Week 5: CAMPUS

Question 1

Most @ Risk for Burns

Answer 1

• Pediatric Population
• Toddlers
• Infants

Question 2

What is the role of the skin?

Answer 2

• Temperature Regulation
• Control of Fluid Loss/In take
• Sensation to external stimuli
• Production of Vitamin D
• Secretin of Lubricating Oils

Question 2

Classification of Skin

Answer 2

• Depth of Damage
• Area of Skin Damage
• Length of time
• Type of Exposure
• Area of Body

Question 3

Superficial Burns

Answer 3

• a.k.a. (1st Degree Burn)
• Affect only Epidermis

Question 4

Example of superficial burn?

Answer 4

• Sunburn
• Redness with mild edema
• Resolves in a few days
• No Skin Scarring

Question 5

Superficial Partial-thickness burns

Answer 5

• a.k.a (2nd Degree Burn)
• Destroys epidermis & damage to papillary dermal layers

Question 6

What are the results of Superficial Partial-thickness burns?

Answer 6

• Blood Vessels remain intact
• Blister forms over burn
• Pain present/Full Healing in 10 days
• Danger of infection

Question 7

Skin layers ( top to bottom )

Answer 7

• Epidermis
• Papillary Dermis
• Reticular Dermis
• Subcutaneos Dermis

Question 8

Deep partial-thickness burns

Answer 8

• a.k.a (3rd Degree Burn)
• Destroy epidermis & damage dermis

Question 9

What are the results of Deep partial-thickness burns

Answer 9

• Damaged (Nerve Endings, Blood Vessels, Hair Follicles, and Sweat Glands)
• Intact (Deep Pressure Pacinian Corpuscles)

Question 10

What are the complications of Deep partial-thickness burns?

Answer 10

1. Blanch (Slow return due b.v. damage)
2. Edema (Sever due to + circulation)

• Healing (3-5 weeks)
• Dry & Flaky Skin (destructed Sebaceous and Sweat Glands)

Question 10

Full-thickness Bruns

Answer 10

• a.k.a (4th Degree burn)
• Destroys Epidermis & Dermis (Fat Tissue)
• Eschar
• No Sensation (Nerves destroyed)

Question 10

Composite Graft

Answer 10

• small graft containing skin and underlying cartilage or other tissue
• Donor sites (ear skin/cartilage)

Question 11

Subdermal Burns

Answer 11

• Destroys all Tissue EVEN Bone
• Flame or Electrical Burns
• Grafting/Amputation Tx

Question 12

Electical Burns

Answer 12

• Tragets Blood Vessels, Heart, Kidneys

Question 13

Child (Rule of 9’s)

Answer 13

• 17% Head
• 13 % LE

Question 14

Burn Complications

Answer 14

• Infection
• Cardiac Arrest
• Smook Inhalation
• Pneumoia
• Hypthermia
• Dehydration

Question 15

Brun Requirements

Answer 15

• Full Thickness >2-55% of body
• Partial Thickness > 20% of body

Question 16

Medical Interventions for Bruns

Answer 16

• Stabilize patient
• Fluid Loss
• Wound Care
• Primary: Prevent Death
• Secondary: Prevent Infection

Question 17

Wounds Interventions

Answer 17

• Debrided of dead/nonviable tissue
• Moist environment
• Antimicrobial ointments
• Surgical to remove eschar

Question 18

Autograft

Answer 18

Patient’s own skin: Often thigh or buttock

Question 19

Allograft

Answer 19

Another human (cadaver graft)

Question 20

Isograft

Answer 20

• Graft from another person, identical DNA
• Essentially from a twin

Question 21

Xenograft

Answer 21

• Another Species: Pig Skin or Pig Valve

Question 22

Split-Thickness Skin Graft

Answer 22

• Partial-thickness removal of epidermis
• Some dermis

Question 23

Full thickness skin graft

Answer 23

Epidermis and dermis

Question 24

Grafts Sx/Tx

Answer 24

• Success of Graft
• Sufficient blood supply
• Immobilization 72 hrs.
• High caloric intake
• Stretching & maintain joint ROM
• Strict infection prevention