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Burns

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Question
Answer
Where do most burns occur?   At home  
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Why does plasma seep out into tissue?   Increased capillary permeability  
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When does the pulse increase?   Anytime you are in FVD  
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Why does cardiac output decrease?   Because there is less volume to pump out  
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Why does urine output decrease?   Kidneys either aren’t being perfused or they are trying to retain fluid  
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Why is epinephrine secreted?   It makes you vasoconstrict and shunts blood to vital organs  
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What is secreted to compensate for water loss?   ADH and aldosterone  
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What is the most common airway injury during a burn?   carbon monoxide poisoning  
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How is fluid distributed with the Parkland Formula?   1st 8 hours, half the total volume, 2nd 8 hours, ¼ total volume, 3rd 8 hours, ¼ total volume  
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Give albumin why?   Albumin holds on to fluid in the vascular space which will increase kidney perfusion, BP, and cardiac output  
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What kind of test can you do to make sure you are not overloading the client with fluid?   CVP  
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What drugs might be ordered to flush out kidneys?   mannitol  
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Brown or red urine after a burn means?   Muscle destruction (myoglobin)  
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Monitor for hyperkalemia due to?   Cell rupture. Most potassium is found inside of the cells. When the cells rupture due to a burn, the potassium leaks into the vascular space and causes hyperkalemia  
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Why should antibiotics be alternated?   Bacteria will build tolerance or resistance  
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What should you worry about when giving –mycin drugs?   An increase in BUN or creatinine which can lead to ototoxicity  
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What should you assume in the client’s BUN and creatinine is increasing?   Nephrotoxicity  
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What arrhythmia is the client most at risk for in an electrical burn?   V-fib  
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