Treatment Flashcards
What type of wound dressing do you first use?
Topical antibiotics such as silvadene or bactroban
2 types of autographs
Split thickness skin graft and full thickness skin graft
What degree burn do you start worrying about possible HO formation
Full thickness 3rd degree burns
When do you use skin grafting
When wound is not expected to heal within 18 to 21 days
When do you use topical silicone to treat burn scars?
It is used for small areas of hypertrophic scars
What depth of burn do you have no pain because of nerve destruction
3rd degree - full thickness
What degree burn do you consider really heavy pain meds such as methadone or oral morphine
Deep partial thickness 2nd degree burns
What vaccinations should burn victims get?
Tetanus
When can you use corticosteroid injections for burn scars?
If scars are localized, early, hypertrophic and pruritic
What is the Parkland formula?
4 mL per kilogram of body weight is divided by the percentage of the body surface area, which equals half of the total calculated fluid requirement that should be given in the first eight hours. The remaining half is divided equally over the next 16 hours.
Difference between full thickness and split thickness skin grafts
Split thickness is used for large area of coverage and full thickness is used for small areas that are burned
What kind of medications do you give to 3rd degree burn patients for pain control
carbamazepine, phenytoin, amitriptyline - meds for neuropathic pain
What depth of burn is amputation most likely needed
4th degree burn - when there is muscle or tendon or bone involved
3 types of skin grafts
Autograph, homograph, xenograft
What depth of burn is graft most likely needed
3rd degree burn - full thickness
