Skin Injuries Flashcards
a patient presents with erythematous skin that blanches and is photo distributed. diagnosis?
1st degree superficial burn
a patient presents with erythematous skin that blanches and has blisters (serous/blood). diagnosis?
2nd degree partial thickness burn
a patient presents with grey/white, waxy skin that does not blanch, is non tender and +/- blisters. diagnosis?
3rd degree full thickness burn
which burn will require debridement and skin grafting?
3rd degree full thickness burn
what is used for 2nd and 3rd degree burn surface area estimations?
rule of nines
what is the surface area of a patient’s palm?
1%
what is the initial treatment for a burn? (4)
ABCDE
pain control
antibiotics
+/- tetanus
what is the overall treatment for burns? (5)
escharotomy
debride
skin graft
silvadene/bacitracin dressing
why is an escharotomy indicated for burns?
to prevent tourniquet effect of difficulty breathing
what is required for burns with SA over 20%?
maintain body temp
d/t impaired thermal regulation + hypothermia risk
a patient with burns involving the hands, face, genitalia, joints, large surface area, or with major comorbid conditions requires what?
transfer to burn center
a traumatic injury resulting in the splitting of the skin due to sharp or blunt trauma
laceration
what are 6 high risk factors for lacerations?
face
hands/joints
functional deficit
numbness/sensory loss
lack of blood flow
contaminated wounds
what is the treatment for lacerations? (5)
stop bleeding w/ direct pressure
confirm neuro and functional status
irrigate/wash wound
determine if closure
+/- antibiotics
skin injury due to pressure induced ischemia and necrosis
pressure ulcers
