Burns
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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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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Created by:
karenmarie927
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