CEN Environmental & Toxicology Review: Emergency Nursing Guide to Poisoning, Exposures &
Critical Care Management
What are signs of inhalation injury? - ANS ✔✔Hoarse voice, stridor, carbonaceous sputum
What is the treatment for difficult ventilation with circumferential chest burns? - ANS
✔✔Escharotomy
What is the fluid of choice for burns? - ANS ✔✔LR
What is the recommendation for adult thermal burn fluid resuscitation? - ANS ✔✔2mL/kg X
TBSA
What is the recommendation for pediatric burn fluid resuscitation? - ANS ✔✔3mL/kg X TBSA
What is the recommendation for electrical burn fluid resuscitation? - ANS ✔✔4mL/kg X TBSA
What is the Parkland formula? - ANS ✔✔4mL/kg X TBSA
What is the proper way to fluid resuscitate for burns? - ANS ✔✔1st half of total volume over the
first 8 hours, remaining half over the next 16 hours
What is optimal urine output for electrical burns? - ANS ✔✔75-100 mL/hr
What is a complication/risk with electrical burns? - ANS ✔✔Rhabdomyolysis, increase IVF; risk
of vfib
Critical Care Management
What are signs of inhalation injury? - ANS ✔✔Hoarse voice, stridor, carbonaceous sputum
What is the treatment for difficult ventilation with circumferential chest burns? - ANS
✔✔Escharotomy
What is the fluid of choice for burns? - ANS ✔✔LR
What is the recommendation for adult thermal burn fluid resuscitation? - ANS ✔✔2mL/kg X
TBSA
What is the recommendation for pediatric burn fluid resuscitation? - ANS ✔✔3mL/kg X TBSA
What is the recommendation for electrical burn fluid resuscitation? - ANS ✔✔4mL/kg X TBSA
What is the Parkland formula? - ANS ✔✔4mL/kg X TBSA
What is the proper way to fluid resuscitate for burns? - ANS ✔✔1st half of total volume over the
first 8 hours, remaining half over the next 16 hours
What is optimal urine output for electrical burns? - ANS ✔✔75-100 mL/hr
What is a complication/risk with electrical burns? - ANS ✔✔Rhabdomyolysis, increase IVF; risk
of vfib
