Question | Answer |
The risk for injury from burns is greatest in whom? | young and old |
Where do most burns occur? | home |
the majority of fluid loss with a burn occurs within the _____ | first 24 hours |
What is the most common airway injury? | carbon monoxie poisoning |
this is used to determine the extend of BSA burned | rule of 9's |
this is used to calculate fluid replacement | parkland formula |
Fluid replacement occurs when for a burn patient? | within the first 24 hours |
For a burn patient, what is the most adequate way to determine fluid status, other than CVP? | urine output |
Besides being wrapped in a blanket, what else could help stop burns? | cool water |
_____ should never be used with burns because it causes too much vasoconstriction. | ice |
Due to swelling, _____ should be removed after a burn. | jewlrey and non-adherent restrictive clothing |
When a client is receiving fluids rapidly, what should be monitored hourly? | CVP |
which is preferred for a burn patient: IV meds, or IM meds | IV |
Tetanus toxoid is considered ____ immunity | active |
immune globulin is considered ____ immunity. | passive |
if patient has a circumferential burn, you should worry about? | circulation |
what are ways to relieve pressure from a circumfrential burn? | escharotomy or fasiotomy |
urine output should be measured | hourly |
why would a burn patient's urine be brown or red? | release of myoglobin |
if the urine turns a different color, what could potentiallly happen to the kidney? | could fail |
what electrolyte imbalance is most prominent in burns? | hyperkalemia |
Due to stress, hyperkalemia, or loss of fluid, a _____ _____ could form in the GI tract. | curling's ulcer |
To help combat a paralytic illeus, what would the nurse insert? | NG tube connected to suction |
What is the most sensitive indicator of nutritional status? | pre-albumin |
what type of isolation will a burn patient be placed under? | reverse/protective |
hydrotherapy is used to | debride |
hydrotherapy can cause | cross-contamination |
what should be the nurse's priority for a patient who is about to undergo hydrotherapy? | pain managment |
you should always do what before starting a patient on broad spectrum antibiotics? | collect wound cultures |
what is the most important intervention for a patient who comes in with an electrical burn? | put them on a continuous heart monitor for 24 hours |