SPECONLEC_S1_L2 - 1st (37-72) Flashcards

1
Q

Usually as a result of an industrial accident

A

Chemical Burns

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2
Q

Chemical Burns may occur with _____

A

househol chemical products

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3
Q

chemical burns are usually as a result of an ____

A

industrial accident

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4
Q

In chemical burns, ___ is greater than (>) __ products

A

alkali; acidic

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5
Q

alkali products cause a severe injury called ____

A

liquefactive necrosis

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6
Q

liquefactive necrosis results in (2) in adipose tissue and proteins

A

denaturing of proteins & saponification of adipose tissue

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7
Q

Inhalation injuries are classified as __, __, or __

A

carbon monoxide poisoning, heat, or smoke inhalation injuries

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8
Q

Inhalation injuries account for more than ____ of the burn related deaths per year

A

half

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9
Q

are classified as carbon monoxide poisoning, heat, or smoke inhalation injuries

A

inhalation injuries

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10
Q

one of the leading causes of death

A

inhalation injuries

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11
Q

carbon monoxide is bad because it is associated with ___ that impedes blood’s ability to carry oxygen to body tissues and vital organs to produce ATP

A

hemoglobin

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12
Q

Signs of inhalation injuries (HARCH FSH)

A

Facial burn
Singed nasal burn
Harsh cough
Hoarseness
Abnormal breath sounds
Respiratory distress
Carbonaceous sputum
Hypoxemia

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13
Q

burns to the airway can cause ___ that blocks the ___ into the lungs

A

swelling; flow of air

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14
Q

In pathophysiology, what is under the local response?

A
  1. zone of coagulation
  2. zone of stasis
  3. zone of hyperemia
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15
Q

Occurs at the point of maximum damage

A

zone of coagulation

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16
Q

outermost zone

A

zone of hyperemia

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17
Q

decreased tissue perfusion

A

zone of tissue

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18
Q

Zone of coagulation has IRREVERSIBLE ___ ___

A

tissue loss

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19
Q

Goal of zone of stasis

A

increase perfusion

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20
Q

In zone of hyperemia, tissue will recover unless there is __ __

A

severe sepsis

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21
Q

Pathophysiological Changes During Hypermetabolic/Hyperdynamic Phase of Burn (>48 hrs) in the brain

A
  1. Altered mental status
  2. Cerebral Edema
  3. Inc. Pain Response
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22
Q

Pathophysiological Changes During Hypermetabolic/Hyperdynamic Phase of Burn (>48 hrs) in the heart & circulation

A
  1. Tachycardia
  2. Inc. cardiac index
  3. Subclinical myocardial dysfunction
  4. Echocardiogram (Altered contractility)
  5. Inc SvO2
  6. Dec SVR
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23
Q

Pathophysiological Changes During Hypermetabolic/Hyperdynamic Phase of Burn (>48 hrs) in the kidney

A
  1. Inc golmerular filtration rate
  2. Dec tubular function
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24
Q

Pathophysiological Changes During Hypermetabolic/Hyperdynamic Phase of Burn (>48 hrs) in the lungs + inhalation injury

