Burns
Terminology
Clinical Interventions
Renal Failure
System Failure & MODS
100
A superficial burn has these characteristics.
What is involves the epidermal skin only, doesn’t have blisters, painful, dry, red and blanches with pressure
100
This term describes the tough elastic connective tissue layer of the skin
What is the dermis?
100
ou follow this guideline when calculating fluid replacement for adults for the first 24 hours post injury.
What is Ringer’s Lactate @ 2-4ml/kg/ %TBSA burn?
100
This type of dialysis is used in acute situations.
What is hemodialysis?
100
Liver failure is clinically detectable in the form of these signs
What is jaundice and hepatomegaly?
200
This can lead to an enlarging zone of stasis and thus a larger burn injury.
What is inadequate resuscitation/perfusion?
200
This is the most accurate method for measuring burns in pediatric patients
What is o What is the Lunder-Browder Chart/ pediatric modification of rule of 9s?
200
These are potential treatments for Compartment syndrome. (2)
What is Escharotomy, fasciotomy or both?
200
It is at this stage of renal failure in which hypovolemia should be specifically monitored.
What is the diuretic phase?
200
These signs indicate the beginning onset of MODS.
What is low-grade fever, tachycardia, dyspnea, and altered mental status?
300
This description characterizes a full-thickness burn
What is a burn in which all layers of the dermis and often the subcutaneous tissue is injured?
300
When following the Rule of 9s; the anterior and posterior trunk accounts for this percentage
What is 36%?
300
This should not be used as part of wound management for burns.
What is disinfectant?
300
Following an extensive full-thickness burn the breakdown of these two proteins are directly toxic on tubular cells and can lead to renal failure.
What is Hemoglobin and myoglobin?
300
The excessive systemic inflammatory response in secondary MODS is caused by.
What is TNF, IL-1. Nitric oxide and influx of macrophages and neutrophils.
400
It is in this time frame where there is the greatest loss of intravascular fluid.
What is the first 8-12 hours?
400
This term describes a burn involving the epidermis and portions of the dermis.
What is partial-thickness?
400
You have a patient with a full-thickness burn injury to their head and neck. The patient presents with a carboxyhemoglobin of 24%, SpO2 of 98% on 50% oxygen. What is the priority of care?
What is ensure 100% oxygen?
400
This urinalysis result is common in severely burned patients due to ↑ glomerular permeability and ↓ tubular absorption.
What is proteinuria?
400
These four signs are indicative of CNS failure.
What is lethargy, altered LoC, fever, and hepatic encephalopathy?
500
Following the rule of 9s a patient with superficial burns to the posterior trunk, and posterior left leg and partial thickness burns to the anterior trunk and anterior right leg would have a TBSA of
What is o 27%? Superficial burns aren’t included in the TBSA. Anterior trunk= 18% + anterior leg= 9%=27%
500
The increase of this vasodilator commonly associated with burns can compromise perfusion.
What is thromboxane A2?
500
his would be the 24-hour fluid replacement volume for a pediatric patient weighing 26 kg.
What is 1, 620 cc in 24 hours? 10 x 100=1000 10 x 50= 500 6 x 20 = 120 = 1, 620
500
Early acute renal failure (ARF) is associated with acute tubular necrosis which can be caused by the following;
What is volume alterations, electrolyte disturbances, hormones, inflammatory mediators and toxic breakdown products (ex. heme and globin)?
500
Your patient with open burn wounds begins to have diarrhea. The client is found to have a temperature of 38.5°C, with a white blood cell count of 4000/mm3. Which is the nurse’s best action?
What is preparing to do a work-up for sepsis?