Pathophysiology Flashcards

1
Q

Why does plasma seep out into the tissue?

A

Increased capillary permeability

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2
Q

When does the majority of plasma seeping out into the tissues occur?

A

First 24 hours

*worry about shock

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3
Q

Why does pulse increase?

A

FVD

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4
Q

Why does CO decrease?

A

FVD

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5
Q

Why does urine output decrease?

A

FVD

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6
Q

Why is epinephrine secreted?

A

Epi and norepi secretion make you peripherally vasoconstrictor, so blood is shunted to vital organs

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7
Q

Anytime systolic bp drops below 90 the client will not have what?

A

adequate organ perfusion

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8
Q

Why are ADH and aldosterone secreted?

A
  • Retain Na and H2O
  • Retain H2O with ADH
  • therefore blood volume will up
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9
Q

Most common method to determine % of the body that is burned is called what?

A

Rule of 9’s

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10
Q

Rule of 9s means what?

A
  • Head and neck: 9%
  • Trunk: Front 18% and back 18 %
  • Each Arm: 9%
  • Genital: 1%
  • Each Leg: 18%
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11
Q

Partial thickness burns are what degrees?

A

1st and 2nd

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12
Q

Full thickness burns are what degrees?

A

3rd and 4th

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13
Q

How does burn location determine severity? ex: face, neck or chest? hands, feet, joints, or eyes?

A

-could interfere with breathing
or
-could interfere with productivity

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14
Q

What are risk factors for complications from burns?

A
  • heart, lung, or kidney disease
  • pre-existing DM pr peripheral vascular disease (leg or foot may not heal well)
  • Other injuries from burn
  • very old or very young
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15
Q

Why do the very young or very old have a higher risk of mortality form a burn?

A
  • skin is very thing and less subq fat, so burn can go deeper
  • BSA less in very young
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16
Q

What is the emergency management to sop the process of burning?

A

-wrap in blanket
(no flame doesn’t mean burning process is done thought)
-use cool water but not more than 10 min (or excessive heat loss)
-remove clothing/jewelry (metal can continue to burn) and cover burns with clean dry cloth

17
Q

What benefit does wrapping burn victim in a blanket have?

A

hold in body heat and protect from germs

18
Q

What is the number one cause of death form burns?

A

Inhalation injury

19
Q

What do you breathe in with an inhalation injury?

A

-carbon monoxide and hydrogen cyanide

20
Q

What does oxygen usually bind with?

A

hemoglobin

21
Q

What does hemoglobin bind with instead of oxygen in inhalation injuries?

A

Carbon monoxide

22
Q

Can oxygen bind to hemoglobin if carbon monoxide already has?

A

no

23
Q

Is a client hypoxic after a inhalation injury?

A

Yes (oxygen can’t bind to hemoglobin

24
Q

What is the treatment for an inhalation injury?

A

100 % oxygen

25
Q

Is inhalation is a closed or open space worse?

A

Closed (more carbon monoxide inhaled)

26
Q

When you see a client with burns to neck, face, or chest what should you focus on!?

A

AIRWAY

27
Q

What might the doctor do prophylactically with a client who has a inhalation injury to the neck, face, or chest?

A

Intubate

28
Q

Singed nose hair or facial hair is an indicator of what?

A

Inhalation injury

29
Q

Soot on face is an indicator of what?

A

Inhalation injury

30
Q

Coughing up secretions with dark specks is an indicator of what?

A

Inhalation injury

31
Q

Difficulty swallowing is an indicator of what?

A

inhalation injury

32
Q

Wheezing is an indicator of what?

A

inhalation injury

33
Q

Blisters found on oral/pharyngeal mucosa is an indicator of what?

A

inhalation injury

34
Q

Hoarseness is an indicator of what?

A

Inhalation injury

35
Q

Substernal/intercostal retractions and stridor are bad signs of what?

A

inhalation injury

36
Q

More deaths with upper or lower body burns?

A

upper