WEEK EIGHT

Question 1

Epidermal burns

Answer 1

Involves the epidermis
Skin is pink, red and painful
Heals in 7 days

Question 2

Superficial partial thickness burns

Answer 2

Epidermis and superficial dermis
Blisters, red or mottled
Painful, exudate
Heals in 14 days

Question 3

Mid dermal partial thickness burns

Answer 3

Epidermis and dermis
Large zone of non viable tissue
Less painful, exudate
Pale to dark pink

Question 4

Deep partial thickness burns

Answer 4

Deep into the dermis 
Pink to pale ivory colour 
Skin does not blanch
Hair falls out 
Surgically excised

Question 5

Full thickness burns

Answer 5

Epidermis and dermis destroyed, may penetrate into underlying structures
Dense white, waxy, charred
Skin often feels leathery (eschar)

Question 6

Burn immediate care?

Answer 6

Emergency principles of care 
Remove from danger
Stop the burning 
A-E
Fluid resus
Insertion of IDC with hourly  output 
FBC
NGT

Question 7

Burns prevention

Answer 7

Preventing Scalds 
Contact Burns
Flame Burns
Explosions
Friction

Question 8

Burns A-E

Answer 8

Airway/Breathing
Consider need for intubation early
Circulation
Fluid replacement using formula
Disability

Question 9

Burns further consideration

Answer 9

Analgesia
Continuous – infusions
Depending on severity – consider sedation
Neurovascular
Consider changes – early recognition can be limb saving
Dressings
Glad wrap
Emergency treatment – once burn has cooled
Stops airflow over burn

Question 10

Enoxaparin

Answer 10

Prevention of VTE
Not for IM route
Contraindications
Heparin, Haemorrhagic risk, Haemorrhagic stroke
Reactions
Haemorrhage, Anaemia, GI Upset, Headache, Skin necrosis, Pain, Haematoma at site
Allergic reaction
Dosage
High risk patients – 40mg OD
Moderate risk patients – 20mg OD
Duration dependent on prophylaxis or treatment of condition