Rule of nines/pt care
early intubation
Name the depth of the burn: skin is red and swollen
superficial
What is often associated with flame burns?
inhalation injuries
What dressing does full thickness get?
wet
Skin is thickest on which part of the body?
heel
What extra vitals should be obtained on pediatric and geriatric burn victims?
BGL due to poor glycogen stores
Name the type of burn: white, waxy, leathery, no pain
full thickness
superficial burns and partial thickness burns get what dressing?
Consensus formula
2-4ml x kg x % of bsab
divide by 2 and get first 8hrs
Adult patient presents with burns involving their hands, feet, and face. Upon assessing the burns you note full thickness cover 12% and partial thickness cover 26%. Would this be considered minor, moderate, major?
major
what body parts front and back equal 9%?
head, each arm
Name the depth of burn: sensation is present with blisters
partial thickness
What correlates directly with thermal burns?
temperature, concentration, amount of heat energy possessed by the object
What is the most important systemic response to significant burn trauma?
hypovolemic shock
Why should you auscultate breath sounds in geriatric pts before fluid resuscitation?
pulmonary edema is more likely to occur in geriatrics
What body parts front and back equal 18%?
trunk, each leg
1: zone of coagulation
2: zone of stasis
3: zone of hyperemia
1: most damage causing necrotic tissue
2: decreased blood flow and inflammation causing possible necrosis within 24-48hrs
3:cells recover in 7-10 days
Inhalation of toxic chemical first line of treatment for respiratory distress?
O2 and beta 2 agonists
What % needs fluid resuscitation?
20% or more
Nasotracheal intubation of patient with upper airway burns?
-should be performed if the patient has mild stridoris a complicated procedure and should be avoided
how much is head in baby and kid?
how much is legs in baby and kid each?
baby:18 kid:12
baby:13.5 kid:16.5
Major burns partial thickness and full thickness %?
Moderate burns partial thickness and full thickness %?
Minor burns partial thickness and full thickness %?
major: partial 25% or more; full 10% or more
moderate: partial 15-25%; full 2-10%
minor: partial less than 15%; full less than 2%
Acid burn causes?
coagulation necrosis
What causes hypovolemic shock in burn victims?
fluid escaping cells that have been damaged and enters interstitial spaces
What type of burn will heal spontaneously in 2-3 weeks?
superficial