A
  1. Pulmonary Edema
  2. Bronchospasm, bronchorrhea
  3. Acute respiratory distress syndrome
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25
Pathophysiological Changes During Hypermetabolic/Hyperdynamic Phase of Burn (>48 hrs) in the Liver
1. Altered metabolic function 2. Altered drug tolerance 3. Fatty liver 4. Inc live blood flow 5. Inc gluconeogenesis 6. Dec coagulation factors 7. Albuminemia
26
Pathophysiological Changes During Hypermetabolic/Hyperdynamic Phase of Burn (>48 hrs) in the bone marrow
1. Dec Hematopoiesis 2. Anemia 3. Immunoparesis 4. Osteoporosis
27
Pathophysiological Changes During Hypermetabolic/Hyperdynamic Phase of Burn (>48 hrs) in the systemic inflammatory response
1. High energy expenditure (Inc O2 consumption and Inc CO2 production) 2. Muscle catabolism 3. Insulin resistance- hyperglycemia 4. Persistence of generalized edema with >25% body burn
28
T or F: Hypermatabolic or Hyperdynamic Phase of Burn can also lead to altered pharmacological responses
T
29
Old Burn Classification
1. First Degree 2. Second Degree 3. Third Degree 4. Fourth Degree
30
Identify Burn Degree: Red and sometimes painful
1st
31
Identify Burn Degree: Epidermis and dermis
3rd
32
Identify Burn Degree: Extend into skin and underlying tissues
4th
33
Identify Burn Degree: Epidermis and parts of the dermis
2nd
34
Identify Burn Degree: Epidermis
1st
35
Identify Burn Degree: Very painful
2nd
36
Identify Burn Degree: Whitish, charred or translucent
3rd
37
Identify Burn Degree: Deep and potentially life-threatening
4th
38
Identify Burn Degree: No pin prick sensation on burned area
3rd
39
Identify Burn Degree: Skin may be red and blistered and swollen
2nd
40
Identify Burn Degree: Superficial Injury
1st
41
New Burn Classification
Epidermal Superficial Partial Thickness Burn Deep Partial Thickness Burn Full thickness Burn Subdermal Burn
42
New Burn: Cell damage only to the epidermis
Epidermal
43
Appearance of skin in epidermal burns
red or erythematous
44
Texture or quality of skin surface in epidermal
dry
45
T or F: Blisters are common in epidermal burns
F, ABSENT BLISTERS!
46
State or level of edema in epidermal burns
Minimal!
47
Epidermal burns have a delay in the development of __
pain
48
Epidermal burns peels off and desquamates in how many days?
3-4 days
49
T or F: Epidermal burns have spontaneous healing but there will be a scar tissue
F, they have spontaneous healing BUT NO SCAR TISSUE
50
Superficial Partial Thickness Burn has its ___ into the ___ layer of dermis
epidermis; papillary
51
T or F: Superficial Partial Thickness Burn has (+) intact blisters
T
52
T or F: There is presence of blanching in superficial partial thickness burn
T
53
State or level of erythema in Superficial Partial Thickness Burn
Moderate
54
Level of pain in superficial partial thickness burn
extremely painful
55
Superficial Partial Thickness Burn undergo ___d/t effects of __
desquamation; topical agents
56
Days for healing od superficial partial thickness burn
7-10 days
57
Superficial Partial Thickness Burn will have residual skin ___ owing to destruction of ___
color change; melanocytes
58
Level of scarring in superficial partial thickness burn
minimal!
59
Layers and other structures affected in deep partial thickness burns
epidermis and papillary dermis with damage to reticular dermal layer
60
Most of the __, __, __ will be injured in deep partial thickness burns
nerve endings, hair follicles and sweat ducts
61
What is the color of deep partial thickness burns
mixed or waxy white
62
T or F: there is edema in deep partial thickness burns
T
63
State of edema in deep partial thickness burns
marked edema
64
deep partial thickness burns has large amount of ___ loss (__ to __ times)
evaporative water (15-20x)
65
deep partial thickness burns has diminished sensation to __ or ___ but retains __
light touch; sharp/dull discrimination; deep pressure
66
How does healing occur in deep partial thickness burns?
heals in 3-5 weeks IF NOT INFECTED
67
Kind of scar formation in deep partial thickness burns
hypertrophic scar formation
68
Epidermal and dermal layers completely destroyed
full thickness burns
69
What finding is seen in full thickness burn?
eschar
70
What is eschar?
Hard, parchment like, black/brown covering the area
71
In full thickness burns, __ are completely destroyed
hair follicles
72
In full thickness burns, all __ are destroyed
nerve endings
73
Full thickness burns cause damage to the ___
peripheral vascular system
74
Complete destruction of all tissue from the epidermis to the subcutaneous tissue
subdermal burn
75
In subdermal burn, muscle and bone are subject to __ when burned
necrosis
76
subdermal burn occurs with prolonged contact with a __ and routinely occurs in a result of contact with __
heat source; electricity
77
New Classification of First Degree
Epidermal
78
New Classification of Second Degree
Sueprfical Partial Thickness; Deep Partial Thickness
79
New Classification of Third Degree
Full thickness
80
New Classification of Fourth Degree
Subdermal
81
Level of Epidermal
Epidermis
82
Level of superificial partial thickness
dermis
83
Level of third degree
all of dermis and epidermis
84
Level of Fourth Degree
extends to the bone, muscle and tendon
85
Edema in superficial partial thickness burns?
moderate, blanches with pressure
86
Edema in deep partial thickness burns?
marked
87
Edema in first degree burns
Minimal, Blanches with pressure
88
Color of superficial partial thickness
Bright pink, or red, mottled red
89
Color of first degree burn
Pink or Red
90
Color of deep partial thickness
mixed red, waxy white
91
Color of Fourth degree or subdemal burn
charred
92
Color of full thickness burn
White (ischemic) Charred, black/brown
93
Blisters in 1st degree
No blisters
94
Blisters in deep partial thickness
broken blisters
95
blisters in superficial partial thickness
intact blisters
96
Pain in deep partial thickness
/ Pressure X light touch and pinprick
97
Third degree pain
anesthetic
98
First degree pain
delayed, tender
99
superficial partial thickness pain
very painful
100
Pain in subdermal burn
anesthetic
101
Scar level in epidermal burns
X none
102
Scar level in third degree
scarring
103
Scar level in deep partial thickness
excessive scarring
104
scar level in superficial partial thickness
minimal scarring
105
scar level in 4th degree
scarring
106
Healing in deep partial thickness
slow
107
Healing in full thickness
skin grafting required
108
Healing in 4th degree
skin grafting required
109
Healing in epidermal burns
spontaneous
110
Healing in superficial partial thickness
spontaneous