Plastics Flashcards
What are the maximum doses of local anesthetics?
Lidocaine 1% with epi
Lidocaine 1% plain
Lidocaine 2% plain
Lidocaine 1% with epi Max Dose (mg/kg) : 5-7 mg/kg Max Dose (mL/kg): 0.7 mL/kg
Lidocaine 1% plain Max Dose (mg/kg) : 3 – 5 mg/kg Max Dose (mL/kg): 0.3 – 0.5 mL/kg
Lidocaine 2% plain Max Dose (mg/kg) : 3 – 5 mg/kg Max Dose (mL/kg): 0.15 – 0.25 mL/kg
What is the management of a thermal airway injury with stridor?
intubate ASAP, rapidly progressive
Epinephrine and dexamethasone will not work
What burn factors prompt referral to a burn center?
1) partial thickness >10%
2) any full thickness
3) disability or aesthetic considerations like hands, feet, genitalia, perineum, joints
4) associated inhalational injury or trauma
What is the size and timing of suture removal for the following anatomical sites? eyelids neck face scalp trunk and upper extremities lower extremities
Eyelids – 3 days
Neck – 3-4 days
Face –5.0-6.0, 4-5 days
Scalp – 3.0-5.0, 7 to 10 days
Trunk and upper extremities – 4.0-5.0, 7 days
Lower extremities – 3.0-4.0, 8-10 days
OVERLYING A JOINT- 10-14 days
Wheel and rust cleaners contain what compound that can cause problems?
hydrofluoric acid, which can be absorbed transdermally
fluoride ions bind calcium causing neuropathic pain, treat with calcium gluconate typically, subcut or IV
When do you give DTaP vs Tdap vs Td?
DTaP if <7 years old
Tdap if >7 or at 11 years old
Td any age
At what burn percentage do you start using the Parkland formula? What is it?
15% TBSA
4mL/kg/%BSA in 24hrs with 1/2 in the first 8, 1/2 in the second 16
include ALL fluids that they’re received
What is considered a first line treatment for local anesthetic toxicity?
lipid infusions
