NUR305 week ten

Question 1

discuss the burns incidence in aust and nz

Answer 1

0-4 years mainly scalding, 57% patients less than a day in hospital, 69% require 1-3 days

Question 2

epidermal burns: Superficial

Answer 2

eg:sunburn. involves the epidermis, skin is pink, red and painful. heals in 7 days

Question 3

superficial partial thickness: burn through the epidermis starting to burn into dermis

Answer 3

epidermis and superficial dermis. Blisters, red and mottled. Painful. Exudate. Heals in 14 days

Question 4

Mid dermal partial thickness

Answer 4

epidermis and dermis. large zone of non-viable tissue. less painful, exudate. pale to dark pink

Question 5

Deep partial thickness

Answer 5

Deep into the dermis. Pale to pink ivory. Skin does not blanch. Hair falls out. Surgically debrided.

Question 6

Full thickness

Answer 6

epidermis and dermis destroyed. dense white waxy charred, leathery skin.

Question 7

Escharotomy

Answer 7

An escharotomy is a surgical procedure used to treat full-thickness (third-degree) circumferential burns. In full-thickness burns, both the epidermis and the dermis are destroyed along with sensory nerves in the dermis. The tough leathery tissue remaining after a full-thickness burn has been termed eschar

Question 8

describe the local effects of a major burn

Answer 8

zone coagulation ( tissue fucked), zone of stasis ( tissue decreased perfusion, zone hyperaemia ( usually recover.

Question 9

describe the systemic effects of a major burn

Answer 9

cardio vasc, resp, metabolic, immunological