Great Balls of Fire
Responsible for thermoregulation, metabolic activity, first line of defense against infection, largest organ of the body
What is the skin?
Burns more than 30% may produce a local and systemic response and are considered major burns. Systemic response includes release of?
What are cytokines, histamine, and other mediators that are part of the inflammatory response?
2mL x kg x TBSA
What is the ABA formula for fluid resuscitation?
injury resulting in tissue injury or loss causing increased capillary permeability due to transfer of heat and fluid loss.
What are burns?
This is the crystalloid of choice when treating burns.
What is Lactated Ringer's (LR)?
Hypovolemic shock that is not due to blood loss but fluid loss from blisters.
What is burn shock?
Formulas are only a guide for burn care fluid resuscitation. How often must the patient’ s response to fluid therapy (heart rate, blood pressure, and urine output) be evaluated?
What is hourly?
50% of fluid resuscitation is done in what time frame?
the remaining 50% is done within what time frame?
What are 8 and 16 hours?
Maximum point of contact; central area of the wound; characterized as having necrosis of cells.
What is Zone of Coagulation?
Aquacel and Mepitel are examples of what type of burn dressings?
What are colloidal dressings?
Cellular healing and wound closure begins in this phase of burn care?
What is the proliferative phase?
Monitor urine output for patients with burns due to increased risk of AKI due to?
What is myoglobin?
Patient weighing 132 lbs has endured burns covering 65% TBSA. How much fluid will she need over the next 24 hours?
What is 7,800 mL?
Thermal, electrical, chemical and radiation are all types of burns. The rule of 9s cannot be used for this type of burn.
What is electrical?
This topical antibiotic is a broad-spectrum with minimal eschar penetration.
What is Silver Sulfadiazine (Silvadene)?
Donated skin from live or deceased donors, which can provide temporary wound coverage, is known as?
What is allograft?
Must assess airway and breathing with burn patients. Normal Sp02 with dyspnea and cherry colored lips/mucous membrane would alert the nurse of what?
What is carbon monoxide poisoning?
Incisions that go through the fascia in order to decrease pressure.
What is a fasciotomy?
Carbonaceous sputum, stridor, and carboxihemoglobin are s/s of what type of burn?
Name 3 pharmacological medications to treat hyperkalemia.
What are kayexalate (sodium polystyrene sulfonate), calcium gluconate, furosemide, insulin, albuterol?
Skin grafts between species, generally pig, that provide temporary coverage for 3-4 days are usually known as?
What is xenograft?
A patient with an electrical burn should be placed on what type of monitoring and what diagnostic exam should be performed?
What are cardiac and ekg?
This is how nurses would assess that fluid resuscitation especially for electrical burns is effective.
What is urine output of greater than 1mL/kg/hour
What electrolyte imbalance would nurses monitor for patients with severe burns?
Hyperkalemia
Analgesics such as Morphine and Fentanyl are typically used to treat pain prior to any type of dressing change/debridement. What are the antidotes for these medications?
What is Narcan/Naloxone?