Burns
The type of tissue that is impacted by burns.
What is a soft tissue injury?
This formula is the first line choice to calculate TBSA.
What is the Rule of Nines?
Priority is given to removing the person from the burn, stopping the burning process, and protecting the self (rescuer).
What is the prehospital phase?
An intervention that the nurse prioritizes before providing wound care to a patient with 2nd-degree burns.
What is pain management?
Accept pain medication.
***Double Jeopardy***
A priority concern for patient with burns to head, neck, and upper chest?
What are respiratory/airway complications?
This burn is very painful but without blisters.
What is partial thickness- superficial?
Accept 1st degree.
A surgical intervention that may be necessary for circumferential burns. Wha
What is an escharotomy?
Burn wounds have healed and the patient is able to resume a level of self care.
What is the rehabilitative phase?
A generation group(s) at high risk for a burn injury.
What is above 65 or less than four years of age?
**Double Jeopardy**
With thermal burns, it is hard to regulate.
What is temperature?
The number one way to avoid burn injury.
What is prevention?
This formula is considered more accurate when calculating TBSA.
What is The Lund-Browder chart?
This phase begins with the mobilization of extracellular fluid and subsequent diuresis.
What is the Acute Phase?
A type of intravenous fluids are given to a patient in the fluid resuscitation phase.
What are Lactated Ringers?
**Double Jeopardy**
The patient has sustained burns to the face and ears. What positioning intervention would the nurse take?
What is "Do not use pillows"
This burn presents with fluid-filled blisters and is accompanied by severe pain due to nerve injury.
What is Partial Thickness- Deep Burn?
Accept 2nd degree.
Partial Thickness burns to both palms on a patient wound be calculated as what TBSA affected?
What is 2%?
Lasts from the time of burn to 3 or more days. Primary concern is hypovolemic shock and edema.
What is the emergent phase?
A primary intravenous medication that is given during the Emergent phase of fluid therapy. known as a volume expander or colloidal solution.
What is albumin?
**Double Jeopardy**
The technique a nurse should use for wound care.
What is a sterile technique?
Dry, leathery, no blanching, possible contractures.
What are full-thickness burns?
Accept 4th degree.
Using the Rule of Nines. What percentage is the Entire Right Leg?
What is 18%?
Patient is unwilling to look at self and participate in self-care. An important nursing diagnosis for this patient is:
What is Disturbed body image r/t disfigurement?
A major GI complication the nurse would be concerned about in a burn patient.
What is a paralytic ileus?
**Double Jeopardy**
A type of shock the patient is at risk for during the emergent phase.
What is hypovolemic shock?
(will accept burn shock)