Week 5: CAMPUS Flashcards
1
Q
Most @ Risk for Burns
A
- Pediatric Population
- Toddlers
- Infants
2
Q
What is the role of the skin?
A
- Temperature Regulation
- Control of Fluid Loss/In take
- Sensation to external stimuli
- Production of Vitamin D
- Secretin of Lubricating Oils
2
Q
Classification of Skin
A
- Depth of Damage
- Area of Skin Damage
- Length of time
- Type of Exposure
- Area of Body
3
Q
Superficial Burns
A
- a.k.a. (1st Degree Burn)
- Affect only Epidermis
4
Q
Example of superficial burn?
A
- Sunburn
- Redness with mild edema
- Resolves in a few days
- No Skin Scarring
5
Q
Superficial Partial-thickness burns
A
- a.k.a (2nd Degree Burn)
- Destroys epidermis & damage to papillary dermal layers
6
Q
What are the results of Superficial Partial-thickness burns?
A
- Blood Vessels remain intact
- Blister forms over burn
- Pain present/Full Healing in 10 days
- Danger of infection
7
Q
Skin layers ( top to bottom )
A
- Epidermis
- Papillary Dermis
- Reticular Dermis
- Subcutaneos Dermis
8
Q
Deep partial-thickness burns
A
- a.k.a (3rd Degree Burn)
- Destroy epidermis & damage dermis
9
Q
What are the results of Deep partial-thickness burns
A
- Damaged (Nerve Endings, Blood Vessels, Hair Follicles, and Sweat Glands)
- Intact (Deep Pressure Pacinian Corpuscles)
10
Q
What are the complications of Deep partial-thickness burns?
A
- Blanch (Slow return due b.v. damage)
- Edema (Sever due to + circulation)
- Healing (3-5 weeks)
- Dry & Flaky Skin (destructed Sebaceous and Sweat Glands)
10
Q
Full-thickness Bruns
A
- a.k.a (4th Degree burn)
- Destroys Epidermis & Dermis (Fat Tissue)
- Eschar
- No Sensation (Nerves destroyed)
10
Q
Composite Graft
A
- small graft containing skin and underlying cartilage or other tissue
- Donor sites (ear skin/cartilage)
11
Q
Subdermal Burns
A
- Destroys all Tissue EVEN Bone
- Flame or Electrical Burns
- Grafting/Amputation Tx
12
Q
Electical Burns
A
- Tragets Blood Vessels, Heart, Kidneys
13
Q
Child (Rule of 9’s)
A
- 17% Head
- 13 % LE
14
Q
Burn Complications
A
- Infection
- Cardiac Arrest
- Smook Inhalation
- Pneumoia
- Hypthermia
- Dehydration
15
Q
Brun Requirements
A
- Full Thickness >2-55% of body
- Partial Thickness > 20% of body
16
Q
Medical Interventions for Bruns
A
- Stabilize patient
- Fluid Loss
- Wound Care
- Primary: Prevent Death
- Secondary: Prevent Infection
17
Q
Wounds Interventions
A
- Debrided of dead/nonviable tissue
- Moist environment
- Antimicrobial ointments
- Surgical to remove eschar
18
Q
Autograft
A
Patient’s own skin: Often thigh or buttock
19
Q
Allograft
A
Another human (cadaver graft)
20
Q
Isograft
A
- Graft from another person, identical DNA
- Essentially from a twin
21
Q
Xenograft
A
- Another Species: Pig Skin or Pig Valve
22
Split-Thickness Skin Graft
* Partial-thickness removal of epidermis
* Some dermis
23
Full thickness skin graft
Epidermis and dermis
24
Grafts Sx/Tx
* Success of Graft
* Sufficient blood supply
* Immobilization 72 hrs.
* High caloric intake
* Stretching & maintain joint ROM
* Strict infection prevention