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Question | Answer |
---|---|
What are the levels of the 3 degrees of burns? | 1st= epidermis only. 2nd= partial thickness of dermis. 3rd= all of dermis and some fatty tissue |
1st degree burns resemble _________ | sunburn |
Blisters in a burn indicate what thickness of involvement? | epidermis and partial dermis |
Which degree burn is painless? | 3rd degree |
Capillary refill (+) indicates what type of burn? | 1st degree (no blanching in 2nd and 3rd degree) |
What are the 11 areas of the rule of 9%? What are the 1% areas? | 9%= head, chest, abdomen, 2 arms, back, buttocks, 2 front of legs, 2 back of legs. 1%= Genitals and 2 hands |
Internal damage is often worse than external damage in __________ burns. | electrical |
In electric burn patients, you must keep high index of suspicion for __________________ syndrome. | compartment |
Why are electric burns treated extremely aggressively with IV fluids? | to prevent myoglobinuria, renal failure, and acidosis (all due to muscle necrosis) |
Why is EKG done in electric burn patient? | to rule out induced dysarrhythmia |
Full thickness burns >_____% BSA and partial thickness burns >______% BSA indicate a transfer to burn center | 5% full thickness, 10% partial thickness |
Sepsis in burns is caused by which organism? | pseudomonas |
What antimicrobials must be given when dressing a burn? | silver sulfadiazine, bacitracin |
What is the Parkland burn forumla? | 4ml x kg x % burn = RL fluid (1/2 in 8h, 2nd 1/2 in 16h) + maintenance |