Term
| Superficial (First Degree burn) |
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Definition
epidermal layer sun burn may blister (don't pop the sterile fluid) |
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Term
| Deep Partial Thickness (second degree) |
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Definition
destroys epidermins and various depths of dermis very painful due to nerve ending damage GIVE PAIN MEDS |
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Term
| Full Thickness (3rd degree) |
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Definition
destruction down to dermal layer require skin grafting |
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Term
| Full Thickness (4th degree) |
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Definition
| destruction past dermal into the muscles, tendon or bones |
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Term
Head = 9% Arm = 9% Leg = 18% Chest = 18% Back & Buttox = 18% Groin/Perinial = 1%
*can 1/2 the arms and legs (4.5% & 9%) |
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Definition
| name the rule of 9's value for each body part |
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Term
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Definition
| What determines the severity of the burn? |
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Term
- Fluid Volume Deficit
- Loss of protection from infection
- impaired body temperature
- lost sensory
- imparied body image (especially teenagers)
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Definition
| Biggest factors involving burn patients? |
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Term
| 60% of intravascular fluid will be lost |
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Definition
| If the burn is greater than 30%, how much intravascular fluid will be lost? |
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Term
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Definition
| Due to impaired perfusion, what will happen? |
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Term
become permeable leak water into tissues electrolytes follow that water Albumin and protien are left giving an "edematous" appearance |
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Definition
| What happens to the capillaries after a burn? |
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Term
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Definition
| How long is a patient Anemic for after a burn? |
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Term
| 30% for the first 30 minutes after a burn occurs |
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Definition
| How much can Cardiac Output decrease by with a burn greater than 50% BSA? |
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Term
Carbon Monoxide posioning? pulmonary edmea (from the large fluid replacement) |
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Definition
| What pulmonary functions do we look at after a burn? |
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Term
| ASSESSMENT OF RESPIRATORY SYSTEM!!!! |
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Definition
| What is most important thing to do for an elderly patient suffering from burn(s) ? |
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Term
Tubular necrosis release anti-diuretic hormone (trying to save fluid) |
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Definition
| Inadequote Fluid resuscitation can lead to what? |
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Term
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Definition
| During fluid volume replacement of a burn victim, how much output should we maintain? |
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Term
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Definition
| In burn victims what lab value do we expect to see elevated if muscle damage has occured? |
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Term
4ml x kg/body weight x BSA give 50% in 1st 8 hours give 25% in 2nd 8 hours give 25% in 3rd 8 hours |
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Definition
This is the formula used for Fluid Volume Replacement in burn victims and what rate do we give it at? |
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Term
Where is the burn? Does it affect ABC's? (intubate?) Do we need a cathiter? (before swells shut) Do we need an NG Tube? (see above) We need some IV ACCESS!! |
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Definition
| Remember, what is crucial for thinking FIRST in burn victims? |
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Term
Inhilation injuries can also happen. Make sure to intubate before it swells shut We may use cool water |
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Definition
What other injuries also occur with Thermal Burns? What do we need to do about them? |
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Term
| Lie sterile sheets or towels over burned areas to protect from infection |
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Definition
| For burns to prevent infection to burn sites, what do we do? |
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Term
IV or SubQ because it can pool in interstitial space and not spread correctly |
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Definition
| We want to avoid what type of medication administration option with burns? |
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Term
Silver Sulfadiazine Will cause rash on applied areas ********* WILL LOWER WBC's *********** avoid in patients with Sulfa Allergy |
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Definition
What drug for burns do we use most commonly? Tell about it as well... |
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Term
Usually an acid or alkaline substance Wash or splash face/eyes determine if inhilation or ingestion |
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Definition
| What is a chemical burn and what do we do with them? |
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Term
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Definition
| What drugs do we use for Chemical burns? |
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Term
| magic mouth wash and copious fluides |
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Definition
| What drugs for mouth burns? |
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Term
IV antibiotics (prevent pnuemonia) Steroids |
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Definition
| What drugs to use for inhalation burns? |
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Term
We need EKG stat to determine if cardiac dysrythmias are present and affecting ABC's |
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Definition
| What is a priority with electrical burns? |
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Term
50% Carbs 30% Fat 20% Protien (decending order 50, 30, 20) (ABC order C, F, P ) |
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Definition
| What is the ratio for a diet following a burn? |
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Term
| Reduce Edema which Prevents Scaring |
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Definition
| What is the purpose of burn garments? |
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