Wk 2 Burns

Question 1

Standard burn fluid resuscitation

Answer 1

Parkland
4cc/kg/TBSA (total body surface area)
1/2 in first 8 hrs
other half in next 16 hrs

Question 2

What does ascorbate do when added to IVF?

Answer 2

decreases overall damage due to burn
esp in organs
acts as free radical antioxidant

Question 3

Three zones of burn

Answer 3

zone of coagulation
zone of stasis
zone of hyperemia

Question 4

Why do you push IVF after burns?

Answer 4

prevent zone of coagulation from increasing in size and

increases size of zone of hyperemia

Question 5

Average urine output of adult

Answer 5

0.5cc/kg/hr

Question 6

4 degrees of burn and descriptions

Answer 6

1: red
2: blisters
3: painless
4: bone

Question 7

Silvadene

• use
• complications

Answer 7

• topical antibacterial ointment for 1st/2nd degree burns
• transient neutropenia

composed of silver and sulfadiazine

Question 8

Mafenide acetate (Sulfamylon)

• use
• complications

Answer 8

• topical antibacterial burn ointment

- metabolic acidosis/carbonic anhydrase inhibitor

Question 9

Silver nitrate

• use
• complications

Answer 9

• topical antibacterial burn ointment

- leeches out Na+, K+, Ca2+, Cl-

Question 10

Escharotomy

Answer 10

cautery lines cut to release pressure from circumferential burns

Question 11

Biggest concern with victim of electrical shock

Answer 11

hydration–proteins damaged in shock will be flushed out giving urine “tea” color
urine output should be > 100 cc/hr

Question 12

4 degrees of frostbite

Answer 12

1: erythema
2: blisters
3: sub-Q damage
4: gangrene

Question 13

Rapid rewarm temp for frostbite

Answer 13

104 F

Question 14

Should you neutralize acid/base burns?

Answer 14

NO the heat from the Rx will cause a thermal burn