Skin Integrity

Question 1

Describe the rule of 9’s as it relates to burn body percentage (head, arms, chest, abdomen, anterior leg, posterior leg, upper back, lower back, genitals, palms) (ADULT)

Answer 1

• Head = 9%
• Each arm = 9%
• Chest = 9%
• Abdomen = 9%
• Anterior leg = 9%
• Posterior leg = 9%
• upper back = 9%
• lower back = 9%
• genitals = 1%
• Patient’s palm = 1%

Question 2

Describe the timing of suture removal for eyelids

Answer 2

3 days

Question 3

Describe the timing of suture removal for the neck

Answer 3

3-4 days

Question 4

Describe the timing of suture removal for the face

Answer 4

5 days

Question 5

Describe the timing of suture removal for the scalp

Answer 5

7-14 days

Question 6

Describe the timing of suture removal for the trunk & upper extremities

Answer 6

7 days

Question 7

Describe the timing of suture removal for the lower extremities

Answer 7

8-10 days

Question 8

Describe the follow up visit recommendation for wounds/sutures

Answer 8

• No follow up required for clean wounds
• Follow up in 48-72 hours if highly contaminated
• Strong education on signs of infection

Question 9

List the nonabsorbable sutures

Answer 9

• nylon/ethilon
• polybutester/novafil
• polypropylene/prolene
• silk

Question 10

List the nonabsorbable sutures in order of highest tensile strength to lowest

Answer 10

• prolene (least knot security)
• nylon/ethilon
• polybutester/novafil
• silk (best knot security)

Question 11

Describe the use/anatomic sites of nonabsorbable sutures

Answer 11

anywhere

Question 12

List the absorbable sutures used on the face

Answer 12

• fast absorbing gut (4-6 days)
• vicryl rapide (5-7 days)
• surgical gut (5-7 days)
• monocryl (7-10 days)

Question 13

List the absorbable sutures used on the scalp & undercast/splint

Answer 13

• vicryl rapide (5-7 days)

Question 14

List the absorbable sutures used in the mouth & nailbed

Answer 14

• chromic gut (10-14 days)
• vicryl (30 days)