Burns

Rule of nines/pt care

100

main treatment with smoke inhalation even if problem is not currently occurring

early intubation

200

What extra vitals should be obtained on pediatric and geriatric burn victims?

BGL due to poor glycogen stores

300

what body parts front and back equal 9%?

head, each arm

400

What body parts front and back equal 18%?

trunk, each leg

500

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

burn depths and zones

100

Name the depth of the burn: skin is red and swollen

superficial

200

Name the type of burn: white, waxy, leathery, no pain

full thickness

300

Name the depth of burn: sensation is present with blisters

partial thickness

400

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

500

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%

Types of burns

100

What is often associated with flame burns?

inhalation injuries

200

superficial burns and partial thickness burns get what dressing?

wet

300

What correlates directly with thermal burns?

temperature, concentration, amount of heat energy possessed by the object

400

Inhalation of toxic chemical first line of treatment for respiratory distress?

O2 and beta 2 agonists

500

Acid burn causes?

coagulation necrosis

hypovolemic shock

100

What dressing does full thickness get?

wet

200

Consensus formula

2-4ml x kg x % of bsab

divide by 2 and get first 8hrs

300

What is the most important systemic response to significant burn trauma?

hypovolemic shock

400

What % needs fluid resuscitation?

20% or more

500

What causes hypovolemic shock in burn victims?

fluid escaping cells that have been damaged and enters interstitial spaces

Quiz questions

100

Skin is thickest on which part of the body?

heel

200

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

300

Why should you auscultate breath sounds in geriatric pts before fluid resuscitation?

pulmonary edema is more likely to occur in geriatrics

400

Nasotracheal intubation of patient with upper airway burns?

​-should be performed if the patient has mild stridor
-is a complicated procedure and should be avoided
-is generally well tolerated in patients who are awake 
-is indicated if the patient is unconscious and apneic​

is a complicated procedure and should be avoided 

500

What type of burn will heal spontaneously in 2-3 weeks?

superficial