Module 16- Burn Injury and Rehabilitation Flashcards

1
Q

Explain the 3 layers of skin

A
  1. epidermis
    -provides protection
  2. dermis
    -2 layers with fibroblast
  3. subcutaneous layer
    -adipose and connective tissue
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2
Q

what skin layer is involved in superficial 1st degree burn

A

epidermis

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3
Q

what skin layer is involved in partial thickness 2nd degree burns

A
  1. superficial partial (papillary)
  2. deep partial (reticular)

epidermis and dermis

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4
Q

what skin layer is involved in full thickness 3rd degree burns

A

epidermis, dermis, subcutaneous layers

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5
Q

what burn is this:
-dry, no blisters, blanches with pressure
-red, bright pink
-painful
-epidermis damage

A

superficial thickness 1st degree- think sunburn

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6
Q

is 1st degree superficial burns included in TBSA %

A

no

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7
Q

how long do superficial thickness burns take to heal?

A

3-7 days

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8
Q

what burn is this
-blistered, weeping
-bright red
-very painful
-epidermis and papillary dermis

A

superficial partial thickness

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9
Q

how long do superficial partial thickness take to heal

A

7-21 days heal on their own

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10
Q

what burn is this:
-pseudoeschar (white)
-molted white to pink
-blanches indicates healing
-no pain
-epidermis, papillary and reticular dermis

A

deep partial thickness

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11
Q

how long do deep partial thickness burns take to heal?

A

21-35 days if they heal on their own
can convert to full thickness

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12
Q

what burn is this:
-dry, leathery, charred
-mixed white, waxy, pearly,
-no pain, hair pulls out easily
-epidermis, dermis to subcutaneous beyond

A

full thickness

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13
Q

how long to full thickness burns take to heal

A

wont heal on their own need skin grafting

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14
Q

what is the lund and browder and what does it measure

A

most accurate method of determining total body surface area burnt

does not include superficial burns

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15
Q

what is the rule of 9s

A

body divided into 11 segments of 9% and 1% for perineum and 1% for palms of hand

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16
Q

most common from hot liquids
common in children and elderly
pattern: downward with splash marks- accident
circumferential- abuse

A

scald

17
Q

road rash usually from mva, bike, motorcycle

A

friction

18
Q

contact points may be small but internal damage is much more severe

A

electrical

19
Q

how do you treat a chemical burn?

A

massive dilution- continuous showering for a prolonged period after the injury

20
Q

What is type of skin condition
-progresses quickly
-red, warm, swollen area
-severe pain
-fever

A

necrotizing fasciitis
bacterial infection - usually strep A

21
Q

what should be administered ASAP in a frostbite situation

A

t-PA

22
Q

what is a escharotomy

A

used to maintain perfusion to the limb

23
Q

how can PT help with joint positioning with individuals with burns

A

maintain ROM of joints
position of contracture to prevent position of contracture
offload bony prominences
avoid pressure on or overstretching nerves

24
Q

when can you start AROM and PROm after allografting

A

24 hours