial burns, it involves the _____ layer of the skin w/ no loss of skin layer
epidermis
In stage 1 of superficial burns, can by treated by ____ ____
self care
In stage 1 of superficial burns, it will usually heal within __ to __ days
3 to 6
In stage 2 of burns, it involves the ____ and part of the ____ layer
epidermis + dermis
In stage 2 of burns, may involve ______
drainage
In stage 2 of burns, it takes about ____ weeks to heal
2+
What percentage of your body can be treated w/ self care?
<2%
Sunburns that blister are considered stage ___ burn
2
In stage 3 of burns, it involves what layers of the skin?
Epidermis + Dermis + may involve subcutaneous
In stage 4 of burns, it involves what layers?
Stage 3 + underlying muscle, tendon and/or bone
Just know that a diabetic pt w/ a burn is an exclusion for self-care
okay
For burns, immediately cool the area w/ ____ tap water for ______ minutes
cool + 10 to 30
Irrigate chemical burns w/. copious amounts of water for at least ___ minutes
15
What is the advantage of gauze?
Cheap + available
What is the disadvantage of gauze?
Adheres to wound, must be changed often, needs surgical tape to hold in place
What do antimicrobial wound dressings contain?
Silver or iodine
What is the benefit to foam + alginates?
Absorbs excess moisture + beneficial early in healing process
What is the benefit to transparent film dressings/hydrocolloids/adhesive bandages?
Maintains moisture + preferred during proliferative phase
What dressing is beneficial early in the healing process?
Foams + Alginates
What dressing is preferred during the proliferative phase?
Transparent film + Hydrocolloids + Adhesive bandages
NSAIDS vs Tylenol
Which provides just analgesia?
Tylenol
NSAIDS vs Tylenol
Which provides both analgesia + anti-inflammatory effects?
NSAIDS
What is the pediatric dosing of Tylenol?
10-15mg/kg Q4-6H
What is the pediatric dosing of Ibuprofen?
5-10mg/kg Q6-8H
Dont use younger than 6 months
What is a precaution of using hydrogen peroxide?
Releases oxygen, dont use in abscess, can damage tissues
What is a precaution of using ethyl alcohol?
Can use around damaged tissue, but not directly on wound
What is a precaution of using isopropyl alcohol?
Dehydrates wound area + higher reported infection rate
What is a precaution of using iodine?
Causes skin irritation + skin discoloration
What is a precaution of using povidone/iodine?
Can be absorbed systemically + elevate iodine levels
What is a precaution of using camphorated phenol?
If used on moist areas, phenols can separate from H2O and lead to toxic concentrations
What are some complimentary therapies for burns?
Aloe vera, honey, and calendula
What does aloe vera contain?
Vit. A, B, C, and E
What does honey contain?
Purported to have antibacterial, anti-inflammatory, and anti-fungal properties
What can calendula do to burns?
Said to decrease healing time
To prevent burns, bath water should be below ____ degrees F
100