Integumentary
This type of tissue is in the wound bed, and is a sign that wound healing is occurring. Very vascular and pink in color.
granulation
The acceptable minimum urine output for an adult is how many ml/hour?
30ml/hour
A 25 year old female patient has sustained burns to the back of the 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%.
What type of IV fluid is infused in the first 24 hours following a burn?
Lactated Ringers (LR)
Sunburn is an example of what type of burn?
Superficial/ epidermal/ first degree
A patient is about to have a minor bedside procedure performed that involved cutting out the center of a lesion. What is this procedure called?
Skin punch biopsy
A procedure that involves making longs cuts in the skin to prevent compartment syndrome is called _____.
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 Parkland’s Burn Formula to calculate fluid replacement, calculate the hourly fluid rate (mL/hr) for this patient over the next 24 hours?
4 mL x 63 x 82 = 20,664 mL total
The first 24-48 hours following a burn is called the ____ stage.
Emergent
Nutrition for wound healing: Diets should consist of these three things.
High protein, vitamins A & C
What is the first step to burn care.
stop the burn
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 suffered 35% BSA burns 2 hours ago, the total 24 hour fluid replacement to be administered is 11,200 mL. What will be the rate for the first (8 hours) half of fluids?
11,200/2 =5600 ml
5600ml/6 = 933 ml/hr
A burn that affects the dermis, but leaves the skins accessory organs intact is what type of burn?
partial thickness
True or False: you should culture the drainage in a wound bed.
False- You need to irrigate the wound from clean to dirty, and THEN collect the specimen
Coughing is a symptom of what type of burn?
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. What is the total amount of fluids that will be required for the 24 hours fluid replacement?
4x45x102= 18,360 mL
When there is inflammation that causes tissues to swell due to fluid moving into the interstitial space, what syndrome are we on alert for?
compartment syndrome