Week 2 Burns- Rishavy

Question 1

How do you determine what degree a burn is?

Answer 1

1st –> sunburn, erythema and swelling

2nd –> Blisters, very painful

3rd –> painless, penetrates into the subcutaneous and needs grafting

Question 2

How do you determine morbitity?

Answer 2

TBSA + age

Question 3

How do you determine TBSA?

Answer 3

only 2,3, and 4th degree burns

Rule of 9’s!

Question 4

How do you determine how much fluid to give a burn vicitim?

Answer 4

4 cc/ kg/ TBSA
Cut this number in half and that needs to be given with-in the first 8 hours
Give the other half over the next 16

Question 5

What is IV fluid supplemented with? Why?

Answer 5

VITAMIN C!!!
This is a free radical scavenger!!! (Presumed that a significant amount of organ damage is caused by cytokine release of free radicals

Question 6

Why do burn victims need a foley catheter?

Answer 6

BEST MEASURE OF RESUSCITATION IS URINE OUTPUT!!!
For PEDs want 1cc/kG/hour
For Adults want .5 cc/kG/hour

Question 7

For electrical burn injury how much urine out put would you like to see?

Answer 7

Need to keep urine output > 100cc/hour (urine is a brown tea color)

Question 8

At what temperature should you rewarm a frostbite?

Answer 8

Rapid rewarm at approximately 104 degrees

Question 9

What kind of necrosis is caused by Acids? by alkalis?

Answer 9

Acids cause coagulation necrosis

Alkalis can cause liquefaction necrosis