test 3 questions Flashcards
causes of thermal burn
steam, hot liquids, friction, charcoal
gradaughter of 85 year old patient, greater risk for scalding
overall slower reaction
CO level 22%. Intervention?
give 100% oxygen
cc nurse depth of burn injury depth of tissue destruction, and
durinon of exposure, skin thickness, cause of burn, body part
minor burn
skin remains intact bc only epidermis burned
3rd degree burn coagulation zone
surface of the wound dry and firm
thermal burns in ed left arm and shoulder. What requires immediate attention
coughing and hoarseness
burn cicling the left upper leg. Pain, pallor of lower extremity, loss of pedal pulse. Pt. may be developing
compartment syndrome
Explosion pt. rr 24 breaths, strider, soot, hr 120 bpm. What would you do first
prophylactically intubate the pt
middle aged 220 lbs, 40% total body surface area. Parkland formula fluid resus 24hrs
weight in kg, times percentage, times 416,000
explain skin covering procedures to a burn pt.
autografts are permanent skin replacement for burns
signs splenic injury
Most commonly injured organ in blunt traumaOften associated with other injuriesLeft lower rib pain may be indicativepain in shoulderOften can be managed non-operatively
signs tampenade
Increased JVD pressure, hypotension, diminished heart sounds
signs hemmorrhage IV
-low BP, high HR-more than 40% blood loss. -Significant tachycardia, MAP less than 60
Lethal Triad
Hypothermia, hypercoagulation, acidosis (also get hypotension and worry about microemboli into the kidneys: I&O’s)
