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Pediatrics-MJ > T2-Burns: Depth of Injury > Flashcards

T2-Burns: Depth of Injury Flashcards

1
Q

What are the 5 types of burns?

A 
Superficial (1st)
Superficial partial thickness (2nd)
Deep partial thickness (2nd)
Full thickness (3rd)
Deep full thickness (4th)
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2
Q

Are superficial (1st) burns minor or major significance?

A

Minor

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3
Q

With superficial burns there is often a _____ period follow by _____ due to _____

A

Latent period followed by erythema due to vasodilation

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4
Q

Is there a lot of tissue damage with superficial burns?

A

Minimal

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5
Q

How are the protection functions of the skin with superficial burns?

A

Protective functions of the skin remain INTACT–systemic effects are rare

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6
Q

What is the predominant symptom of a superficial burn? Are there blisters?

A

Prodminant symptom= Pain

Blisters DO NOT form

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7
Q

Superficial: The dead epidermis ____ and is replaced by ______ within ____. With or without scarring?

A

Sloughs and is replaced by REGENERATING KERATINOCYTES within 3-4 days

Without scarring

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8
Q

Superficial: The burning sensation and pain usually resolve in ____ and in ____ epithelium peels off in small scales or sheets. What is an example of a superficial first-degree burn?

A

48-72 hours, 3-6 days

Ex: Mild sunburn

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9
Q

What do partial thickness (2nd degree) burns involve?

A

The epidermis and varying degrees of the dermis

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10
Q

How do partial thickness burns look and feel?

A

Painful
Moist
Red
BLISTERED

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11
Q

Superficial partial thickness burns involve the _____ and part of the _____. How are dermal elements? When should the wound heal? Scarring? Sensitive wound?

A
  • Epidermis and PART of the dermis
  • Dermal elements= INTACT
  • Heals=approx. 14 days
  • Scarring= variable amounts
  • Yes, Sensitive to TEMP CHANGES, EXPOSURE TO AIR, and LIGHT TOUCH
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12
Q

Deep partial thickness burns (2nd) resemble ____ burns

A

Full thickness (3rd)

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13
Q

Deep partial thickness (2nd): What remain intact?

A

Sweat glands and hair follicles= INTACT

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14
Q

What is the appearance of a deep partial thickness burn (2nd)?

A
  • Mottled

- Pink, red, or waxy white areas WITH BLISTERS and EDEMA formation

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15
Q

How long does it take for a deep partial thickness burn to heal?

A

Heal spontaneously in approx. 21 days

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16
Q

Is there scarring with a deep partial thickness burn?

A

Yes

17
Q

Full thickness (3rd) degree burns are serious injuries that involve what?

A

Entire epidermis and dermis and extend to SQ tissue

18
Q

Full thickness: What can be seen beneath the surface of the wound? What is destroyed?

A

Thrombosed veseles= beneath surface of wound

Nerve endings, sweat glands, hair follicles= destroyed!

19
Q

What is the color of a full thickness (3rd) burn?

A

Varies in color from red to tan, waxy white, brown or black and is DISTINGUISHED BY A DRY, LEATHERY APPEARANCE

20
Q

Normally, full thickness burns ____ sensation in the area of injury because of the destruction of nerve endings. However, most full-thickness burns have superficial and partial thickness burned areas at the ____ of the burn, where nerve endings are intact and exposed. Also, excised eschar and donor sites cause exposed nerve fibers. Finally, as peripherally fibers regenerate, ______ returns.

A

LACK

Periphery

PAINFUL SENSATION returns

21
Q

What type of burn is a 4th degree burn?

A

Full thickness

22
Q

What does a deep full thickness (4th) burn involve?

A

Underlying structures such as muscle, fascia, and bone

23
Q

What does a deep full thickness (4th) burn appear as?

A

Dull and dry

Ligaments, tendons, and bones may be exposed

24
Q

What types of burns require autografting?

A

Full thickness burns (3rd and 4th)

25
Q

What burns have no blisters?

A

Superficial (1st)

26
Q

What burns blanch with pressure?

A

Partial thickness (1st and 2nd)

27
Q

What burn has thromboses vessels visible?

A

Full thickness (3rd)

28
Q

What burn may require amputation?

A

Deep full thickness (4th)

29
Q

What burn has charring visible in deepest areas?

A

Deep full thickness (4th)

30
Q

What burn is very sensitive to touch and air currents

A

Partial thickness (2nd)

Pediatrics-MJ (61 decks)

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