Integumentary
This is a common infection that involves the dermis and subcutaneous tissue.
What is cellulitis?
The acceptable minimum urine output for an adult
30-50 ml/hour
A 25 year old female patient has sustained burns to the back of the entire right arm, posterior trunk, front of the left leg, anterior head and neck, and perineum. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
37%
Back of right arm (4.5%), posterior trunk (18%), front of left leg (9%), anterior head and neck (4.5%) and perineum (1%) which equals 37%.
IV fluid used in the first 24 hours following a burn injury
What is Lactated Ringers (LR)?
Sunburn is an example of what type of burn?
What is Superficial
A patient is about to have a minor bedside procedure performed that involves cutting out the center of a lesion/wound. What is this procedure called?
What is a skin punch biopsy?
A bedside procedure that involves making longs cuts in the skin to prevent a tourniquet effect or superficial compartment
What is escharotomy?
A 68 year old male patient has partial thickness burns to the front and back of the right and left leg, front of right arm, and anterior trunk. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
58.5%
Front and back of right and left leg (36%), front of right arm (4.5%), anterior trunk (18%) which equals 58.5%.
The patient that has 63% BSA burns weighs 180 lbs. Using the modified Brooke Formula to calculate fluid replacement, calculate the hourly fluid rate (mL/hr) for this patient over the next 24 hours?
2 mL x 63 x 82 = 10,332 ml total
divide by 2 then divide by 8
646 then 322
The first 24-48 hours following a burn is called the ____ stage.
What is Acute/Emergent
A virus that lays dormant in nerve ganglions and can cause an outbreak during times of stress or illness
What is herpes zoster (shingles)?
To prevent contractures, the patients' limbs should be placed in this position
What is extension?
A 35 year old male patient has full thickness burns to the anterior and posterior head and neck, front of left leg, and perineum. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
19%
Anterior and posterior head and neck (9%), front of left leg (9%), perineum (1%) which equals 19%
A patient was burned 2 hours ago, the total 24-hour fluid replacement to be administered is 11,200 ml. No fluids have been given prior to now.
The initial rate of fluid will be?
11,200/2 =5600 ml
5600ml/6 = 933 ml/hr
A burn that affects the dermis, but does not reach the sub Q tissue is called
What is partial thickness
Most bacterial integumentary infections are due to what bacteria?
What is S. aureus (Staphylococcus aureus)?
Coughing can be a symptom of what type of burn
What is inhalation?
A 66 year old female patient has deep partial-thickness burns to both of the legs on the back, front and back of the trunk, both arms on the front and back, and front and back of the head and neck. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
81%
Both of the legs on the back (18%), front and back of the trunk (36%), both arms on the front and back (18%), front and back of the head and neck (9%) which equals 81%
You are caring for a patient that has 45% BSA burns, he weights 102 kg.
The total amount of fluids that will be required for the 24 hours fluid replacement?
What is 2x45x102= 9,180 ml
The syndrome known for when there is inflammation that causes tissues to swell inward, due to fluid moving into the interstitial space
What is compartment syndrome